Abstract
Strategies are explored to reduce patient identification errors, with an explicit focus on the interface between staff and health information technology (HIT), including the electronic medical record (EMR). Three proximate causes of HIT-related patient identification errors are profiled including analysis and strategies to address each of these safety risks. Strategies include an interruption in the ordering sequence that requires verification of the patient’s identity, personal error prevention practices, and medication bar code scanning. Case studies demonstrate the power of technology to impact care delivery in both positive and negative ways.
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References
The Joint Commission. National Patient Safety Goals: hospital accreditation program. http://www.jointcommission.org/assets/1/6/2015_HAP_NPSG_ER.pdf. Accessed 4 Oct 2015.
Hyman D, Ross M, Redmond D, Kaplan D. The use of patient pictures and verification screens to reduce computerized provider order entry errors. Pediatrics. 2012;130(1):e211–9.
Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider order entry system. Ann Emerg Med. 2015;65(6):679–86.el.
Henneman PL, Fisher DL, Henneman EA, et al. Providers do not verify patient identity during computer order entry. Acad Emerg Med. 2008;15(7):641–8.
Van Der Sijs H, Aarts J, Vulto A, Berg M. Overriding of drug safety alerts in computerized physician order entry. J Am Med Inform Assoc. 2006;13:138–47.
Shah NR, Seger AC, Seger DL, et al. Improving acceptance of computerized prescribing alerts in ambulatory care. J Am Med Inform Assoc. 2006;13:5–11.
Weissman IT, Davis RB, Massaali M, et al. Overrides of medication alerts in ambulatory care. Arch Intern Med. 2009;169(3):305–11.
Wilcox AB, Chen Y, Hripcsak G. Minimizing electronic health record patient-note mismatches. J Am Med Inform Assoc. 2011;18(4):511–4.
Morris G, Farnum G, Afzal G, et al. Patient identfication and matching final report. Prepared for the Office of the National Coordinator for Health Information Technology under contract HHSP233201300029C. https://www.healthit.gov/sites/default/files/patient_identification_matching_final_report.pdf. Accessed 4 Oct 2015.
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Hyman, D., Voss, L. (2016). Patient Identification Errors and HIT: Friend or Foe?. In: Agrawal, A. (eds) Safety of Health IT. Springer, Cham. https://doi.org/10.1007/978-3-319-31123-4_11
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DOI: https://doi.org/10.1007/978-3-319-31123-4_11
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