CPOE Verification Featuring Patient Photo Reduces Unintended Care

July 11, 2012 | Strategic Insights for Health System


Implementing an intervention involving a computerized provider order entry (CPOE) system verification screen that included a photo of each patient virtually eliminated incidences of unintended care at a Colorado children’s hospital, according to the results of a study published in the July 2012 issue of Pediatrics. The researchers determined that for a year before the intervention occurred, placement of orders in the incorrect patient’s chart was the second most common cause of care being provided to the wrong patient, accounting for 24% of all reported errors. Beginning in the fall of 2010, the hospital’s CPOE workflow was modified to include an order verification screen that asked each provider to confirm that he or she was placing orders on the intended patient before signing those orders.

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