Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department

Thomas G. Kannampallil, John D. Manning, David W. Chestek, Jason Adelman, Hojjat Salmasian, Bruce L. Lambert, William L. Galanter

Research output: Contribution to journalArticle

5 Scopus citations

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.

Original languageEnglish
Pages (from-to)739-743
Number of pages5
JournalJournal of the American Medical Informatics Association
Volume25
Issue number6
DOIs
StatePublished - Jun 1 2018
Externally publishedYes

Keywords

  • Interrupted time series
  • Open charts
  • Patient safety
  • Wrong-patient errors

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