Implementation of disease-based standard order sets in emergency department of tertiary care hospital, Pakistan- a novel approach for enhancing patient care

Authors

  • Feroza Parveen Department of Peadiatrics and Child Health, The Aga Khan University Hospital, Karachi, Pakistan
  • Asif Khaliq Department of Pharmacy Services, The Aga Khan University Hospital, Karachi, Pakistan
  • Nadeem Ullah Khan Department of Emergency Medicines, The Aga Khan University Hospital, Karachi, Pakistan
  • Zainab Mazhar Department of Pharmacy Services, The Aga Khan University Hospital, Karachi, Pakistan
  • Aisha Akram Department of Pharmacy Services, The Aga Khan University Hospital, Karachi, Pakistan
  • Khusro Shamim Department of Emergency Medicines, The Aga Khan University Hospital, Karachi, Pakistan

DOI:

https://doi.org/10.47391/JPMA.1281

Abstract

Abstract

Objectives: To evaluate the efficacy of disease-based standard order sets in reducing time of order entry, order processing and medication dispensation in emergency department of a tertiary care hospital.

Methods: The pilot study was conducted as part of a retrospective clinical audit using pre- and post-intervention design comprising data from July to September 2013 of the emergency department of a tertiary care hospital in Karachi. Data collected related to the reduction in medicine order entry, processing and dispensing time of eight common emergency conditions with standard order set.  Subsequently, standard medication orders for the selected medical conditions were developed together with physicians of emergency and other specialties. Post-intervention data was collected and the two data sets were compared using SPSS version 23.0.

Results: Mean medication order entry and processing time from the physician end improved from 67.7±22.7 seconds to 20.5±7.1 seconds.  Mean order processing and medication processing and dispensing time at pharmacist end reduced from 70.0±22.4 to 20.6±8.8 seconds. The difference between pre- and post-intervention values was significant (p<0.001).

Conclusion: Implementation of disease-based standard order set significantly improved efficiency.

Key Words: Standard, Order sets, Emergency department, Disease, Time management.

Continuous...

Published

2020-10-15

Issue

Section

Research Article