The Role of Computerized Clinical Decision Support in Reducing Inappropriate Medication Administration During Epidural Therapy

Hospital Pharmacy
Jonathon D PouliotRajnish K Gupta

Abstract

Background: The use of epidural anesthesia has been shown to improve outcomes in the postoperative setting. To minimize risk of complications, avoiding certain medications with epidural anesthesia is advised. Objective: This study sought to determine the role of a computerized clinical decision support module implemented into the computerized physician order entry (CPOE) system on the incidence of administration of medications known to increase complications with epidural anesthesia. Methods: This study was a retrospective cohort chart review in adult patients receiving epidural anesthesia for at least 1 day. Patients were identified retrospectively and divided into 2 cohorts, those receiving an epidural 3 months prior to initiation of the module and those receiving an epidural 3 months following implementation. The primary end point was incidence of inappropriate medication administration before and after implementation. Complications of therapy were collected as secondary end points. Results: There was a reduction in the incidence of inappropriate medication administration in the postimplementation group versus the preimplementation group (6.3% vs 12.8%) although statistical significance was not achieved. In addition, the inc...Continue Reading

References

Sep 9, 2006·Current Opinion in Anaesthesiology·Wiebke Gogarten
Mar 23, 2007·Anesthesia and Analgesia·Richard BrullHossam El-Beheiry
Oct 5, 2010·European Journal of Anaesthesiology·Wiebke GogartenUNKNOWN European Scoeity of Anaesthesiology
Mar 26, 2011·São Paulo Medical Journal = Revista Paulista De Medicina·Giancarlo LucchettiMilton Luiz Gorzoni
Aug 11, 2012·American Journal of Therapeutics·Rajnish K Gupta

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