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PSNet: Patient Safety Network
Journal Article

When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record.

Li RC, Wang JK, Sharp C, et al. BMJ quality & safety. 2019;28:987-996.

This retrospective audit of electronic health record orders assessed the performance of bundled computerized provider order entry into order sets. Researchers examined how often order sets were supplemented with additional orders, retraction of orders within sets, infrequent ordering of specific components of order sets, and use of individual orders when sets were available. These workarounds occurred frequently and prompted the authors to conclude that existing electronic order sets do not align with frontline clinician needs.