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Standardized Admission Forms Get Residents' Approval

Pediatric admission order set may improve patient care, reduce medical errors, survey results suggest

MONDAY, Feb. 23 (HealthDay News) -- A standardized pediatric admission order set was widely approved by hospital residents, and it may offer a method of reducing medical errors and improving patient care, according to a report published online Feb. 13 in the Journal of Hospital Medicine.

Arpi Bekmezian, M.D., of the University of California Los Angeles, and colleagues analyzed data from surveys completed by 59 residents who rated a pediatric admission order set (PAOS) at least 14 months after it was instituted. The order set was created with the help of pediatric hospitalists, nurses, residents and others.

Overall, 89 percent approved of the PAOS, and 58 percent of respondents reported using it at least 90 percent of the time, the researchers found. Eighty-four percent reported that it improved patient care, 75 percent stated that it reduced medical errors, and roughly 81 percent of respondents reported needing less clarification from secretaries and nurses, the authors note.

"The next step is to confirm that the resident-perceived improvement in patient care correlates with actual improvement in patient care. If improvements can be confirmed, then PAOS adoption could be broadly recommended to pediatric hospitals. In the future, the PAOS may also help guide computerized physician order entry templates that can be further tailored to specific common diagnoses," Bekmezian and colleagues conclude.

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