Minimizing electronic health record patient-note mismatches.
We measured the prevalence (or rate) of patient-note mismatches (clinical notes judged to pertain to another patient) in the electronic medical record. The rate ranged from 0.5% (95% CI 0.2% to 1.7%) before a pop-up window intervention to 0.3% (95% CI 0.1% to 1.1%) after the intervention. Clinicians discovered patient-note mismatches in 0.05-0.03% of notes, or about 10% of actual mismatches. The reduction in rates after the intervention was statistically [...]
Author(s): Wilcox, Adam B, Chen, Yueh-Hsia, Hripcsak, George
DOI: 10.1136/amiajnl-2010-000068