Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice.

Eric Y. Shin; Patricia Ochuko; Kunal Bhatt; Brian Howard; Gerard McGorisk; Linda Delaney; Kristan Langdon; Marjan Khosravanipour; Andiran A. Nambi; Allison Grahovec; Douglas C. Morris; Penny Z. Castellano; Leslee J. Shaw; Laurence S. Sperling; Abhinav Goyal

Study

Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice.

May 2, 2018

Shin EY, Ochuko P, Bhatt K, et al. J Am Heart Assoc. 2018;7(8):e007762.

View more articles from the same authors.

Though electronic health record (EHR) data is not always accurate, federal pay-for-performance programs rely on that data to determine reimbursement. The authors evaluated how their institution's EHR measured a common quality metric—statin prescription for coronary artery disease. Manual chart review determined that most EHR-detected prescribing failures were clinically correct care.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork.

September 11, 2019

Safety issues in combined gynecologic and plastic surgical procedures.

August 15, 2007

Effect of a real-time pediatric ICU safety bundle dashboard on quality improvement measures.

September 2, 2015

Will my patient fall?

January 17, 2007

Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans Health Administration.

April 5, 2017

Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries.

August 26, 2015

Patient safety in dermatology: a review of the literature.

February 17, 2010

Patient safety features of clinical computer systems: questionnaire survey of GP views.

June 29, 2005

Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME.

August 30, 2017

The culture of safety: results of an organization-wide survey in 15 California hospitals.

March 6, 2005

Building the bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical care

October 2, 2019

When the bone flap hits the floor.

October 18, 2006

The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety.

November 20, 2019

Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer.

September 8, 2010

A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care.

November 28, 2012

Accuracy of interpretation of preparticipation screening electrocardiograms.

August 31, 2011

Challenging authority and speaking up in the operating room environment: a narrative synthesis.

February 27, 2019

Iatrogenesis in the context of residential dementia care: a concept analysis.

August 3, 2022

Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analysis.

May 17, 2017

Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey.

February 16, 2022

Blink or think: can further reflection improve initial diagnostic impressions?

November 19, 2014

Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement.

November 11, 2009

Detection rates of mild cognitive impairment in primary care for the United States Medicare population.

November 15, 2023

Flow disruptions in trauma care handoffs.

May 22, 2013

Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners.

February 4, 2015

Doctors' stress responses and poor communication performance in simulated bad-news consultations.

December 9, 2009

Diagnostic errors in paediatric cardiac intensive care.

February 21, 2018

Quality improvement implementation and hospital performance on patient safety indicators.

January 31, 2006

Sustainable, effective implementation of a surgical preprocedural checklist: an "attestation" format for all operating team members.

January 15, 2014

Impact of pharmacist-provided medication therapy management on healthcare quality and utilization in recently discharged elderly patients.

September 28, 2016

Enhancing electronic health record usability in pediatric patient care: a scenario-based approach.

March 13, 2013

Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process.

February 3, 2016

Managing teamwork in the face of pandemic: evidence-based tips.

June 24, 2020

Can the aviation industry be useful in teaching oncology about safety?

December 6, 2017

Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.

April 30, 2008

Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy.

May 6, 2020

Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit.

July 19, 2006

Declines in hospitalizations for acute cardiovascular conditions during the COVID-19 pandemic: a multicenter tertiary care experience.

July 1, 2020

Wrong-side thoracentesis: lessons learned from root cause analysis.

July 2, 2014

Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report.

May 30, 2018

The value from investments in health information technology at the U.S. Department of Veterans Affairs.

May 5, 2010

ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce-2021.

October 19, 2022

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019.

September 30, 2020

ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2018.

August 21, 2019

Improving documentation of a beta-blocker quality measure through an anesthesia information management system and real-time notification of documentation errors.

June 6, 2012

Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability.

November 22, 2006

Diagnostic trajectories in primary care at 12 months: an observational cohort study.

June 15, 2022

Patient safety climate in US hospitals: variation by management level.

November 12, 2008

Nurse staffing, burnout, and health care-associated infection.

August 15, 2012

Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit.

April 4, 2007

Adverse events during hospitalization: results of a patient survey.

October 1, 2008

Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure.

November 22, 2017

'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events.

January 25, 2012

Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia.

August 23, 2006

CT for suspected appendicitis in children: an analysis of diagnostic errors.

March 1, 2006

Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran patients.

January 17, 2018

Educating seniors to be patient safety self-advocates in primary care.

May 28, 2008

Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey.

October 3, 2007

Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial.

April 26, 2006

Patient safety in inpatient psychiatry: a remaining frontier for health policy.

January 9, 2019

Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey.

February 12, 2020

Analgesic prescribing errors and associated medication characteristics.

January 12, 2011

Reducing anticoagulant medication adverse events and avoidable patient harm.

April 9, 2008

Curriculum development and implementation of a national interprofessional fellowship in patient safety.

September 5, 2018

Task errors by emergency physicians are associated with interruptions, multitasking, fatigue and working memory capacity: a prospective, direct observation study.

January 31, 2018

The July effect: an analysis of never events in the nationwide inpatient sample.

April 15, 2015

'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination.

May 13, 2015

Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention.

September 4, 2013

CPOE: it don't come easy.

January 14, 2009

Relationship of safety climate and safety performance in hospitals.

April 1, 2009

The evolution of a safety culture.

October 7, 2015

Start using a checklist, PRONTO: recommendation for a standard review process for chemotherapy orders.

March 13, 2019

Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States.

September 24, 2014

Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital discharge.

December 20, 2017

Uncomfortable prescribing decisions in hospitals: the impact of teamwork.

November 25, 2009

National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.

April 26, 2006

Novel approach to cardiac alarm management on telemetry units.

February 19, 2014

Adherence to Surgical Care Improvement Project measures and the association with postoperative infections.

June 30, 2010

Improving our understanding of multi-tasking in healthcare: drawing together the cognitive psychology and healthcare literature.

March 29, 2017

Navigating towards improved surgical safety using aviation-based strategies.

April 9, 2008

How teams work—or don’t—in primary care: a field study on internal medicine practices.

June 2, 2010

Gender-based differences in surgical residents' perceptions of patient safety, continuity of care, and well-being: an analysis from the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial.

March 15, 2017

A look into the nature and causes of human errors in the intensive care unit.

March 27, 2005

Quality and safety in surgery: challenges and opportunities.

September 8, 2021

A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers.

September 25, 2019

Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy.

December 19, 2012

Association of opioid prescribing with opioid consumption after surgery in Michigan.

November 21, 2018

Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service.

November 21, 2018

A contemporary medicolegal analysis of outpatient medication management in chronic pain.

November 8, 2017

Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency.

December 2, 2015

Residents' response to duty-hour regulations—a follow-up national survey.

June 6, 2012

Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients.

November 29, 2023

Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change.

June 8, 2016

A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis.

March 7, 2012

Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit.

October 26, 2005

Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions.

December 18, 2013

Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship.

October 12, 2011

Surgical residents' work hours and well-being in year 2 of the FIRST trial.

July 26, 2017

Emotional stability of nurses: impact on patient safety.

September 2, 2009

Disclosure and reporting of surgical complications: a double-edged sword?

August 18, 2010

Related Resources

Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes.

January 18, 2023

The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study.

October 5, 2022

Development and pilot evaluation of an electronic health record usability and safety self-assessment tool.

August 24, 2022

CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting.

September 1, 2021

Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems.

January 13, 2021

Safer prescribing for hospitalized older adults with an electronic health records‐based prescribing context.

October 28, 2020

Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study.

April 22, 2020

How common mental shortcuts can cause major physician errors.

March 4, 2020

Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit.

August 28, 2019

Automated detection of wrong-drug prescribing errors.

August 28, 2019

Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process.

August 14, 2019

Interview

In Conversation With… Susan Smith, MD

August 1, 2019

Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety.

May 22, 2019

Reduced verification of medication alerts increases prescribing errors.

May 1, 2019

Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers.

April 17, 2019

Using electronic health records to identify adverse drug events in ambulatory care: a systematic review.

March 13, 2019

Evaluation of an electronic dosing calculator to reduce pediatric medication errors.

February 20, 2019

Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency.

January 16, 2019

Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx.

November 14, 2018

Why doctors hate their computers.

November 14, 2018

Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital.

July 11, 2018

WebM&M Cases

"The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety

July 1, 2018

Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system.

June 20, 2018

Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record.

May 30, 2018

Electronic health record reviews to measure diagnostic uncertainty in primary care.

May 2, 2018

Assessment of emergency department antibiotic discharge prescription dosing errors for pediatric patients in a community hospital health system.

April 25, 2018

Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study.

April 18, 2018

Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting.

April 18, 2018

Unrecognized cardiovascular emergencies among Medicare patients.

March 14, 2018

Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study.

February 28, 2018

See More About The Topic

Ambulatory Clinic or Office

Physicians

Information Professionals

Cardiology

Ordering/Prescribing Errors

Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site