Optimizing ketorolac dosing by leveraging computerized order entry

The research studies the effects of adjusting the default dosing of ketorolac in a Computerized Provider Order Entry (CPOE) system to reflect a change to recent literature. Stakeholders (ED leadership, analgesia committee, nursing and pharmacy) provided feedback and support for the project.

The multi-modal intervention included modifying all ED computerized order sets in May 2017 such that the default parenteral ketorolac dose was 10mg (post-intervention) from 30mg (pre-intervention), education (dissemination of evidence to support the changes to clinicians).

In this large cohort, our multi-modal intervention resulted in a significant increase in optimal ketorolac parenteral dosing. The results support the utility of computerized order set changes as the cornerstone of an effective and rapid knowledge translation strategy to align physician practice with best evidence.

Speakers:

Calgary physician Dr. Shawn Dowling, and co-investigators Dr. Chris Bond and Dr. Nick Pompa