Clinical Computing in a Teaching Hospital

Bleich, Howard L.; Beckley, Robert F.; Horowitz, Gary L.; Jackson, Jerome D.; Moody, Edna S.; Franklin, Caryn; Goodman, Sandra; McKay, Michael W.; Pope, Richard A.; Walden, Timothy; Bloom, Saul M.; Slack, Warner V.

doi:10.1007/978-1-4613-8674-2_13

Cited by 20 publications

(21 citation statements)

References 21 publications

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“…Renamed the Beth Israel Deaconess Medical Center following a 1996 merger, the hospital is served by a clinical computing system that stores a variety of administrative and clinical data on inpatient admissions since 1984. 14,15 …”

Section: Study Sitementioning

confidence: 99%

Patients discharged against medical advice from a general medicine service

1998

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Section: Study Sitementioning

confidence: 99%

Patients discharged against medical advice from a general medicine service

1998

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“…Electronic health records also assist with timely decision making, improved communication and care coordination, cost control, public health surveillance, population health planning, and clerical task reduction. [1][2][3][4][5][6][7][8] One benefit is absent from this lengthy list: health care support during disasters. In this article, we review the use of the Department of Veterans Affairs (VA) electronic health record system in support of evacuee health care in the wake of Hurricane Katrina's devastation of the city of New Orleans, La.…”

mentioning

confidence: 99%

Use of Electronic Health Records in Disaster Response: The Experience of Department of Veterans Affairs After Hurricane Katrina

Brown

Fischetti²,

Graham³

et al. 2007

Am J Public Health

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Objectives. We describe electronic health data use by the Department of Veterans Affairs (VA) in the month after Katrina, including supporting technologies, the extent and nature of information accessed, and lessons learned.Methods. We conducted a retrospective study using cross-sectional panels of data collected sequentially over time.Results. By September 30, 2005, clinical data were accessed electronically for at least 38% (14 941 of 39 910) of patients cared for prior to Hurricane Katrina by New Orleans-area VA medical facilities. Approximately 1000 patients per day had data accessed during the month following Hurricane Katrina, a rate approximately two thirds of pre-Katrina values. Health care data were transmitted to more than 200 sites in 48 states and to at least 2300 users.Conclusions. The VA electronic health records supported continuity of care for evacuated veterans after Katrina. Our findings suggest that pharmacy and laboratory computerization alone will not be sufficient for future disaster support systems. (Am J Public Health.

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“…Very little information was available concerning the clinical impact of the innovation. It is useful to remember that, at this time, the few scientific articles on the subject generally reported on individual hospital systems [27,28], or announced the advent of medical computerization and its benefits [29,30]. For example, the latter write in the summary of their article: "The electronic medical record in the ambulatory setting will be a force to be reckoned with during the 1990s.…”

Section: Discussion Of the Case Studiesmentioning

confidence: 99%