000 03286nam a22005897a 4500
008 200709s20202020 xxu||||| |||| 00| 0 eng d
022 _a1067-5027
024 _a10.1093/jamia/ocaa047 [doi]
024 _a5831558 [pii]
040 _aOvid MEDLINE(R)
099 _a32377679
245 _aVarying rates of patient identity verification when using computerized provider order entry.
251 _aJournal of the American Medical Informatics Association. 27(6):924-928, 2020 06 01.
252 _aJ Am Med Inform Assoc. 27(6):924-928, 2020 06 01.
252 _zJ Am Med Inform Assoc. 2020 May 07
253 _aJournal of the American Medical Informatics Association : JAMIA
260 _c2020
260 _fFY2020
265 _saheadofprint
265 _sppublish
266 _d2020-07-09
268 _aJournal of the American Medical Informatics Association. 2020 May 07
501 _aAvailable online through MWHC library: 2003 - present, Available in print through MWHC library: 1999 - present
520 _aCONCLUSIONS: Verification rates vary by CPOE product, and this can have patient safety consequences. Copyright (c) The Author(s) 2020. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: [email protected].
520 _aDISCUSSION: Factors such as CPOE design, physician training, and the use of a simulated methodology may be impacting verification rates.
520 _aMATERIALS AND METHODS: Fifty-five physicians from 4 healthcare systems completed simulated patient scenarios using their respective CPOE system (Epic or Cerner). Eye movements were recorded and analyzed.
520 _aOBJECTIVE: We sought to determine rates of computerized provider order entry (CPOE) patient identity verification and when and where in the ordering process verification occurred.
520 _aRESULTS: Across all participants patient id was verified significantly more often than not (62.4% vs 37.6%). Vendor A had significantly higher verification rates than not; vendor B had no difference. Participants using vendor A verified information significantly more often before signing the order than after (88.4% vs 11.6%); there was no difference in vendor B. The banner bar was the most frequent verification location.
546 _aEnglish
650 _a*Medical Order Entry Systems
650 _a*Patient Identification Systems
650 _a*Patient Safety
650 _aDelivery of Health Care
650 _aHumans
650 _aPhysicians
650 _aSoftware
650 _aTime and Motion Studies
651 _aMedStar Institute for Innovation
651 _aMedStar Washington Hospital Center
656 _aEmergency Medicine
656 _aNational Center for Human Factors in Healthcare
657 _aJournal Article
700 _aFong, Allan
700 _aHettinger, Aaron Z
700 _aHowe, Jessica L
700 _aMiller, Kristen
700 _aPruitt, Zoe
700 _aRatwani, Raj M
790 _aFong A, Fortman E, Hettinger AZ, Howe JL, Miller K, Pruitt Z, Ratwani RM
856 _uhttps://dx.doi.org/10.1093/jamia/ocaa047
_zhttps://dx.doi.org/10.1093/jamia/ocaa047
942 _cART
_dArticle
999 _c5063
_d5063