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Children's mortality increased after hospital introduced computerised ordering system

BMJ 2006; 332 doi: (Published 12 January 2006) Cite this as: BMJ 2006;332:72
  1. Janice Hopkins Tanne
  1. New York

    The introduction of a computerised ordering system in a children's hospital in the United States was associated with an increase in the mortality of seriously ill children rather than the hoped-for decrease, a review of the system says.

    In October 2002 the Children's Hospital of Pittsburgh implemented a computerised ordering system—in which doctors use a computer system for ordering drugs that checks factors such as dosages and contraindications. The hospital hoped that the system would reduce the number of medical errors and mortality. Instead, in the five months after the system was installed mortality rose among seriously ill children who were transferred to the 235 bed paediatric regional referral centre.

    Approximately 12 000 children are admitted to the hospital each year, including about 3000 who are admitted to its intensive care unit. The review compared outcomes among …

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