were considered to have the weekend effect if they were admitted on the weekend and their observed length of stay was greater than the upper bound of the 95% CI of the model-derived expected length of stay. Multilevel models including hospital covariates, such as structural characteristics, hospital size, and hospital resources, were used to determine associations between EHR elements and the weekend effect. Additional hospital-level confounders including weekend-specific staffing, resource allocation, surgeon staffing, and models of surgical care (ie, acute care surgery programs) could not be assessed owing to limitations of the data set. This study was deemed exempt from institutional review board approval by the Loyola University Medical Center institutional review board based on the use of publicly available, deidentified patient data. All statistical analyses were performed using Stata version 13 (StataCorp LP).Results | There were 2979 patients who met the criteria for inclusion. Of these, 2033 did not have the weekend effect and 946 had the weekend effect. Patients without the weekend effect were more likely to be exposed to high-speed EHR connectivity (62.6% vs 57.3%, P = .006), EHR in the operating room (90.0% vs 87.3%, P = .03), electronic operating room scheduling (91.6% vs 89.1%, P = .03), computerized physician order entry (45.0% vs 41.0%, P = .04), and electronic bed management systems (79.9% vs 73.2%, P < .001).Specific components of EHR systems decreased the odds of having the weekend effect. These included electronic operating room scheduling (adjusted odds, 0.67; 95% CI, 0.46-0.97; P = .03) and electronic bed management systems (adjusted odds, 0.65; 95% CI, 0.50-0.84; P = .001) ( Figure).Discussion | Implementation of EHR systems is one mechanism to help hospitals combat an important temporal disparity of care, the weekend effect, for patients undergoing urgent general surgical procedures. Specific components of EHR systems, including electronic operating room scheduling and electronic bed management systems, are most strongly associated with decreasing the odds of the weekend effect. Together, these data illustrate an important relationship that may exist between EHR systems and temporal care disparities in nonelective surgical settings.