Electronic display of a patient treatment over time: a perspective on clinicians’ burn-out

Lichtner, Valentina; Baysari, Melissa T.

doi:10.1136/bmjhci-2020-100281

Cited by 5 publications

(2 citation statements)

References 32 publications

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“…Providing clinicians with the information they need when and in the format they need it is a significant research and operational challenge in clinical informatics. [1][2][3][4] Information needed to care for patients is typically still fragmented across too many different systems and not easy to collate, organize, and review. 1,5,6 This problem is aggravated in the context of increasing interoperability.…”

Section: Background and Significancementioning

confidence: 99%

Directly Integrating Health Information Exchange (HIE) Data with the Electronic Health Record Increases HIE Use by Emergency Department Clinicians

Rivera,

Hosler,

Jang

et al. 2023

ACI open

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Objectives This article (1) develops a Fast Healthcare Interoperability Resources app, Health Dart, that integrates information from Indiana's community health information exchange (HIE), the Indiana Network for Patient Care (INPC), directly with Cerner, an electronic health record (EHR), and (2) evaluates the effect of Health Dart's implementation on HIE use. Methods Health Dart was implemented in 14 Indiana University Health emergency departments (EDs) using a stepped-wedge study design. We analyzed rates of INPC use in 286,175 ED encounters between October 1, 2019 and December 31, 2020. Logistic regression was used to model the probability of INPC use given the implementation context, such as user interface (UI) enhancements and the coronavirus disease 2019 pandemic. Results INPC use increased by 131% across all encounters (from 3.6 to 8.3%; p < 0.001) after Health Dart implementation. INPC use increased by 144% (from 3.6 to 8.8%; p < 0.001) more than 2 months postimplementation. After UI enhancements, postimplementation INPC use increased by 123% (from 3.5 to 7.8%) compared to 181% (from 3.6 to 10.1%; p < 0.001) in postimplementation encounters that occurred before UI enhancements. During the pandemic, postimplementation INPC use increased by 135% (from 3.4 to 8.0%; p < 0.001) compared to 178% (from 3.6 to 10%; p < 0.001) in postimplementation encounters that occurred before the pandemic. Statistical significance was determined using 95% confidence intervals (α = 0.05). Conclusion Direct integration of HIE information into an EHR substantially increased frequency of HIE use, but the effect was weakened by the UI enhancements and pandemic. HIE information integrated into EHRs in the form of problem-oriented dashboards can potentially make information retrieval more efficient and effective for clinicians.

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Section: Background and Significancementioning

confidence: 99%

Directly Integrating Health Information Exchange (HIE) Data with the Electronic Health Record Increases HIE Use by Emergency Department Clinicians

Rivera,

Hosler,

Jang

et al. 2023

ACI open

View full text Add to dashboard Cite

show abstract

“…Providing clinicians with the information they need when and in the format they need it is a significant research challenge in clinical informatics. [1][2][3][4] Information needed to care for patients is typically still fragmented across too many different systems and not easy to collate, organize and review. 1,5,6 This problem is aggravated in the context of increasing interoperability.…”

Section: Introductionmentioning

confidence: 99%

Does directly integrating health information exchange (HIE) data with the electronic health record increase HIE use by clinicians in the emergency department?

Hosler

Jang

Schaffer

et al. 2022

Preprint

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Objective: Develop and evaluate the effect of a Fast Healthcare Interoperability Resources (FHIR) app, Health Dart, integrating information from Indianas community health information exchange (HIE), the Indiana Network for Patient Care (INPC), directly with Cerner, an electronic health record (EHR) Materials and Methods: Health Dart was implemented in 14 Indiana University Health emergency departments (ED) using a stepped-wedge study design. We analyzed rates of INPC use in 286,175 ED encounters between October 1, 2019 and December 31, 2020. Logistic regression was used to model the probability of INPC use given the implementation context, such as user interface (UI) enhancements and the COVID-19 pandemic. Results: INPC use increased by 131% across all encounters (from 3.6% to 8.3%; p<0.001) after Health Dart implementation. INPC use increased by144% (from 3.6% to 8.8%; p<0.001) more than two months post-implementation. After UI enhancements, post-implementation INPC use increased 123% (from 3.5% to 7.8%) compared to 181% (from 3.6% to 10.1%; p<0.001) in post-implementation encounters that occurred before UI enhancements. During the pandemic, post-implementation INPC use increased by 135% (from 3.4% to 8.0%; p<0.001) compared to 178% (from 3.6% to 10%; p<0.001) in post-implementation encounters that occurred before the pandemic. Statistical significance was determined using 95% confidence intervals (α=0.05). Discussion: Direct integration of HIE information into an EHR substantially increased frequency of HIE use, but the effect was weakened by the UI enhancements and pandemic. Conclusion: HIE information integrated into EHRs in the form of dashboards can potentially make information retrieval more efficient and effective for clinicians.

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Digital Health

Hellmann

Emmons

Prime

et al. 2023

Clinics in Laboratory Medicine

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Electronic display of a patient treatment over time: a perspective on clinicians’ burn-out

Cited by 5 publications

References 32 publications

Directly Integrating Health Information Exchange (HIE) Data with the Electronic Health Record Increases HIE Use by Emergency Department Clinicians

Directly Integrating Health Information Exchange (HIE) Data with the Electronic Health Record Increases HIE Use by Emergency Department Clinicians

Does directly integrating health information exchange (HIE) data with the electronic health record increase HIE use by clinicians in the emergency department?

Digital Health

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