Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: A randomized clinical trial
JAMA May 20, 2019
Adelman JS, et al. - In this randomized trial, researchers evaluated the risk of wrong-patient orders in an electronic health record (EHR) configuration limiting clinicians to one record vs allowing up to four records opened concurrently. This trial involved 3,356 clinicians in a large health system in New York, and was carried out in the emergency department, inpatient setting, and outpatient setting from October 2015 to April 2017. The investigation comprised 12,140,298 orders placed for 543,490 patients in 4,486,631 order sessions. According to findings, a strategy that limited clinicians to one EHR patient record open vs a strategy that allowed up to four records open concurrently did not decrease the proportion of wrong-patient order errors. Clinicians in the unrestricted group, however, placed most orders with a single record open, limiting the researchers ability to determine if reducing the number of records open when placing orders reduces the risk of errors in the wrong-patient order.
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