The Effect of Computerized Decision Support System in Preventing of High-risk Medication Errors in Pediatric Patients
Makaleler > Tam Makale · 2026
Yazarlar: Beste Özgüven Öztornacı, Didar Zümrüt BAŞBAKKAL
Journal of Dr Behcet Uz Children s Hospital, Uluslararası, 2026, cilt 16, ss 108-119
DOI: 10.4274/jbuch.galenos.2026.26780
Özet
Objective: This study aimed to examine the effect of a web-based double check program, developed as a computerised decision support system, on preventing high-risk medication errors among pediatric nurses.Method: This quasi-experimental study was conducted using a single-group pretest-posttest design in the pediatric surgery clinics of a university hospital.The sample consisted of all high-risk medication administrations performed by 24 nurses.Medication error rates were determined through direct observation before the intervention.Subsequently, nurses administered medications using the webbased double check program, and medication error rates were reassessed after the interventions.Data were analysed using IBM Statistical Package for the Social Sciences software program.Ethical approval, institutional permission, and informed consent were obtained.Results: The average rates of medication error were 47.8% before and 19.4% after the interventions, indicating a substantial reduction in medication error rates following implementation of the web-based double check program.The overall medication error rate was calculated as the arithmetic mean of stagespecific (preparation, administration, patient monitoring, and documentation). Conclusion:The use of the web-based double check program significantly reduced medication error rates among pediatric nurses.Integration of computerized decision support systems into clinical practice may contribute to improved medication safety in pediatric settings.