Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Sociotechnical Aspects: Clinicians and Technology
Lecture:Medical errors
Patient safety
Slide content:Mistakes: Solving The Problem Rule-based errors Use clinical decision supportorder sets Avoid bias in clinical reasoning Knowledge-based errors Improve knowledge at the point of care Foster culture of collaboration and consultation 13
Slide notes:Rule-based errors can be addressed by using clinical decision support order sets; these may be incorporated into the electronic health record system to provide a layer of safety. Clinical decision support also allows clinicians to avoid bias in clinical reasoning. Knowledge-based errors can be reduced by improving the level of knowledge at the point of care. Knowledge can be embedded in the electronic health record and other clinical information systems; an example is information buttons. When clinicians have questions at specific points in their workflow, they can click on a button on the EHR interface that will display on the screen the level of knowledge that they require to complete their tasks. Knowledge-based errors can also be reduced by fostering a culture of collaboration and consultation; this is typically done by providing care in multidiscipline routines. 13