Varying rates of patient identity verification when using computerized provider order entry

• Published in: Journal of the American Medical Informatics Association : JAMIA Vol. 27; no. 6; pp. 924 - 928
• Main Authors: Fortman, Emilie, Hettinger, A Zachary, Howe, Jessica L, Fong, Allan, Pruitt, Zoe, Miller, Kristen, Ratwani, Raj M
• Format: Journal Article
• Language: English
• Published: England Oxford University Press 01.06.2020
• Subjects: Delivery of Health Care; Humans; Medical Order Entry Systems; Patient Identification Systems; Patient Safety; Physicians; Research and Applications; Software; Time and Motion Studies; patient identification; patient safety; electronic health records
• ISSN: 1527-974X; 1067-5027; 1527-974X
• DOI: 10.1093/jamia/ocaa047

Abstract Objective We sought to determine rates of computerized provider order entry (CPOE) patient identity verification and when and where in the ordering process verification occurred. Materials and Methods Fifty-five physicians from 4 healthcare systems completed simulated patient scenarios using their respective CPOE system (Epic or Cerner). Eye movements were recorded and analyzed. Results Across all participants patient id was verified significantly more often than not (62.4% vs 37.6%). Vendor A had significantly higher verification rates than not; vendor B had no difference. Participants using vendor A verified information significantly more often before signing the order than after (88.4% vs 11.6%); there was no difference in vendor B. The banner bar was the most frequent verification location. Discussion Factors such as CPOE design, physician training, and the use of a simulated methodology may be impacting verification rates. Conclusions Verification rates vary by CPOE product, and this can have patient safety consequences.