RT Journal Article
SR Electronic
T1 An exploratory study measuring verbal order content and context
JF Quality and Safety in Health Care
JO Qual Saf Health Care
FD BMJ Publishing Group Ltd
SP 169
OP 173
DO 10.1136/qshc.2008.029827
VO 18
IS 3
A1 D S Wakefield
A1 J Brokel
A1 M M Ward
A1 T Schwichtenberg
A1 D Groath
A1 M Kolb
A1 J W Davis
A1 D Crandall
YR 2009
UL http://qualitysafety.bmj.com/content/18/3/169.abstract
AB Background: The use of verbal orders, while essential in some healthcare settings, has been identified as a potential contributor to poor quality and less safe care. Despite the widespread use of verbal orders, little research attention has been paid to understanding and measuring the content of verbal orders or variables related to the context in which verbal orders are made.Aim: This paper first identifies variables related to verbal order content and context, and then provides detailed analyses from two exploratory studies conducted in one community hospital.Methods: The data presented were collected using both a paper-based manual audit, and an analysis of data generated from a computerised order entry system.Discussion: Selected analyses focus of variations in types and timing of verbal orders hospital-wide as well as for specific inpatient units, changes in verbal order utilisation following implementation of a computerised provider order entry system, and an analysis of the presence of sound-alike and high-alert medications in verbal orders.