Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department.
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 [...]
Author(s): Kannampallil, Thomas G, Manning, John D, Chestek, David W, Adelman, Jason, Salmasian, Hojjat, Lambert, Bruce L, Galanter, William L
DOI: 10.1093/jamia/ocx099