• Gili Kadmon, Michal Shifrin, Michal Pinchover, and Elhanan Nahum.
• Pediatric Intensive Care Unit, Sackler Faculty of Medicine, Schneider Children's Medical Center in Israel, Tel Aviv University, Petach Tikva, Israel.
• Pediatr Crit Care Me. 2020 Jun 1; 21 (6): 557-562.

ObjectivesTo assess risk factors for electronic prescription errors in a PICU.DesignA database of electronic prescriptions issued by a computerized physician order entry with clinical decision support system was analyzed to identify risk factors for prescription errors.Measurements And Main ResultsOf 6,250 prescriptions, 101 were associated with errors (1.6%). The error rate was twice as high in patients older than 12 years than in patients children 6-12 and 0-6 years old (2.4% vs 1.3% and 1.2%, respectively, p < 0.05). Compared with patients without errors, patients with errors had a significantly higher score on the Pediatric Index of Mortality 2 (-3.7 vs -4.5; p = 0.05), longer PICU stay (6 vs 3.1 d; p < 0.0001), and higher number of prescriptions per patient (40.8 vs. 15.7; p < 0.0001). In addition, patients with errors were more likely to have a neurologic main admission diagnosis (p = 0.008) and less likely to have a cardiologic diagnosis (p = 0.03) than patients without errors.ConclusionsOur findings suggest that older patient age and greater disease severity are risk factors for electronic prescription errors.

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