Avoiding Unintended Consequences of Pediatric Blood Order Set Updates through In Situ Usability Testing.
Blood product ordering is a complex process and mistakes can harm patients and lead to poor outcomes. Orders and order sets can be designed to help mitigate errors, but major changes in design can unintentionally cause new errors.
Author(s): Thompson, Sarah A, Williams, Herb, Rzewnicki, Daniel, Orenstein, Evan, Carter, Alexis B, Rollins, Margo, Rogers, Beverly, Kandaswamy, Swaminathan
DOI: 10.1055/a-2351-9642