Safety risks and workflow implications associated with nursing-related free-text communication orders.

Catherine J. Staes; Saldi Yusuf; Medalit Hambly; Saifon Phengphoo; Jia-Wen Guo

Study

Safety risks and workflow implications associated with nursing-related free-text communication orders.

March 15, 2023

Staes CJ, Yusuf S, Hambly M, et al. J Am Med Inform Assoc. 2023;30(5):828-837.

View more articles from the same authors.

Previous research has identified errors related to use of free-text fields in the electronic health record (EHR) systems. In this study, researchers examined potential safety hazards within free-text EHR communication orders sent to or from nurses. Analyses indicated that free-text orders did include symbols and abbreviations discouraged by the Institute for Safe Medication Practices (ISMP) and that future research should explore issues stemming from workarounds and EHR design.

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Clinician collaboration to improve clinical decision support: the Clickbusters initiative.

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