Key design requirements:
(1) avoid distractions
(2) provide essential information
(3) provide support to someone who appropriately questions an inadequate prescription
Recommendations:
(1) Prescriptions are completed only in designated areas where the prescribers are not interrupted except in the case of an emergency.
(2) There are approved policies and procedures for writing prescriptions that are enforced.
(3) Current reference resources are readily available.
(4) Current guidelines and recommendations for the NICU are readily available.
(5) Lighting is adequate and the environment permits concentration (quiet).
(6) Calculators are available.
(7) Telephones or other distractions are kept out of the designated areas.
The authors recommend not having a computer terminal in the area. If the computer terminal provides software that reduces errors or access to key patient data then a computer terminal is appropriate.
