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. 2015 Nov 13;112(46):781–787. doi: 10.3238/arztebl.2015.0781

Table 3. Pediatric studies included in a recent Cochrane review (33), on CPOE, unit-dose systems with barcode scanners, and pharmacists on wards.

Study Design Study setting Endpoint Result
Electronic prescribing systems Intervention Control
King 2003 (e19) Retrospective before/after study I: 2 general wards C: 1 general ward, 2 surgical ward 36103 patients in total, USA Medication errors per 1000 patient days Before: 4.48 After: 3.13 Before: 4.80 After: 5.19 p < 0.001
Walsh 2008 (e20) Before/after study I: General wards, surgical ward, PICU, NICU C: none Total sample of 627 patients, USA Serious medication errors that reached the patient, per 1000 patient days Before: 23.1 After: 20.6 - IRR (95% CI 0.69 to 1.78)
Unit-dose system with barcode scanner (BCMA) Intervention Control
Moriss 2009 (36) Prospective before/after study I: NICU C: not reported 958 patients in total, USA Adverse drug reactions that are affected by the intervention as expected, per 1000 doses Before: 0.86 After: 0.43 - p = 0.008
Pharmacist on ward Intervention Controlphar
Kaushal 2008 (38) Prospective before/after study I: General ward (part time), surgical ward (part time), PICU (full time) C: general ward, surgical ward, cardiac-intensive ward 4863 patients in total, USA Serious medication errors per 1000 patient days General wards
Before: 8 After: 9 Before: 7 After: 8 p = 0.78
Surgical wards
Before: 7After: 9 Before: 8 After: 10 p = 0.89
PICU Cardiac-intensive
Before: 29 After: 6 Before: 20 After: 30 p < 0.01
Zhang 2012 (e28) Randomized controlled study Patients with neurological disorders, respiratory disorders, or digestive disorders, 150 patients in total, China Hospital stay in days 7.33 ± 3.52 9.06 ± 5.47 p = 0.02

CPOE, computerized physician order entry; I, intervention; C, control; NICU, neonatal intensive care unit; PICU, pediatric intensive care unit; IRR, incidence rate ratio; 95% CI, 95% confidence interval