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首页> 外文期刊>Hawai i Journal of Medicine & Public Health: A journal of Asia Pacific medicine & public health >Reducing Emergency Department Charting and Ordering Errors with a Room Number Watermark on the Electronic Medical Record Display
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Reducing Emergency Department Charting and Ordering Errors with a Room Number Watermark on the Electronic Medical Record Display

机译：在电子病历显示器上减少带有房间号水印的急诊部门图表和订购错误

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摘要

A survey of Emergency Department (ED) clinicians (ie, physicians, nurses and clinical assistants) at a single hospital in Honolulu, Hawai‘i was conducted to assess the frequency of errors in charting, and entering orders on the wrong patient's chart in the electronic medical record (EMR), and clinician opinion was sought on whether a simple watermark of the patient's room number might help reduce the number of these EMR “wrong patient errors.” ED clinicians (68 total surveys) were asked if and how often they charted in the wrong patient's chart or entered an order (physicians only) in the wrong patient's chart. Physicians had a combined self-reported average error rate of 1.3%. Mean rate of patient charting errors occurred at 0.5 errors and 0.4 errors per 100 hours, for nurses and clinical assistants, respectively. The majority (81%) of the 68 clinicians surveyed felt that a room number watermark would eliminate most of the wrong patient errors. In conclusion, charting on the wrong patient and order entry on the wrong patient type errors occur with varying frequencies amongst ED clinicians. Nearly all the clinicians believe that a room number watermark might be an effective strategy to reduce these errors.
机译：对夏威夷檀香山一家医院的急诊科（ED）临床医生（即医师，护士和临床助手）进行了一项调查，以评估制图错误的频率，并在错误的患者图表上输入订单电子病历（EMR），并就是否给患者的房间号码加一个简单的水印是否有助于减少这些EMR“错误的患者错误”的数量，寻求临床医生的意见。询问了ED临床医生（共68项调查），他们是否以及在错误的患者病历中绘制图表的频率以及输入错误的患者病历的频率（仅限医师）。医师的自我报告的综合平均错误率为1.3％。护士和临床助手分别以每100小时0.5个错误和0.4个错误的平均图表发生错误率。在接受调查的68位临床医生中，大多数（81％）认为，房间号码水印可以消除大多数错误的患者错误。总之，在ED临床医生中，以错误的患者为对象绘制图表并以错误的患者类型错误进行订单输入的频率有所不同。几乎所有的临床医生都认为，房间号水印可能是减少这些错误的有效策略。

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