The use of patient pictures and verification screens to reduce computerized provider order entry errors.
OBJECTIVE
To determine whether an order verification screen, including a patient photograph, is an effective strategy for reducing the risk that providers will place orders in an unintended patient's electronic medical record (EMR).


METHODS
We describe several changes to the EMR/provider interface and ordering workflow that were implemented as one part of a hospital-wide quality improvement effort to improve patient identification and verification practices. We measured the impact by comparing the number of reported incidents of care being provided to any patient other than for whom it was intended before the intervention, and directly after the intervention.


RESULTS
For the year before the interventions described herein, placement of orders in the incorrect patient's chart was the second most common cause of care being provided to the wrong patient, comprising 24% of the reported errors. In the 15 months after the implementation of an order verification screen with the patient's photo centrally placed on the screen, no patient whose picture was in the EMR was reported to have received unintended care based on erroneous order placement in his or her chart.


CONCLUSIONS
The incorporation of patient pictures within a computerized order entry verification process is an effective strategy for reducing the risk that erroneous placement of orders in a patient's EMR will result in unintended care being provided to an incorrect patient.
Children’s Hospital Colorado, Aurora, Colorado, USA. daniel.hyman@childrenscolorado.org
Daniel
D
Hyman
Mariel
M
Laire
Diane
D
Redmond
David W
DW
Kaplan
D002648:Child; D057286:Electronic Health Records / Q000592:standards*; D006776:Hospitals, Pediatric / Q000592:standards; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control* / Q000706:statistics & numerical data; D010355:Patient Identification Systems / Q000379:methods* / Q000592:standards; D011173:Portraits as Topic; D058996:Quality Improvement