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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
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Automated search methods for identifying wrong patient order entry-a scoping review.

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|August 7, 2023
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Summary

Automated search methods like retract-and-reorder (RAR) effectively identify wrong-patient order entry (WPOE). However, further research is needed to understand how healthcare providers identify their own medication errors.

Keywords:
computerized provider order entryelectronic prescribingerror detectionmedication errorssurveillance

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Area of Science:

  • Health Informatics
  • Patient Safety
  • Clinical Pharmacy

Background:

  • Wrong-patient order entry (WPOE) is a significant patient safety concern in electronic prescribing systems.
  • Automated search methods offer potential solutions for detecting these errors.
  • Understanding the prevalence, causes, and detection methods of WPOE is crucial for improving healthcare quality.

Purpose of the Study:

  • To systematically review automated search methods for identifying WPOE.
  • To analyze data captured and utilized by these methods.
  • To investigate the root causes of WPOE and how providers self-identify errors.

Main Methods:

  • A systematic scoping review of empirical literature from CINAHL, Embase, and MEDLINE (inception–2021).
  • Searches focused on automated methods for WPOE detection in electronic prescribing.
  • Thematic analysis of extracted data from 15 included studies.

Main Results:

  • Retract-and-reorder (RAR) and Void Alert Tool (VAT) were the most prevalent automated methods.
  • Technological factors and interruptions were identified as major risk factors for WPOE.
  • Limited data were found on provider self-identification of errors.

Conclusions:

  • Automated search tools, particularly RAR, are valuable for detecting WPOE with good positive predictive value.
  • The VAT shows promise but has variable accuracy in voiding reasons.
  • Further investigation into provider self-identification of errors is warranted.