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December, 2014

EHRs: “Sloppy and paste” endures despite patient safety risk

“During the winter holidays, a patient at Yale-New Haven Hospital in Connecticut had a large pressure ulcer with an abscess. A surgical intern made a note in the patient’s electronic health record that said, “Patient needs drainage, may need OR.”
The problem? The same note appeared for several consecutive days, even after a surgical team successfully drained the abscess. The intern had copied and pasted the previous day’s note, but failed to appropriately update it to reflect the fact that the drainage was done. The note confused the consulting infectious disease team and nearly led to an unneeded change in the patient’s antibiotic regimen.”

Kevin B. O’Reilly, amednews, 4 February 2013
Abstract (Thornton 2013)
Article (Wrenn 2010)

5 February 2013 | Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Copy-and-paste, Intensive care unit, Notes, Patient Safety
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