emergency
Kim MJ et al, International Journal of Medical Informatics, 2012
Purpose
Specialty consultations and waiting for admission to a hospital bed are major contributors to increased length of stay and overcrowding in the emergency department. We implemented a computerized short messaging service to inform care providers of patient delay in order to reduce length of stay. The purpose of this study was to evaluate the effects of this strategy on length of stay in the emergency department.
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1 February 2012 | No Comments »
Categories: Science | Country: Korea | Tag(s): Alert/Reminder, emergency, SMS
Johnson KB et al, J Am Med Inform Assoc, 18(5)
OBJECTIVE
Health information exchange (HIE) systems are being developed across the nation. Understanding approaches taken by existing successful exchanges can help new exchange efforts determine goals and plan implementations. The goal of this study was to explore characteristics of use and users of a successful regional HIE.
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23 January 2012 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Ambulatory Care, emergency, Health Information Exchange
Hoechsmann A. CMAJ, 184(1)
Citing British government reports that recommend abandoning their centralized electronic health records (EHRs) project, Paul Christopher Webster continues his assertion that Canada Health Infoway’s vision of a centralized national health database is “not feasible.” However, focusing on the failures of EHRs may lead people to believe that all enterprise digital health solutions are doomed to fail.
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16 January 2012 | No Comments »
Categories: Science | Country: Canada | EHR: EHR, EHR Canada | Tag(s): Central storage, emergency
Teleprensa
“Los equipos de emergencias tendrán acceso inmediato a la historia clínica del paciente a través de un tablet. La Consejería de Salud ha puesto en marcha esta iniciativa que pretende facilitar la labor de los sanitarios en la atención a los pacientes tanto en sus domicilios como en la vía pública, así como en accidentes con múltiples víctimas o emergencias colectivas.
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12 January 2012 | No Comments »
Categories: News | Country: Spain | EHR: EHR, EHR Spain | Tag(s): Access, emergency, mHealth, tablet PC
Dan Bowman, FierceHealthIT
“Why wait for a slow, clunky government report to learn about illness trends in your area when, with the click of a mouse, you can do so in near real time? That’s the gist of a report published this week in the journal Clinical Infectious Diseases, which concludes that targeted Internet traffic can serve as a good predictor of patient activity for hospitals.
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11 January 2012 | No Comments »
Categories: News | Country: United States | Tag(s): Disease Surveillance, emergency
Dugas AF et al, Clinical Infectious Diseases, 2012
Background.
Google Flu Trends (GFT) is a novel Internet-based influenza surveillance system that uses search engine query data to estimate influenza activity and is available in near real time. This study assesses the temporal correlation of city GFT data to cases of influenza and standard crowding indices from an inner-city emergency department (ED).
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11 January 2012 | No Comments »
Categories: Science | Country: United States | Tag(s): Disease Surveillance, emergency, Internet
Vest JR et al, BMC Medical Informatics and Decision Making, 11
Background
Children may benefit greatly in terms of safety and care coordination from the information sharing promised by health information exchange (HIE). While information exchange capability is a required feature of the certified electronic health record, we known little regarding how this technology is used in general and for pediatric patients specifically.
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2 January 2012 | No Comments »
Categories: Science | Country: United States | Tag(s): Children, emergency, Health Information Exchange
Kristine Martin Anderson, Government Health IT
“Even among very knowledgeable people, the concept of health information technology is often equated with its most familiar element, “electronic health records.” Adoption of electronic health records are a critical first step to realizing the transformational power of Health IT – but getting out of paper enables even greater HIT capabilities.
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12 December 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Benefits, emergency, Health Information Technology, Innovation, Medical Errors, Patient, Public Health, Transition
Jeff Rowe, Government Health IT
“A study recently published in the Journal of the American Medical Informatics Association (JAMIA) found mixed results when researchers looked at the impact of EHRs on health outcomes at three Minneapolis area emergency departments(EDs).
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22 November 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): emergency, Health Information Exchange
Marla Durben Hirsch, FierceEMR
“Although many industry experts tout the financial and quality of care benefits of electronic health records, evidence of their benefit for emergency departments remains mixed, according to a study recently published in the Journal of American Medical Informatics Association.
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18 November 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Benefits, emergency
Cynthia E. Keen, AuntMinnie
“A financial study evaluating how the use of health information exchanges (HIEs) by emergency physicians affects patient management has confirmed that millions of dollars could be saved if physicians can get immediate access to patients’ medical records, according to a November 4 article in the Journal of the American Medical Informatics Association.
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17 November 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Access, emergency, Health Information Exchange, Physicians, Web
Luke Gale, CMIO
“Researchers investigating the effects of EHRs on healthcare outcomes at three Twin Cities-based emergency departments (ED) expected the presence of documentation available in EHRs to have a measurable positive effect on clinical decision-making, but the results of their study failed to make a conclusive determination.
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15 November 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): emergency
Connelly DP et al, J Am Med Inform Assoc, 2011
Objective
To evaluate if electronic health records (EHR) have observable effects on care outcomes, we examined quality and efficiency measures for patients presenting to emergency departments (ED).
Materials and methods
We conducted a retrospective study of 5166 adults with heart failure in three metropolitan EDs. Patients were termed internal if prior information was in the EHR upon ED presentation, otherwise external. Associations of internality with hospitalization, mortality, length of stay (LOS), and numbers of tests, procedures, and medications ordered in the ED were examined after adjusting for age, gender, race, marital status, comorbidities and hospitalization as a proxy for acuity level where appropriate.
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15 November 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Chronic Heart Failure, Efficiency, emergency, Quality
Marla Durben Hirsch, FierceEMR
“Here’s more proof that the move to electronic health records can be tougher than anticipated: it can slow down the emergency department’s response time, which could impact patient care.
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11 November 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): emergency, Hospitals
Frisse ME et al, J Am Med Inform Assoc, 2011
To examine the financial impact health information exchange (HIE) in emergency departments (EDs).Materials and MethodsWe studied all ED encounters over a 13-month period in which HIE data were accessed in all major emergency departments Memphis, Tennessee. HIE access encounter records were matched with similar encounter records without HIE access. Outcomes studied were ED-originated hospital admissions, admissions for observation, laboratory testing, head CT, body CT, ankle radiographs, chest radiographs, and echocardiograms. Our estimates employed generalized estimating equations for logistic regression models adjusted for admission type, length of stay, and Charlson co-morbidity index. Marginal probabilities were used to calculate changes in outcome variables and their financial consequences.ResultsHIE data were accessed in approximately 6.8% of ED visits across 12 EDs studied.
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9 November 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Benefits, emergency, Health Information Exchange
Bernie Monegain, Healthcare IT News
“Sharing electronic health information across every major emergency department in the Memphis, Tenn., area resulted in reduced hospital admissions, reduced radiology tests and an annual cost savings of nearly $2 million, according to a recent study conducted by Vanderbilt University Medical Center.
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9 November 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Benefits, Data Sharing, emergency, Health Information Exchange
Jeff Byers, CMIO
“Research from Cincinnati Children’s Hospital Medical Center published Nov. 3 in the Journal of the American Medical Informatics Association asserted that its analysis of EHR implementation in a busy pediatric emergency department (ED) should help hospitals and ED groups recognize potential needs when planning their EHR implementation.
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7 November 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): emergency, Implementation
Kennebeck SS et al, J Am Med Inform Assoc, 2011
Implementing electronic health records (EHR) in healthcare settings incurs challenges, none more important than maintaining efficiency and safety during rollout. This report quantifies the impact of offloading low-acuity visits to an alternative care site from the emergency department (ED) during EHR implementation. In addition, the report evaluated the effect of EHR implementation on overall patient length of stay (LOS), time to medical provider, and provider productivity during implementation of the EHR.
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7 November 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Children, emergency, Implementation
Los Angeles Times
“A new medical identification bracelet that came on the market Tuesday uses text messaging to convey detailed medical information to first responders. The TextID bracelets from the medical jewelry company Hope Paige are engraved with an identification number that, when sent via text, can access an individual’s emergency information, including an extensive medical history, current medications and emergency contacts, among other things.
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2 November 2011 | No Comments »
Categories: News | Country: United States | Tag(s): emergency, mHealth, SMS, Wristband
Marla Durben Hirsch, FierceEMR
“Electronic health record vendor Meditech and real-time location system (RTLS) vendor Awarepoint have collaborated on a product that integrates RTLS with EHRs to help hospitals run their emergency departments.
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28 October 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): emergency, Hospitals, Location, RFID, Tracking
