Reducing Errors In The Neonatal Intensive Care Unit (SAPHET-i)

Fondazione Poliambulanza Istituto Ospedaliero

Status: Unknown

Conditions: Medication Errors and Other Product Use Errors and Issues; Adverse Drug Event

Treatments: Other: Computerized Provider Order Entry (CPOE) plus Bar Code Medication Administration (BCMA)

Study type: Observational

Funder types: Other

Identifiers

NCT04193839

NP 3751

Details and patient eligibility

About

This is a monocentric prospective pre and post-intervention study, aiming at analyzing the efficacy of the Computerized Provider Order Entry (CPOE) plus Bar Code Medication Administration (BCMA) as compared to paper order entry in reducing medication erros (MEs) in the Neonatal Intensive Care Unit (NICU)

Full description

Medication errors are a burden to the health care system. The neonatal population, in particular the infants admitted to the NICU, are at higher risk of MEs as compared to the adult and pediatric population. Moreover adverse events (ADEs) occur more frequently and may be particularly severe in neonates.

Several strategies have been tried in order to decrease the incidence of MEs in the NICU. Among these, some studies investigated the effectiveness of CPOE in reducing MEs in hospitalised patients. However, results have been inconsistent. So far, no study investigated the association of CPOE + BCMA in neonates.

The investigators designed a monocentric prospective pre and post-intervention observational study to investigate the efficacy of the CPOE plus BCMA as compared to paper order entry in reducing MEs in the NICU population.

Enrollment: 100 estimated patients

Sex: All

Ages: Under 6 months old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Admission to the NICU
• Need of pharmacological intervention
• Informed parental consent

Exclusion criteria

• Lack of parental consent

Trial design

100 participants in 2 patient groups

Paper Order Entry cohort

Description:

Patients admitted to the NICU during the pre-intervention phase, enrolled in the study after parental consent. The medications prescribed to the patients enrolled during the pre-intervention period will be handled with the paper order entry

CPOE + BCMA cohort

Description:

Patients admitted to the NICU during the post-intervention phase, enrolled in the study after parental consent. The medications prescribed to the patients enrolled during the post-intervention period will be handled with the Computerized Provider Order Entry + Bar Code Medication Administration (BCMA)

Treatment:

Other: Computerized Provider Order Entry (CPOE) plus Bar Code Medication Administration (BCMA)