Impact of workflow-integrated corollary orders on aminoglycoside monitoring in children
Computerized provider order entry (CPOE) and clinical decision support improve medication prescribing safety in adults. However, effective therapy for children requires dosing based on circulating medication levels. We examined the introduction of a computerized corollary order for aminoglycoside bl...
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| Veröffentlicht in: | Health informatics journal 2006-09, Vol.12 (3), p.187-198 |
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| creator | Abboud, Patricia A. Ancheta, Rose McKibben, Michael Jacobs, Brian R. |
| description | Computerized provider order entry (CPOE) and clinical decision support improve
medication prescribing safety in adults. However, effective therapy for children
requires dosing based on circulating medication levels. We examined the
introduction of a computerized corollary order for aminoglycoside blood level
monitoring. The study was divided into baseline (BP) and corollary order (CP)
periods. In the CP, we implemented a workflow-integrated reminder to order blood
levels and presented this to the clinician during each aminoglycoside ordering
session. Appropriate laboratory monitoring was 128/159 (80.5%) courses in the BP
and 146/177 (82.5%) courses in the CP. Thus introduction of the order did not
significantly improve laboratory monitoring rates, nor did it result in a
reduction in the rate of either toxic or subtherapeutic levels. However,
aminoglycoside corollary orders may have an important role in institutions where
pharmacists are not actively involved in monitoring therapy. |
| doi_str_mv | 10.1177/1460458206066654 |
| format | Article |
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medication prescribing safety in adults. However, effective therapy for children
requires dosing based on circulating medication levels. We examined the
introduction of a computerized corollary order for aminoglycoside blood level
monitoring. The study was divided into baseline (BP) and corollary order (CP)
periods. In the CP, we implemented a workflow-integrated reminder to order blood
levels and presented this to the clinician during each aminoglycoside ordering
session. Appropriate laboratory monitoring was 128/159 (80.5%) courses in the BP
and 146/177 (82.5%) courses in the CP. Thus introduction of the order did not
significantly improve laboratory monitoring rates, nor did it result in a
reduction in the rate of either toxic or subtherapeutic levels. However,
aminoglycoside corollary orders may have an important role in institutions where
pharmacists are not actively involved in monitoring therapy.</description><identifier>ISSN: 1460-4582</identifier><identifier>EISSN: 1741-2811</identifier><identifier>DOI: 10.1177/1460458206066654</identifier><identifier>PMID: 17023407</identifier><language>eng</language><publisher>Thousand Oaks, CA: Sage Publications</publisher><subject>Aminoglycosides ; Aminoglycosides - analysis ; Aminoglycosides - blood ; Blood ; Children ; Computer applications ; Decision support systems ; Health care ; Hospitals, Pediatric ; Humans ; Medical examination ; Medical Order Entry Systems - organization & administration ; Medical protocols ; Medication errors ; Medication Errors - prevention & control ; Medicine ; Monitoring ; Ohio ; Patients ; Prevention ; Software ; Technology application</subject><ispartof>Health informatics journal, 2006-09, Vol.12 (3), p.187-198</ispartof><rights>COPYRIGHT 2006 Sage Publications Ltd. (UK)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3624-e98eed7da8a3a43bcfac1e3c7c47db8315c69ce702b14db61eae7ae70b3b98e73</citedby><cites>FETCH-LOGICAL-c3624-e98eed7da8a3a43bcfac1e3c7c47db8315c69ce702b14db61eae7ae70b3b98e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1460458206066654$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1460458206066654$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21966,27853,27924,27925,44945,45333</link.rule.ids><linktorsrc>$$Uhttps://journals.sagepub.com/doi/full/10.1177/1460458206066654?utm_source=summon&utm_medium=discovery-provider$$EView_record_in_SAGE_Publications$$FView_record_in_$$GSAGE_Publications</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17023407$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abboud, Patricia A.</creatorcontrib><creatorcontrib>Ancheta, Rose</creatorcontrib><creatorcontrib>McKibben, Michael</creatorcontrib><creatorcontrib>Jacobs, Brian R.</creatorcontrib><creatorcontrib>Clinical Informatics Outcomes Research Group</creatorcontrib><creatorcontrib>Clinical Informatics Outcomes Research Group</creatorcontrib><title>Impact of workflow-integrated corollary orders on aminoglycoside monitoring in children</title><title>Health informatics journal</title><addtitle>Health Informatics J</addtitle><description>Computerized provider order entry (CPOE) and clinical decision support improve
medication prescribing safety in adults. However, effective therapy for children
requires dosing based on circulating medication levels. We examined the
introduction of a computerized corollary order for aminoglycoside blood level
monitoring. The study was divided into baseline (BP) and corollary order (CP)
periods. In the CP, we implemented a workflow-integrated reminder to order blood
levels and presented this to the clinician during each aminoglycoside ordering
session. Appropriate laboratory monitoring was 128/159 (80.5%) courses in the BP
and 146/177 (82.5%) courses in the CP. Thus introduction of the order did not
significantly improve laboratory monitoring rates, nor did it result in a
reduction in the rate of either toxic or subtherapeutic levels. However,
aminoglycoside corollary orders may have an important role in institutions where
pharmacists are not actively involved in monitoring therapy.</description><subject>Aminoglycosides</subject><subject>Aminoglycosides - analysis</subject><subject>Aminoglycosides - blood</subject><subject>Blood</subject><subject>Children</subject><subject>Computer applications</subject><subject>Decision support systems</subject><subject>Health care</subject><subject>Hospitals, Pediatric</subject><subject>Humans</subject><subject>Medical examination</subject><subject>Medical Order Entry Systems - organization & administration</subject><subject>Medical protocols</subject><subject>Medication errors</subject><subject>Medication Errors - prevention & control</subject><subject>Medicine</subject><subject>Monitoring</subject><subject>Ohio</subject><subject>Patients</subject><subject>Prevention</subject><subject>Software</subject><subject>Technology application</subject><issn>1460-4582</issn><issn>1741-2811</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM1LxDAQxYMorq7ePUlO3romTZp0jyJ-geBF8VjSZFqjbWZNuoj_vVl2QRAkAxlm3hseP0LOOFtwrvUll4rJqi6ZYkqpSu6RI64lL8qa8_3c53Wx2c_IcUrvjDHBKnFIZlyzUkimj8jrw7gydqLY0S-MH92AX4UPE_TRTOCoxYjDYOI3xeggJoqBmtEH7Idvi8k7oCMGP2H0oac-UPvmBxchnJCDzgwJTnf_nLzc3jxf3xePT3cP11ePhRWqlAUsawCnnamNMFK0tjOWg7DaSu3aWvDKqqWFHLfl0rWKgwGdi7WizVYt5uRie3cV8XMNaWpGnyzkzAFwnZpKZzB1ybNwsRX2ZoDGhw6naGx-DkZvMUDn8_yKy2WptJbLbGBbg42YUoSuWUU_ZhQNZ82GfvOXfrac78Ks2xHcr2GHOwuKrSCZHpp3XMeQ4fx_8AcoBY46</recordid><startdate>200609</startdate><enddate>200609</enddate><creator>Abboud, Patricia A.</creator><creator>Ancheta, Rose</creator><creator>McKibben, Michael</creator><creator>Jacobs, Brian R.</creator><general>Sage Publications</general><general>Sage Publications Ltd. (UK)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>E3H</scope><scope>F2A</scope></search><sort><creationdate>200609</creationdate><title>Impact of workflow-integrated corollary orders on aminoglycoside monitoring in children</title><author>Abboud, Patricia A. ; Ancheta, Rose ; McKibben, Michael ; Jacobs, Brian R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3624-e98eed7da8a3a43bcfac1e3c7c47db8315c69ce702b14db61eae7ae70b3b98e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Aminoglycosides</topic><topic>Aminoglycosides - analysis</topic><topic>Aminoglycosides - blood</topic><topic>Blood</topic><topic>Children</topic><topic>Computer applications</topic><topic>Decision support systems</topic><topic>Health care</topic><topic>Hospitals, Pediatric</topic><topic>Humans</topic><topic>Medical examination</topic><topic>Medical Order Entry Systems - organization & administration</topic><topic>Medical protocols</topic><topic>Medication errors</topic><topic>Medication Errors - prevention & control</topic><topic>Medicine</topic><topic>Monitoring</topic><topic>Ohio</topic><topic>Patients</topic><topic>Prevention</topic><topic>Software</topic><topic>Technology application</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abboud, Patricia A.</creatorcontrib><creatorcontrib>Ancheta, Rose</creatorcontrib><creatorcontrib>McKibben, Michael</creatorcontrib><creatorcontrib>Jacobs, Brian R.</creatorcontrib><creatorcontrib>Clinical Informatics Outcomes Research Group</creatorcontrib><creatorcontrib>Clinical Informatics Outcomes Research Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Library & Information Sciences Abstracts (LISA)</collection><collection>Library & Information Science Abstracts (LISA)</collection><jtitle>Health informatics journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Abboud, Patricia A.</au><au>Ancheta, Rose</au><au>McKibben, Michael</au><au>Jacobs, Brian R.</au><aucorp>Clinical Informatics Outcomes Research Group</aucorp><aucorp>Clinical Informatics Outcomes Research Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of workflow-integrated corollary orders on aminoglycoside monitoring in children</atitle><jtitle>Health informatics journal</jtitle><addtitle>Health Informatics J</addtitle><date>2006-09</date><risdate>2006</risdate><volume>12</volume><issue>3</issue><spage>187</spage><epage>198</epage><pages>187-198</pages><issn>1460-4582</issn><eissn>1741-2811</eissn><abstract>Computerized provider order entry (CPOE) and clinical decision support improve
medication prescribing safety in adults. However, effective therapy for children
requires dosing based on circulating medication levels. We examined the
introduction of a computerized corollary order for aminoglycoside blood level
monitoring. The study was divided into baseline (BP) and corollary order (CP)
periods. In the CP, we implemented a workflow-integrated reminder to order blood
levels and presented this to the clinician during each aminoglycoside ordering
session. Appropriate laboratory monitoring was 128/159 (80.5%) courses in the BP
and 146/177 (82.5%) courses in the CP. Thus introduction of the order did not
significantly improve laboratory monitoring rates, nor did it result in a
reduction in the rate of either toxic or subtherapeutic levels. However,
aminoglycoside corollary orders may have an important role in institutions where
pharmacists are not actively involved in monitoring therapy.</abstract><cop>Thousand Oaks, CA</cop><pub>Sage Publications</pub><pmid>17023407</pmid><doi>10.1177/1460458206066654</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Health informatics journal, 2006-09, Vol.12 (3), p.187-198 |
| issn | 1460-4582 1741-2811 |
| language | eng |
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| source | SAGE Journals |
| subjects | Aminoglycosides Aminoglycosides - analysis Aminoglycosides - blood Blood Children Computer applications Decision support systems Health care Hospitals, Pediatric Humans Medical examination Medical Order Entry Systems - organization & administration Medical protocols Medication errors Medication Errors - prevention & control Medicine Monitoring Ohio Patients Prevention Software Technology application |
| title | Impact of workflow-integrated corollary orders on aminoglycoside monitoring in children |
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