ArticleHawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health2014
Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record display.
Article in Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- The Elements of Style for Interruptive Electronic Health Record Alerts.Applied clinical informatics · 2025Article
- Limiting the number of open charts does not impact wrong patient order entry in the emergency department.Journal of the American College of Emergency Physicians open · 2020Article
- A Process of Acceptance of Patient Photographs in Electronic Medical Records to Confirm Patient Identification.Mayo Clinic proceedings. Innovations, quality & outcomes · 2020Article
- Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen.P & T : a peer-reviewed journal for formulary management · 2018Article
- Selected Medication Safety Risks to Manage in 2016-Part I Intravenous Fat Emulsion Needs a Filter.Hospital pharmacy · 2016Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A survey of Emergency Department (ED) clinicians (ie, physicians, nurses and clinical assistants) at a single hospital in Honolulu, Hawai'i was conducted to assess the frequency of errors in charting, and entering orders on the wrong patient's chart in the electronic medical record (EMR), and clinician opinion was sought on whether a simple watermark of the patient's room number might help reduce the number of these EMR "wrong patient errors." ED clinicians (68 total surveys) were asked if and how often they charted in the wrong patient's chart or entered an order (physicians only) in the wrong patient's chart. Physicians had a combined self-reported average error rate of 1.3%. Mean rate of patient charting errors occurred at 0.5 errors and 0.4 errors per 100 hours, for nurses and clinical assistants, respectively. The majority (81%) of the 68 clinicians surveyed felt that a room number watermark would eliminate most of the wrong patient errors. In conclusion, charting on the wrong patient and order entry on the wrong patient type errors occur with varying frequencies amongst ED clinicians. Nearly all the clinicians believe that a room number watermark might be an effective strategy to reduce these errors.
Indexed as
Identifiers
25337450PMC4203453What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.