Transformation of Emergency Department processes of care with EHR, CPOE, and ER event tracking systems

Smruti Vartak; Donald K Crandall; Jane M Brokel; Douglas S Wakefield; Marcia M Ward

doi:10.1177/183335830903800204

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Transformation of Emergency Department processes of care with EHR, CPOE, and ER event tracking systems

Journal article

Peer reviewed

Transformation of Emergency Department processes of care with EHR, CPOE, and ER event tracking systems

Smruti Vartak, Donald K Crandall, Jane M Brokel, Douglas S Wakefield and Marcia M Ward

Health information management, Vol.38(2), pp.27-32

2009

DOI: 10.1177/183335830903800204

PMID: 19546485

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Abstract

Mercy Medical Center, North Iowa implemented electronic health records (EHR), computerised provider order entry (CPOE) and event tracking systems in the emergency department (ED) as part of hospital-wide implementation of clinical information systems. This case study examines the changes in outcomes and processes in the ED following implementation. Although the system was designed to enhance efficiency, there was a significant increase in the mean length of stay (about 17 minutes, or 15%) in the ED after implementation. This surprising finding was examined in relationship to the multiple process-of-care changes in the ED.

Efficiency, Organizational

Electronic Health Records - trends

Electronic Health Records - utilization

Emergency Service, Hospital - organization & administration

Emergency Service, Hospital - trends

Health Plan Implementation

Hospital Information Systems - trends

Hospital Information Systems - utilization

Humans

Iowa

Length of Stay - trends

Medical Order Entry Systems - trends

Medical Order Entry Systems - utilization

Models, Organizational

Program Evaluation

Time-to-Treatment - statistics & numerical data

Details

Title: Subtitle: Transformation of Emergency Department processes of care with EHR, CPOE, and ER event tracking systems
Creators: Smruti Vartak - Center for Health Policy and Research, College of Public Health, University of Iowa, 5229 Westlawn, Iowa City, IA 52242, USA. smruti-vartak@uiowa.edu
Donald K Crandall
Jane M Brokel
Douglas S Wakefield
Marcia M Ward
Resource Type: Journal article
Publication Details: Health information management, Vol.38(2), pp.27-32
DOI: 10.1177/183335830903800204
PMID: 19546485
ISSN: 1833-3583
eISSN: 1833-3575
Grant note: HS15196 / AHRQ HHS
Language: English
Date published: 2009
Academic Unit: Health Management and Policy
Record Identifier: 9984221633502771

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