title: An exploratory study measuring verbal order content and context.
abstract: BACKGROUND
  The use of verbal orders, while essential in some healthcare settings, has been identified as a potential contributor to poor quality and less safe care. Despite the widespread use of verbal orders, little research attention has been paid to understanding and measuring the content of verbal orders or variables related to the context in which verbal orders are made.
  
  
  OBJECTIVE
  This paper first identifies variables related to verbal order content and context, and then provides detailed analyses from two exploratory studies conducted in one community hospital.
  
  
  METHODS
  The data presented were collected using both a paper-based manual audit, and an analysis of data generated from a computerised order entry system.
  
  
  CONCLUSIONS
  Selected analyses focus of variations in types and timing of verbal orders hospital-wide as well as for specific inpatient units, changes in verbal order utilisation following implementation of a computerised provider order entry system, and an analysis of the presence of sound-alike and high-alert medications in verbal orders.
authors.affiliation: Department of Health Management and Informatics, University of Missouri Center for Health Care Quality, Columbia, Missouri 65212, USA. wakefielddo@health.missouri.edu
authors.forename: D S
authors.initials: DS
authors.lastname: Wakefield
authors.forename: J
authors.initials: J
authors.lastname: Brokel
authors.forename: M M
authors.initials: MM
authors.lastname: Ward
authors.forename: T
authors.initials: T
authors.lastname: Schwichtenberg
authors.forename: D
authors.initials: D
authors.lastname: Groath
authors.forename: M
authors.initials: M
authors.lastname: Kolb
authors.forename: J W
authors.initials: JW
authors.lastname: Davis
authors.forename: D
authors.initials: D
authors.lastname: Crandall
mesh_terms: D006764:Hospitals, Community; D006801:Humans; D008485:Medical Audit; D019300:Medical Errors; D008499:Medical Records / Q000592:standards*; D013060:Speech