Session ID: 

A Validated Strategy to Reduce Error in Electronic Orders

11:30am - 12:30pm Wednesday, 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.

Learning Objectives: 

  • 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


Director - Healthcare Analytics & BI, Director - IT - Care Management,
SBH Health System


Chief Quality, Chief Clin Transformation Officer
IT Professional