A Validated Strategy to Reduce Error in Electronic Orders
11:30am - 12:30pmWednesday, February 13
Orlando - Orange County Convention Center
St. Barnabas Hospital Health System treats the most critically ill and severely injured patients. As a New York State-designated Stroke Center and AIDS Center, SBH Health System provides access to much-needed services. To reduce the risk of errors when using computerized provider order entry (CPOE), SBH Health System convened a multidisciplinary team to review its ordering process. It found several contributing factors--including interruptions, alert fatigue and the lack of an active patient identification process--could lead to wrong-patient errors. SBH Health System developed alerts in its EHR that required the ordering clinician to verify the identity of the patient. Doing so enabled a significant reduction of near-miss, wrong-patient CPOE orders. The findings of this project were published in the Journal of Clinical Outcomes Management in December 2016.
Diagnose number of near-miss wrong patient orders in a CPOE system with a hard-wired EHR process
Develop strategies to implement a CPOE Double ID system alert
Use strategy to assess wrong patient, right order near-miss