Table 3 Examples of specific interventions within electronic medical record order entry system
Test(s) | Problem | Intervention | Date of intervention |
|---|---|---|---|
1,25-Dihydroxyvitamin D | Mis-orders (25-hydroxyvitamin D intended) | • Specific warning prompt | October 2009 |
• Education | |||
• Correction of order sets | |||
Manganese | Mis-orders (usually erroneously ordered for magnesium) | • Specific warning prompt | November 2009 |
Hepatitis B surface antigen | False positives due to recent administration by hepatitis B vaccine | Best Practice Alert if testing ordered within two weeks of recent vaccination | September 2011 |
Beta-2-microglobulin | Mis-orders for beta-2-glycoprotein, particularly in obstetrics | • Specific warning prompt | June 2010 |
• Correction of order sets | |||
Complete blood count (CBC) with differential | Repetitive over-ordering of CBC with differential when CBC alone would suffice | Restricted repetitive ordering options of differential to once daily | June 2012 |