A Quality Improvement Initiative to Decrease Platelet Ordering Errors and a Proposed Model for Evaluating Clinical Decision Support Effectiveness.

摘要: Background and Objectives Clinical decision support (CDS) computerized provider order entry have been shown to improve health care quality safety, but may also generate previously unanticipated errors. We identified multiple CDS tools for platelet transfusion orders. In this study, we sought evaluate the effectiveness of those while creating testing a framework future evaluation other tools. Methods Using query an enterprise data warehouse at tertiary pediatric hospital, conducted retrospective analysis assess baseline use performance existing Our outcome measure was percentage undertransfusion ordering Errors were defined as volumes ordered which less than amount recommended by set used. then redesigned our measured impact intervention prospectively using statistical process control methodology. Results We that 62% all orders placed with one two sets (Inpatient Service 1 Inpatient 2). The had significantly higher occurrence errors (3.10% compared 1.20%). After interventions, error on decreased from 3.10 0.33%. Conclusion We successfully reduced redesigning suggest collections clinical help identify patterns in erroneous ordering, could otherwise go undetected. created can be used similar