Table 1.
Duplicate ordering errors characteristics
Pre-CPOE | Post-CPOE | p Value | |
Total duplicate errors | 48 | 167 | <0.0001 |
Duplicate errors per 1000 medication orders | 1.05 | 5.09 | <0.0001 |
Duplicate errors per 100 patient-days | 1.16 | 4.16 | <0.0001 |
Duplicate error subtypes | |||
Identical order | 15 (31%) | 69 (41%) | <0.0001 |
Same medication | 13 (27%) | 75 (45%) | |
Same therapeutic class | 20 (42%) | 23 (14%) | |
Most frequently duplicated medication classes by rank order (number) | |||
1 | Gastrointestinal (9) | Electrolytes (30) | |
2 | Electrolytes (8) | Gastrointestinal (23) | |
3 | Narcotics, analgesics (6) | Cardiac (21) | |
4 | Antibiotics (6) | Crystalloids, colloids, parenteral nutrition (20) | |
5 | Crystalloids, colloids, parenteral nutrition (3) | Diuretics (13) | |
6 | Steroids (3) | Antibiotics (12) | |
7 | Insulin, antidiabetics (3) | Anticoagulants (11) | |
8 | Cardiac (3) | Narcotics, analgesics (8) | |
Most frequently duplicated medications by rank order (number) | |||
1 | Potassium chloride and potassium phosphate (7) | Potassium chloride and potassium phosphate (23) | |
2 | Acetaminophen, famotidine, insulin, pantoprazole (3 each) | Furosemide (13) | |
Time of day second duplicate order entered | |||
07:00–14:59 h | 19 | 75 | NS |
15:00–22:59 h | 12 | 42 | |
23:00–06:59 h | 17 | 50 | |
Time between orders* | |||
Less than 10 min | 6 | 41 | NS |
11–60 min | 3 | 31 | |
61–120 min | 0 | 12 | |
121–180 min | 0 | 6 | |
>180 min | 8 | 20 | |
Different days | 4 | 31 | |
Unknown but same day | 20 | 12 | |
Unknown | 7 | 14 |
Events excluded from statistical testing if the exact time between orders is unknown (last two categories).
CPOE, computerized provider order entry.