Assessment of Unintentional Duplicate Orders by Emergency Department Clinicians Before and After Implementation of a Visual Aid in the Electronic Health Record Ordering System | Zendy

Steven Horng | Zendy; Joshua W. Joseph | Zendy; Shelley Calder | Zendy; Jennifer P. Stevens | Zendy; Ashley L. O’Donoghue | Zendy; Charles Safran | Zendy; Larry Nathanson | Zendy; Evan L. Leventhal | Zendy

Open Access

Assessment of Unintentional Duplicate Orders by Emergency Department Clinicians Before and After Implementation of a Visual Aid in the Electronic Health Record Ordering System

Author(s) -

Steven Horng,

Joshua W. Joseph,

Shelley Calder,

Jennifer P. Stevens,

Ashley L. O’Donoghue,

Charles Safran,

Larry Nathanson,

Evan L. Leventhal

Publication year - 2019

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2019.16499

Subject(s) - emergency department , medicine , electronic health record , emergency medicine , health records , medical emergency , cohort , pediatrics , incidence (geometry) , health care , family medicine , physics , psychiatry , optics , economics , economic growth

Key Points Question Can a simple visual aid reduce duplicate ordering in an electronic health record? Findings This cohort study of 184 694 patients in an emergency department suggested that the introduction of a visual aid was associated with a 49% reduction in unintentional duplicate orders for laboratory tests and a 40% reduction in unintentional duplicate orders for radiology tests. There was no statistically significant change in unintentional duplicate orders for medications. Meaning The results of this study suggest that a passive visual aid that guides clinicians to the right action is a useful alternative to an interruptive alert.

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