Inclusion of patient headshots in electronic health records decreases order errors

Each year, health care practitioners at Brigham and Women's Hospital place over a million orders through the electronic health records (EHR) system. Even though studies indicate that practitioners place more than 99.9 percent of orders for the correct patients, researchers at the Brigham analyzed that remaining 0.1 percent to determine and address the root causes of wrong-patient order errors. In an effort to improve patient safety, the Brigham required headshots for participating patients to be displayed in their EHR as part of a quality improvement program in the Emergency Department. Analysis of the millions of orders placed for participating patients over a two-year span showed the rate of wrong patient order entry to be 35 percent lower for patients whose photos were included in their EHR. Results are published in JAMA Network Open.