In Emergency Departments, Radiologists’ Access To EHRs May Influence Interpretations And Medical Management

Franczak, Michael; Klein, Madeline; Raslau, Flavius D.; Bergholte, Jo; Mark, Leighton P.; Ulmer, John L.

doi:10.1377/hlthaff.2013.0171

Cited by 21 publications

(15 citation statements)

References 13 publications

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“…The first U.S. study (prospective rater analysis, n = 2,000) investigated the impact of radiologists' access to electronic health records (EHR) in ED on radiological interpretations and medical management. 136 The investigators tried to ascertain the significance of access to the EHR when remote radiologists are asked to interpret head CT scans for ED patients. They compared medical information generation by ED physicians with information generated by interpreting radiologists who had access to EHR of patients.…”

Section: Teleradiology Evidencementioning

confidence: 99%

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

Bashshur

Krupiński

Thrall

et al. 2016

Telemedicine and e-Health

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Introduction: Radiology was founded on a technological discovery by Wilhelm Roentgen in 1895. Teleradiology also had its roots in technology dating back to 1947 with the successful transmission of radiographic images through telephone lines. Diagnostic radiology has become the eye of medicine in terms of diagnosing and treating injury and disease. This article documents the empirical foundations of teleradiology. Methods: A selective review of the credible literature during the past decade (2005-2015) was conducted, using robust research design and adequate sample size as criteria for inclusion. Findings: The evidence regarding feasibility of teleradiology and related information technology applications has been well documented for several decades. The majority of studies focused on intermediate outcomes, as indicated by comparability between teleradiology and conventional radiology. A consistent trend of concordance between the two modalities was observed in terms of diagnostic accuracy and reliability. Additional benefits include reductions in patient transfer, rehospitalization, and length of stay.

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Section: Teleradiology Evidencementioning

confidence: 99%

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

Bashshur

Krupiński

Thrall

et al. 2016

Telemedicine and e-Health

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“…[10][11][12][13][14][15][16] Other studies have reported that the introduction of EHR may result in less orders for unnecessary tests and imaging and can possibly influence confidence in diagnosis. 17,18 The difficulty in reaching a conclusion as to benefits of EHR is due to multiple factors, these include a wide spectrum of commercially available EHR systems, mixed taxonomy utilized by different studies, intrinsic site and utilization differences and an absence of standardized measure in the assessment of EHR performance. 19 A systematic review found that the same taxonomy in EHR literature had variable meanings depending on the author.…”

Section: Introductionmentioning

confidence: 99%

Implementation of electronic health records systems in surgical units and its impact on performance

Liu

Edye

2019

ANZ Journal of Surgery

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Background: Electronic health records (EHR) systems have been utilized in New South Wales for more than a decade; however, there is no agreement as to what clinical benefits they provide. This study aims at determining whether the introduction of EHR systems resulted in changes in documentation quality and other markers of clinical performance such as post-operative length of stay (PO LOS), use of imaging modality, rates of readmission and morbidity. Methods: A before and after study was conducted utilizing both written and electronic patient documentation in a single surgical ward. Patients who underwent appendicectomy at Blacktown Hospital had inpatient documentation collated at three distinct time-points. Documentation was then assessed against the QNOTE assessment criteria. Other markers of clinical performance assessed included PO LOS, ultrasound use, computed tomography use, rate of readmission, rate of morbidity and rate of positive histological findings. Results: There was a significant (P = 0.001) improvement in QNOTE score between group 1 (6 months prior to the implementation of EHR) and group 3 (12 months after the implementation of EHR) of 9 points. PO LOS was reduced following the implementation of EHR from 1.94 to 1.37 days (P = 0.001). Conclusion: This study demonstrated that following the implementation of EHR system in an inpatient surgical ward, notation quality improved. It was also found that the implementation of EHR was associated with a decrease in PO LOS.

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“…EHR influences the decisions made by physicians [12][13][14][15]; thus more research in this area is greatly needed. With the emergence of smartphones the healthcare sector has ventured in mobile health applications for patients.…”

Section: Introductionmentioning

confidence: 99%

Electronic health records, adoption, quality of care, legal and privacy issues and their implementation in emergency departments

Ben‐Assuli¹

2015

Health Policy

125

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In Emergency Departments, Radiologists’ Access To EHRs May Influence Interpretations And Medical Management

Cited by 21 publications

References 13 publications

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence

Implementation of electronic health records systems in surgical units and its impact on performance

Electronic health records, adoption, quality of care, legal and privacy issues and their implementation in emergency departments

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