Health Information Technology Adoption in the Emergency Department

Selck, Frederic; Decker, Sandra L.

doi:10.1111/1475-6773.12307

Cited by 19 publications

(15 citation statements)

References 14 publications

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“…Monitoring and evaluation of the emergency performance are the most important processes of this department. Developing the Quantitative Standards and specify the range of valid and meaningful indicators for any treatment in an emergency is the most important activity of this main process [23][24][25][26][27][28]. Today, emergencies faced with a large volume of patients and health IT has a key role in the management of patients.…”

Section: Discussionmentioning

confidence: 99%

Effect of Information Technology on ED’s Performance Indicators

Ajami¹,

Rezaee²

2016

J Inform Tech Softw Eng

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IntroductionThe Emergency Department (ED) is the heart of the hospital. Regular workflows in this department can save many lives. Without active emergency and properly performance any hospital can be regarded as an ideal treatment center. And with such shortfalls other hospital services would be affected by the large defect [1]. The ED is the key point of the hospital and the relationship between hospital and community. Quick care, efficiency and effectiveness of this department can save the lives of many people and reduce the severity of disease [2]. The ED is the key point of the hospital and the relationship between hospital and community. Quick care, efficiency and effectiveness of this department can save the lives of many people and reduce the severity of disease. 75% of hospital admissions are referred to the emergency department so attention to the current processes of emergency and management of this department is very important [3]. In emergency department activities is facing with Stress and certain complexities. Dissatisfaction from the services is more visible than everywhere, especially in both pre-hospital emergency and hospital emergency room [4]. In about of the patients satisfaction factors in emergency in their research showed that among the patient dissatisfaction factors in emergency that include the physical environment, staffing, equipment and management factors, patrons expressed equipment and medical equipment as the first factor of their dissatisfaction. And accordingly to this emergency managers can use with medical equipment and new technologies in order to create the basic steps to take patient satisfaction [5]. Current age is called information age and information technology (IT) explosion affect all of the life and business aspects [6]. In fact, the first distinction between developed and developing countries, are the production, application and utilization of information [7][8][9]. Nowadays, with the development of hospital information systems in healthcare centers, the use of software, hardware and new methods in order to increase the speed and quality of health care services is growing [10]. The advantages of using these technologies is extent that not only reduce errors and increase the speed and accuracy of providing health services to the patients, But also reduces costs through coordination of services and improve the quality of health care [11]. The ED is an exceptional environment, where visits are unscheduled, patients undifferentiated, and care decentralized. Workflows vary from ED to ED and even patient to patient. It is clear that the Health Information Technology (HIT) presents ongoing opportunities to improve the quality of emergency care, promote patient safety, reduce medical errors, and enhance the efficiency of emergency departments [12]. So by considering the critical role of the ED in health care to avoid duplication, improve quality and care, and reduce costs it is worthy this department and other related provisions of service units to be Effect of Informatio...

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Section: Discussionmentioning

confidence: 99%

Effect of Information Technology on ED’s Performance Indicators

Ajami¹,

Rezaee²

2016

J Inform Tech Softw Eng

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“…Our focus on actual usage at the point of care, in this case an ED encounter, removes the limitations posed by self-reported usage or use of organizational adoption as a proxy for actual usage. It is worth noting that several HIE studies which measure actual system usage have found positive effects [33][34][35], whereas those that look at organizational level adoption only, have not [36][37][38][39].…”

Section: Discussionmentioning

confidence: 99%

Association between use of a health information exchange system and hospital admissions

Vest¹,

Kern²,

Campion³

et al. 2014

Appl Clin Inform

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SummaryObjective: Relevant patient information is frequently difficult to obtain in emergency department (ED) visits. Improved provider access to previously inaccessible patient information may improve the quality of care and reduce hospital admissions. Health information exchange (HIE) systems enable access to longitudinal, community-wide patient information at the point of care. However, the ability of HIE to avert admissions is not well demonstrated. We sought to determine if HIE system usage is correlated with a reduction in admissions via the ED. Methods: We identified 15,645 adults from New York State with an ED visit during a 6-month period, all of whom consented to have their information accessible in the HIE system, and were continuously enrolled in two area health plans. Using claims we determined if the ED encounter resulted in an admission. We used the HIE's system log files to determine usage during the encounter. We determined the association between HIE system use and the likelihood of admission to the hospital from the ED and potential cost savings. Results: The HIE system was accessed during 2.4% of encounters. The odds of an admission were 30% lower when the system was accessed after controlling for confounding (odds ratio = 0.70; 95%C I= 0.52, 0.95). The annual savings in the sample was $357,000. Conclusion: These findings suggest that the use of an HIE system may reduce hospitalizations from the ED with resultant cost savings. This is an important outcome given the substantial financial investment in interventions designed to improve provider access to patient information in the US.

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“…The infusion of health information technologies in ED environments is driven by the need to facilitate communication, promote ease of information flow and workflow and enhance decision making and patient safety (Kane and Luz 2015). It has been reported that health information technologies (HIT) capabilities lead to improvement in ED efficiency by reducing waiting times and improving turnaround times when ordering tests and medications during patient visits (Selck and Decker 2016).…”

Section: Is Implementation In the Edmentioning

confidence: 99%

The impact of information systems on work structure and culture in an emergency department

Kesiilwe

Lederman

Dreyfus

et al. 2018

Australasian Conference on Information Systems 2018

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This paper describes a study where consultants in an emergency department will be observed and interviewed with the aim of evaluating the impact of the progressive implementation of an information system in an emergency department in a metropolitan hospital in Australia. The study is the third stage of a 3-stage longitudinal study which is building on data from two previous studies that were conducted in the same setting in 2008 and 2012. The evaluations will be based on predefined task categories to investigate how information systems in health settings affect time and prioritisation of tasks. The study aims to understand how the changes brought by information systems implementation can be managed to fit in with the structure and culture of work in the hospital setting. The outcome of this research will inform guidelines for how information systems for hospitals can be designed and implemented.

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Health Information Technology Adoption in the Emergency Department

Cited by 19 publications

References 14 publications

Effect of Information Technology on ED’s Performance Indicators

Effect of Information Technology on ED’s Performance Indicators

Association between use of a health information exchange system and hospital admissions

The impact of information systems on work structure and culture in an emergency department

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