98%
921
2 minutes
20
Prescribing errors related to computerized physician order entry are current and may have serious consequences for patients. They can be detected by pharmacists during prescriptions analysis and lead to pharmacist's interventions. In France, few monocentric studies have studied Pharmacist Interventions triggered by prescribing errors identified as System-Related Errors (PISREs) in French hospitals. However, their respective analysis method prevent any comparison between computerized physician order entry systems in order to identify the safest and rule out the most dangerous. A computerized physician prescribing error related to the software is characterized by its causes, consequences and mechanism of occurrence. US researchers have developed and validated a tool to classify and illustrate these three characteristics. The objectives of this article are to present this tool, to propose a French adaptation and to describe the perspectives analyze and understand prescription errors related to computerized physician order entry based on data of Act-IP©. The adaptation was performed using PISREs extracted from the Act-IP© observatory of the French Society of Clinical Pharmacy. Each item of the codification is illustrated with an example of PI. We are considering a training plan in order to allow wide use of this tool. Once adopted this tool, the next step will be to organize a prospective multicenter study including as many computerized prescription order entry systems as possible. The aim of this study will be identifying the safest systems. Consequently, it will then be possible to have arguments to qualify the most dangerous and thus propose their withdrawal from the market.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1016/j.pharma.2023.06.003 | DOI Listing |
Clin Med Insights Case Rep
August 2025
Ahmadi Hospital, Kuwait Oil Company, Fahahil, Kuwait.
Pneumatosis intestinalis (PI) is characterized by the presence of air within the walls of the small intestine, large intestine, and sometimes the gastric wall. The mechanism and pathogenesis of PI are poorly understood. The discovery of PI can occur in the form of an incidental finding, such as a benign course or a life-threatening condition, such as intestinal ischemia.
View Article and Find Full Text PDFHealthcare (Basel)
August 2025
Department of Pharmacy, Taipei City Hospital, Taipei 108, Taiwan.
Carbamazepine (CBZ) is associated with severe cutaneous adverse reactions in individuals carrying the HLA-B*15:02 allele, which is prevalent in Asian populations. Genetic screening before the initiation of CBZ is recommended, yet screening is not always undertaken. To determine the effect of implementing computerized physician order entry (CPOE) reminders on the screening rates of HLA-B*15:02 before CBZ prescription.
View Article and Find Full Text PDFUltrason Imaging
August 2025
School of Computing, University of Buckingham, Buckingham, UK.
Breast ultrasound images play a pivotal role in assessing the nature of suspicious breast lesions, particularly in patients with dense tissue. Computerized analysis of breast ultrasound images has the potential to assist the physician in the clinical decision-making and improve subjective interpretation. We assess the performance of conventional features, deep learning features and ensemble schemes for discriminating benign versus malignant breast lesions on ultrasound images.
View Article and Find Full Text PDFPrehosp Emerg Care
August 2025
Infection Control Programme and WHO Collaborating Centre, Geneva University Hospitals, Geneva, Switzerland.
Objectives: Prehospital antibiotic administration prior to emergency department (ED) admission could reduce the delay of effective antibiotic treatment and thus mortality of septic patients. Additionally, collecting blood cultures early could improve microbial identification. We assessed the effect of ceftriaxone administration before ED admission on mortality.
View Article and Find Full Text PDFCase Rep Med
August 2025
Prime Healthcare, Department of Neurology, Dallas Regional Medical Center, Mesquite, Texas, USA.
Stiff person syndrome (SPS) is a rare neurological disorder marked by muscle stiffness, spasms, specific electromyographic findings, and elevated levels of glutamate acid decarboxylase. Patients' symptoms and signs can be challenging for general practitioners and specialists. We present a case of a 56-year-old man with a history of type 1 diabetes with episodes of severe chest, abdominal, and low back pain; severe tachycardia; and difficulty with walking who was seen by different physicians over a period of 10 months without any significant improvement.
View Article and Find Full Text PDF