Title
"I meant that med for Baylee not Bailey!": a mixed method study to identify incidence and risk factors for CPOE patient misidentification.
Abstract
Computerized physician order entry (CPOE) systems can create unintended consequences. These include medication errors and adverse drug events. We look at a less understood error; patient misidentification. First, two email surveys were used to establish potential risk factors for this error. Next, an automated detection trigger was designed and validated with inpatient medication orders at a large pediatric hospital. The incidence was 0.064% per medication ordered. Finally, a case-control study identified the following as significant risk factors on multivariate analysis: patient age, last name spelling, bed proximity, medical service, time/date of order, and ordering intensity. These results can be used to improve patient safety by increasing awareness of high risk situations and guiding future research.
Year
Venue
Keywords
2012
AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
multivariate analysis,data collection,risk factors,case control studies
Field
DocType
Volume
Data collection,Data mining,Unintended consequences,Patient safety,Spelling,Medical emergency,Multivariate analysis,Medicine,Computerized physician order entry
Conference
2012
ISSN
Citations 
PageRank 
1942-597X
2
0.51
References 
Authors
0
3
Name
Order
Citations
PageRank
Hannah I Levin120.51
James E. Levin220.85
Steven G. Docimo351.45