Literature DB >> 17627216

Improving the quality of the order-writing process for inpatient orders in a teaching hospital.

Peter A Boehringer1, Jeanette Rylander, Dominic T Dizon, Michael W Peterson.   

Abstract

BACKGROUND: Physicians' illegible handwriting is a notorious contributing factor to medical errors. Furthermore, an illegible signature or failure to print prescribers' name interferes with the ability of staff to clarify orders.
METHODS: We surveyed support medical staff at a teaching hospital before and 2 months after providing all internal medicine department residents a self-inking stamp with their name and pager number.
RESULTS: Responses were received from 51% at the first and 36% at the second survey of 401 eligible staff. Responses to questions regarding illegible or absent signature, illegible or absent pager number, and failure to print prescribers' name showed a significant improvement (P < .0001) after 52 residents working in the hospital started to sign orders with their stamp. The support staff also noted a significant reduction in the time required to contact a physician to clarify orders, from more than 10 minutes to 1 to 5 minutes (P < .0001).
CONCLUSION: Physicians signing orders using a stamp with their name and pager number provide support staff legible identification, leading to an improvement in the quality of the order-writing process. This kind of signature allows clarification of orders in a timely fashion.

Mesh:

Year:  2007        PMID: 17627216     DOI: 10.1097/01.QMH.0000281057.92305.57

Source DB:  PubMed          Journal:  Qual Manag Health Care        ISSN: 1063-8628            Impact factor:   0.926


  6 in total

1.  Does an education intervention improve physician signature legibility? Pilot study of a prospective chart review.

Authors:  James K Glisson; Mary E Morton; Allyn H Bond; Michael Griswold
Journal:  Perspect Health Inf Manag       Date:  2011-04-01

Review 2.  The hospital pager: Out with the old or here to stay?

Authors:  Lisa M McElroy; Elizabeth Z Gillett; Cristina Nguyen; Jane L Holl; Michael M Abecassis; Daniela P Ladner
Journal:  Clin Liver Dis (Hoboken)       Date:  2016-02-26

3.  Prescription writing practices in a rural tertiary care hospital in Western Maharashtra, India.

Authors:  Vaishali D Phalke; Deepak B Phalke; M M Aarif Syed; Anjeney Mishra; Saudamini Sikchi; Piyush Kalakoti
Journal:  Australas Med J       Date:  2011-01-31

4.  Quality of Surgical Case Notes at Dow University Hospital according to modified ANKLe score.

Authors:  Masood Jawaid; Nighat Bakhtiar; Abdul Khalique; Zubia Masood
Journal:  Pak J Med Sci       Date:  2013-07       Impact factor: 1.088

5.  A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions".

Authors:  Gerald Sendlhofer; Gudrun Pregartner; Veronika Gombotz; Karina Leitgeb; Peter Tiefenbacher; Lydia Jantscher; Christian Richter; Magdalena Hoffmann; Lars P Kamolz; Gernot Brunner
Journal:  J Clin Nurs       Date:  2019-01-07       Impact factor: 3.036

6.  Dispensing errors in Lebanese community pharmacies: incidence, types, underlying causes, and associated factors.

Authors:  Lama Soubra; Samar Karout
Journal:  Pharm Pract (Granada)       Date:  2021-03-02
  6 in total

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