The impact of electronic health records on care of heart failure patients in the emergency room

Connelly, Donald P.; Park, Young‐Taek; Du, Jing; Theera-Ampornpunt, Nawanan; Gordon, Bradley D.; Bershow, Barry A.; Gensinger, Raymond A.; Shrift, Michael; Routhe, Daniel T.; Speedie, Stuart M.

doi:10.1136/amiajnl-2011-000271

Cited by 31 publications

(25 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This is concordant with other studies identifying potential reductions in admissions if HIE is used. 7 , 8 It has been stated that deciding to admit someone to the hospital “may be the most expensive, regular discretionary decision in U.S. healthcare.” 22 Providing improved awareness of a patient’s history may help target the use of expensive hospital beds to those who appropriately need these resources. It may be helpful to routinely collect external information on patients for whom the decision to admit or discharge is not a clear-cut one.…”

Section: Discussionmentioning

confidence: 99%

“…Studies and provider perception indicate cost savings can occur when HIE is used, 1 – 3 , 7 – 12 such as in the decreased use of diagnostic imaging. 13 – 15 Previous qualitative studies were conducted with the provider during non-clinical time, 16 – 19 with two others adding clinical workflow observation to their interview methodology.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of Health Information Exchange on Emergency Medicine Clinical Decision Making

Gordon

Bernard

Salzman

et al. 2015

WestJEM

View full text Add to dashboard Cite

IntroductionThe objective of the study was to understand the immediate utility of health information exchange (HIE) on emergency department (ED) providers by interviewing them shortly after the information was retrieved. Prior studies of physician perceptions regarding HIE have only been performed outside of the care environment.MethodsTrained research assistants interviewed resident physicians, physician assistants and attending physicians using a semi-structured questionnaire within two hours of making a HIE request. The responses were recorded, then transcribed for qualitative analysis. The transcribed interviews were analyzed for emerging qualitative themes.ResultsWe analyzed 40 interviews obtained from 29 providers. Primary qualitative themes discovered included the following: drivers for requests for outside information; the importance of unexpected information; historical lab values as reference points; providing context when determining whether to admit or discharge a patient; the importance of information in refining disposition; improved confidence of provider; and changes in decisions for diagnostic imaging.ConclusionED providers are driven to use HIE when they’re missing a known piece of information. This study finds two additional impacts not previously reported. First, providers sometimes find additional unanticipated useful information, supporting a workflow that lowers the threshold to request external information. Second, providers sometimes report utility when no changes to their existing plan are made as their confidence is increased based on external records. Our findings are concordant with previous studies in finding exchanged information is useful to provide context for interpreting lab results, making admission decisions, and prevents repeat diagnostic imaging.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of Health Information Exchange on Emergency Medicine Clinical Decision Making

Gordon

Bernard

Salzman

et al. 2015

WestJEM

View full text Add to dashboard Cite

show abstract

“…29,30 Frequently, the timeliness of care is transiently increased before returning to preimplementation levels. 31 In this study, we found an independent association of post-EMR implementation with decreased total ED length of stay.…”

Section: Discussionmentioning

confidence: 99%

Timing of Opioid Administration as a Quality Indicator for Pain Crises in Sickle Cell Disease

Mathias¹,

McCavit²

2015

PEDIATRICS

View full text Add to dashboard Cite

show abstract

“…In fact, evidence regarding the effects of EHR are mixed: several studies have failed to report any effect of EHR use on overall length of hospital stays [106][107][108][109].…”

Section: Page 22 Of 36mentioning

confidence: 99%

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

Ben‐Assuli¹

2015

Health Policy

126

View full text Add to dashboard Cite

The impact of electronic health records on care of heart failure patients in the emergency room

Abstract: An EHR may have the potential to be a valuable adjunct in the care of heart failure patients.

Cited by 31 publications

References 23 publications

Impact of Health Information Exchange on Emergency Medicine Clinical Decision Making

Impact of Health Information Exchange on Emergency Medicine Clinical Decision Making

Timing of Opioid Administration as a Quality Indicator for Pain Crises in Sickle Cell Disease

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

Contact Info

Product

Resources

About