Provider error prevention: online total parenteral nutrition calculator.

Christoph U. Lehmann, Kim G. Conner, Jeanne M. Cox

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

OBJECTIVE: 1. To reduce errors in the ordering of total parenteral nutrition (TPN) in the Newborn Intensive Care Unit (NICU) at the Johns Hopkins Hospital (JHH). 2. To develop a pragmatic low-cost medical information system to achieve this goal. METHODS: We designed an online total parenteral nutrition order entry system (TPNCalculator) using Internet technologies. Total development time was three weeks. Utilization, impact on medical errors and user satisfaction were evaluated. RESULTS: During the control period, 0.39 orders per patient per day (N=557) were received compared to 0.35 orders per patient per day (N=471) in the intervention period (NS). There was no significant difference in the percentage of late (incomplete by order deadline) TPN orders. During the control period, an average of 10.8 errors were detected per 100 TPN orders compared to 4.2 per 100 orders in the intervention period (61% reduction of error rate; p < 0.01). We found a reduction in the following types of problems: Calculation errors (100%), osmolality issues (87%) and other knowledge problems (84%). There was a 35% increase in the number of incomplete forms. Users of the system were enthusiastic and supportive and compared it favorably to the prior paper based system. CONCLUSION: Low-cost, pragmatic approaches utilizing Internet technology in the design of medical information systems can reduce medical errors and might pose a viable option for the prevention of adverse drug events.

Original languageEnglish (US)
Pages (from-to)435-439
Number of pages5
JournalProceedings / AMIA ... Annual Symposium. AMIA Symposium
StatePublished - 2002
Externally publishedYes

Fingerprint

Total Parenteral Nutrition
Medical Errors
Information Systems
Internet
Technology
Costs and Cost Analysis
Neonatal Intensive Care Units
Drug-Related Side Effects and Adverse Reactions
Osmolar Concentration

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Provider error prevention : online total parenteral nutrition calculator. / Lehmann, Christoph U.; Conner, Kim G.; Cox, Jeanne M.

In: Proceedings / AMIA ... Annual Symposium. AMIA Symposium, 2002, p. 435-439.

Research output: Contribution to journalArticle

@article{04d1f172d3704c21b6fd35063a2bd720,
title = "Provider error prevention: online total parenteral nutrition calculator.",
abstract = "OBJECTIVE: 1. To reduce errors in the ordering of total parenteral nutrition (TPN) in the Newborn Intensive Care Unit (NICU) at the Johns Hopkins Hospital (JHH). 2. To develop a pragmatic low-cost medical information system to achieve this goal. METHODS: We designed an online total parenteral nutrition order entry system (TPNCalculator) using Internet technologies. Total development time was three weeks. Utilization, impact on medical errors and user satisfaction were evaluated. RESULTS: During the control period, 0.39 orders per patient per day (N=557) were received compared to 0.35 orders per patient per day (N=471) in the intervention period (NS). There was no significant difference in the percentage of late (incomplete by order deadline) TPN orders. During the control period, an average of 10.8 errors were detected per 100 TPN orders compared to 4.2 per 100 orders in the intervention period (61{\%} reduction of error rate; p < 0.01). We found a reduction in the following types of problems: Calculation errors (100{\%}), osmolality issues (87{\%}) and other knowledge problems (84{\%}). There was a 35{\%} increase in the number of incomplete forms. Users of the system were enthusiastic and supportive and compared it favorably to the prior paper based system. CONCLUSION: Low-cost, pragmatic approaches utilizing Internet technology in the design of medical information systems can reduce medical errors and might pose a viable option for the prevention of adverse drug events.",
author = "Lehmann, {Christoph U.} and Conner, {Kim G.} and Cox, {Jeanne M.}",
year = "2002",
language = "English (US)",
pages = "435--439",
journal = "Proceedings / AMIA . Annual Symposium. AMIA Symposium",
issn = "1531-605X",
publisher = "Hanley & Belfus",

}

TY - JOUR

T1 - Provider error prevention

T2 - online total parenteral nutrition calculator.

AU - Lehmann, Christoph U.

AU - Conner, Kim G.

AU - Cox, Jeanne M.

PY - 2002

Y1 - 2002

N2 - OBJECTIVE: 1. To reduce errors in the ordering of total parenteral nutrition (TPN) in the Newborn Intensive Care Unit (NICU) at the Johns Hopkins Hospital (JHH). 2. To develop a pragmatic low-cost medical information system to achieve this goal. METHODS: We designed an online total parenteral nutrition order entry system (TPNCalculator) using Internet technologies. Total development time was three weeks. Utilization, impact on medical errors and user satisfaction were evaluated. RESULTS: During the control period, 0.39 orders per patient per day (N=557) were received compared to 0.35 orders per patient per day (N=471) in the intervention period (NS). There was no significant difference in the percentage of late (incomplete by order deadline) TPN orders. During the control period, an average of 10.8 errors were detected per 100 TPN orders compared to 4.2 per 100 orders in the intervention period (61% reduction of error rate; p < 0.01). We found a reduction in the following types of problems: Calculation errors (100%), osmolality issues (87%) and other knowledge problems (84%). There was a 35% increase in the number of incomplete forms. Users of the system were enthusiastic and supportive and compared it favorably to the prior paper based system. CONCLUSION: Low-cost, pragmatic approaches utilizing Internet technology in the design of medical information systems can reduce medical errors and might pose a viable option for the prevention of adverse drug events.

AB - OBJECTIVE: 1. To reduce errors in the ordering of total parenteral nutrition (TPN) in the Newborn Intensive Care Unit (NICU) at the Johns Hopkins Hospital (JHH). 2. To develop a pragmatic low-cost medical information system to achieve this goal. METHODS: We designed an online total parenteral nutrition order entry system (TPNCalculator) using Internet technologies. Total development time was three weeks. Utilization, impact on medical errors and user satisfaction were evaluated. RESULTS: During the control period, 0.39 orders per patient per day (N=557) were received compared to 0.35 orders per patient per day (N=471) in the intervention period (NS). There was no significant difference in the percentage of late (incomplete by order deadline) TPN orders. During the control period, an average of 10.8 errors were detected per 100 TPN orders compared to 4.2 per 100 orders in the intervention period (61% reduction of error rate; p < 0.01). We found a reduction in the following types of problems: Calculation errors (100%), osmolality issues (87%) and other knowledge problems (84%). There was a 35% increase in the number of incomplete forms. Users of the system were enthusiastic and supportive and compared it favorably to the prior paper based system. CONCLUSION: Low-cost, pragmatic approaches utilizing Internet technology in the design of medical information systems can reduce medical errors and might pose a viable option for the prevention of adverse drug events.

UR - http://www.scopus.com/inward/record.url?scp=0036362428&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036362428&partnerID=8YFLogxK

M3 - Article

C2 - 12463861

AN - SCOPUS:0036362428

SP - 435

EP - 439

JO - Proceedings / AMIA . Annual Symposium. AMIA Symposium

JF - Proceedings / AMIA . Annual Symposium. AMIA Symposium

SN - 1531-605X

ER -