Laboratory Order Errors Before and After Implementation of Electronic Health Record.
An analysis of laboratory order entry errors on randomly selected inpatient records was conducted comparing errors 12 months before and after implementation of an electronic health record (EHR) at a 571-bed community health system. Methods: A total of 720 medical records were reviewed with 10,176 or...
| Publicado en: | Clinical Laboratory Science Vol. 29; no. 3; pp. 158 - 163 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Society for Clinical Laboratory Science
Summer2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118129777&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 118129777 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0894959X IKL jtl: Clinical Laboratory Science issn: 0894959X maglogo: N pubinfo: dt: Summer2016 vid: 29 iid: 3 pid: 13703 pub: American Society for Clinical Laboratory Science place: Dundee, Michigan artinfo: ui: 118129777 118129777 118129777 10.29074/ascls.29.3.158 118129777 ppf: 158 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Laboratory Order Errors Before and After Implementation of Electronic Health Record. aug: au: WALLEY, RANA PEDEN, ANN H. MAY, WARREN affil: Singing River Health System, Pascagoula, MS sug: subj: Electronic Order Entry Diagnosis, Laboratory Human Error Evaluation Electronic Health Records Clinical Laboratories, Hospital Patient Safety United States Centers for Medicare and Medicaid Services Reimbursement, Incentive Retrospective Design Random Sample Record Review Chi Square Test Unpaired T-Tests Mann-Whitney U Test Data Analysis Software P-Value Descriptive Statistics Human ab: An analysis of laboratory order entry errors on randomly selected inpatient records was conducted comparing errors 12 months before and after implementation of an electronic health record (EHR) at a 571-bed community health system. Methods: A total of 720 medical records were reviewed with 10,176 orders before EHR implementation and 11,455 orders after. Errors evaluated included unsigned, duplicate, illegible, and omitted orders, results with no order, and transcription errors. Data analysis included the independent-samples t-test and Pearson Chi-square test. Results: There was a significant difference in laboratory order entry errors before and after EHR implementation (p<0.05). The percentages of unsigned orders decreased from 8.6% to 7.6%. Orders with missing results decreased from 16.5% to 11.3%, and duplicate orders decreased from 9.1% to 5.8%. Added, illegible, missing, and incorrectly transcribed orders with previous rates of 3.72%, 0.8%, 2.8%, and 0.9% were eliminated. Conclusion: Implementation of an EHR appears to improve clinical laboratory order entry. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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