Improving thiamine prescribing at an academic hospital network using the computerized provider order entry system: a cohort study.

ABSTRACT:

Background

Oral thiamine therapy is frequently prescribed to patients at risk for thiamine deficiency despite recommendations emphasizing the need for high doses of parenteral thiamine to reverse brain thiamine deficits. We evaluated the effect of changes to the computerized provider order entry system on the proportion of prescriptions for parenteral thiamine treatment (primary outcome) and dosages prescribed (secondary outcome) within our academic hospital network.

Methods

We obtained data from the pharmacy information system recording thiamine prescribed to inpatients at University Health Network hospitals (Toronto, Ontario) before (Jan. 1, 2010, to Dec. 31, 2011) and after (Nov. 21, 2013, to Apr. 30, 2017) changes to the computerized provider order entry system promoting

SUBMITTER: Day GS 

PROVIDER: S-EPMC7239638 | biostudies-literature | 2020 Apr-Jun

REPOSITORIES: biostudies-literature