When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record.

ABSTRACT:

Background

Order sets are widely used tools in the electronic health record (EHR) for improving healthcare quality. However, there is limited insight into how well they facilitate clinician workflow. We assessed four indicators based on order set usage patterns in the EHR that reflect potential misalignment between order set design and clinician workflow needs.

Methods

We used data from the EHR on all orders of medication, laboratory, imaging and blood product items at an academic hospital and an itemset mining approach to extract orders that frequently co-occurred with order set use. We identified the following four indicators: infrequent ordering of order set items, rapid retraction of medication orders from order sets, additional a la carte ordering of items not included

SUBMITTER: Li RC 

PROVIDER: S-EPMC6868292 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature