Below we describe the importance of paying careful attention to the design and maintenance of standard order sets as well as provide examples of commonly observed problems that can lead to serious errors.

Careful attention to the content of standard order sets helps ensure they: 1) are complete, 2) include important orders be-yond what the prescriber may initially consider (e.g., specific monitoring requirements), 3) reflect current best practices, and 4) are standardized among various practitioners who provide care to patients.(1-4) Examples of frequently observed problems with the content of standard orders follow.

ISMP has long been an advocate for the use of standard order sets to minimize incorrect or incomplete prescribing, standardize patient care, and ensure clarity when communicating medical orders.(1-3) Whether in electronic or paper format, well-designed standard order sets have the potential to: Enhance workflow with pertinent instructions that are easily understood, intuitively organized, and suitable for direct application to current information-management systems and drug administration devices(1-4) However, if standard orders are not carefully designed, reviewed, and maintained to reflect best practices and ensure clear communication, they may actually contribute to errors—many of which have been described in our newsletters and still occur today.

The medication being prescribed must fall within the practitioner’s scope of practice and listed in the formulary set forth by the collaborating physician.

In order to verify which CIIs are allowed to be prescribed by a practitioner, visit the Alabama Board of Medical Examiner’s website:

They see changes here and there as situations arise in their lives, especially in health care.

They hear stories about what is happening and mistakenly assume they are isolated incidents.

They can be employed by a healthcare organization, physician, licensed independent practitioner, or work as a contracted service.

This practice brief will explore some of the benefits and challenges of scribes within the physician practice setting.

In addition, this practice brief will provide recommended practices for the use of scribes.

Key components for implementation of a successful scribe program will also be discussed.

With the push to develop and deploy electronic health records (EHRs) and the need for more detailed documentation, there is a growing concern in the medical community regarding the time expended to capture information-electronic or otherwise.