Effect of an electronic medical record information system on emergency department performance

Mohan, Murugabalaji K; Bishop, Rod; Mallows, James L

doi:10.5694/mja12.10499

Cited by 30 publications

(36 citation statements)

References 17 publications

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“…Our study also does not focus on the ramp-up period of EHR implementation as several studies have already well highlighted the disruption caused by the ramp-up period immediately following EHR adoption. 21,22 Our results have face validity, showing a disruption in operational measures immediately after introduction of EHR technology (Figures 1 and 2); however, our study focuses on the long-term performance across a series of operational measures of performance. Second, not all operational measures were available and this study is not a comprehensive assessment of the effect of EHRs on clinical care and delivery.…”

Section: Limitationsmentioning

confidence: 69%

The Effect of Electronic Health Record Implementation on Community Emergency Department Operational Measures of Performance

Ward¹,

Landman²,

Case³

et al. 2014

Annals of Emergency Medicine

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Objective To study the effect of electronic health record (EHR) implementation on the operational metrics of a diverse group of community emergency departments (ED). Methods We performed a retrospective before/after analysis of 23 EDs from a single management group that experienced EHR implementation, defined as the date of implementation of electronic clinical documentation in the ED. We obtained electronic data for 4 length-of-stay (LOS) measures (arrival-to-provider, admitted, discharged and overall LOS) and 4 measures of operational characteristics (left-prior-to–treatment-complete, significant returns, overall patient satisfaction and provider efficiency). We compared the 6-month “baseline” period immediately prior to implementation with a “steady-state” period commencing 6 months after implementation for all 8 metrics. Results For the LOS measures, there were no differences in the arrival-to-provider interval (difference of −0.02 hours, 95% CI of difference −0.12, 0.08), admitted LOS (difference of 0.10 hours, 95% CI of difference −0.17, 0.37), discharged LOS (difference of 0.07 hours, 95% CI of difference −0.07, 0.22) and overall LOS (difference of 0.11 hours, −0.04, 0.27). For operational characteristics, there were no differences in the percentage who left-prior-to-treatment-complete (difference of 0.24%, 95% CI of difference −0.47%, 0.95%), significant returns (difference of −0.04%, 95% CI of difference −0.48%,0.39%), overall percentile patient satisfaction (difference of −0.02%, 95% CI of difference −2.35%, 2.30%) and provider efficiency (difference of −0.05 patients/hour, 95% CI of difference −0.11,0.02). Conclusions There is no meaningful difference in 8 measures of operational performance for community EDs experience EHR implementation between a baseline and steady state period.

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Section: Limitationsmentioning

confidence: 69%

The Effect of Electronic Health Record Implementation on Community Emergency Department Operational Measures of Performance

Ward¹,

Landman²,

Case³

et al. 2014

Annals of Emergency Medicine

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“…Mohan, Bishop and Mallows [83] investigated the effects of EHR on time factors in the ED, and found significant increases in all (waiting time, treatment time and total time for patients who were eventually discharged). In addition, Park, Lee and Chen [84] found an increase in ED physicians' documentation times following a transition to working with an EHR.…”

Section: Ehr and Emergency Department Performancementioning

confidence: 95%

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

Ben‐Assuli¹

2015

Health Policy

130

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“…According to their study, they stated that we found a reduction in performance with respect to ED KPIs after implementation of the First Net system. So Implementation of the First Net electronic medical record system was associated with deterioration in ED KPIs [20].…”

Section: Resultsmentioning

confidence: 99%

“…Mohan et al in 2009 conducted a retrospective study to determine whether implementation of the Cerner First Net electronic medical record system was associated with any change in ED performance [20]. First Net (Cerner), an EMR system, has been introduced in emergency departments (EDs) around New South Wales since 2007.…”

Section: The Impact Of It On the Ed Through The Performance Indicatorsmentioning

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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Effect of an electronic medical record information system on emergency department performance

Abstract: Implementation of the FirstNet electronic medical record system was associated with deterioration in ED KPIs.

Cited by 30 publications

References 17 publications

The Effect of Electronic Health Record Implementation on Community Emergency Department Operational Measures of Performance

The Effect of Electronic Health Record Implementation on Community Emergency Department Operational Measures of Performance

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

Effect of Information Technology on ED’s Performance Indicators

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