| Summary: | 碩士 === 臺北醫學大學 === 醫學資訊研究所 === 102 === Medication Errors, means the errors which occur during the whole process from prescribing by doctors, filling prescriptions by dispensers, and medicating by nursing staff or taking medicine by patients. It includes negligence and judgments errors in the whole process. The main reasons are lack of communications in medical groups, unclearly handing over between shifts, blurred orders, and different recognition to abbreviation...etc. Even so, concerning physician prescribed the parenteral injections and IV (intravenous) were still ordered orally which leads nursing staff using the wrong medicine, dosage and dilution concentrations…etc. easily. Therefore, this study is going to build the database of injection orders to collect the rules for injections and structure IV orders to solve the unstructured text injection orders on the Inpatient Computerized Physician Order Entry (CPOE) System. By the injection user guide and the fast computing capabilities, to provide the correct recommended usage dose, Injection time and rate immediately. And the alarm function can reduce medication negligence; promote the qualities of medical care.
The effects of error-preventing mechanism design in CPOE were assessed. In this study, we were focusing those who application of error-preventing mechanism designs in CPOE system and error detection record.
Observation the error rates of CPOE of injection and Analysis the items which could easily lead to drug safety in injection. Education advocacy of proper medication within hospital were assisted. The alerting effects of this system had been proved by the assessment of analysis of error record. The physician did not repeat to mistake in injection CPOE. The purpose of education and training were achieved.
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