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Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system.

Horng S, Joseph JW, Calder S, et al. Assessment of Unintentional Duplicate Orders by Emergency Department Clinicians Before and After Implementation of a Visual Aid in the Electronic Health Record Ordering System. JAMA Netw Open. 2019;2(12):e1916499. doi:10.1001/jamanetworkopen.2019.16499.

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January 22, 2020
Horng S, Joseph JW, Calder S, et al. JAMA Netw Open. 2019;2(12):e1916499.

The adoption of electronic health record (EHR) systems has led to unanticipated patient safety concerns, such as duplicate orders for tests and medications. This study found that the implementation of a visual aid within the computerized provider order entry (CPOE) system to flag duplicate orders was associated with a 49% decrease in duplicate laboratory orders and a 40% decrease in radiology orders. The authors did not find a decrease in duplicate medication orders. A previous WebM&M commentary describes an adverse event related to duplicate medication orders.

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Horng S, Joseph JW, Calder S, et al. Assessment of Unintentional Duplicate Orders by Emergency Department Clinicians Before and After Implementation of a Visual Aid in the Electronic Health Record Ordering System. JAMA Netw Open. 2019;2(12):e1916499. doi:10.1001/jamanetworkopen.2019.16499.

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