Effect of Number of Open Charts on Intercepted Wrong-patient Medication Orders in an Emergency Department

Overview

Journal J Am Med Inform Assoc

Publisher Oxford University Press

Specialty Medical Informatics

Date 2017 Oct 13

PMID 29025090

Citations 14

Authors

Thomas G Kannampallil

John D Manning

David W Chestek

Jason Adelman

Hojjat Salmasian

Bruce L Lambert

William L Galanter

Affiliations

Soon will be listed here.

Abstract

To reduce the risk of wrong-patient errors, safety experts recommend allowing only one patient chart to be open at a time. Due to the lack of empirical evidence, the number of allowable open charts is often based on anecdotal evidence or institutional preference, and hence varies across institutions. Using an interrupted time series analysis of intercepted wrong-patient medication orders in an emergency department during 2010-2016 (83.6 intercepted wrong-patient events per 100 000 orders), we found no significant decrease in the number of intercepted wrong-patient medication orders during the transition from a maximum of 4 open charts to a maximum of 2 (b = -0.19, P = .33) and no significant increase during the transition from a maximum of 2 open charts to a maximum of 4 (b = 0.08, P = .67). These results have implications regarding decisions about allowable open charts in the emergency department in relation to the impact on workflow and efficiency.

Citing Articles

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