Health Informatics J - Using electronic health record systems to optimize admission decisions: the Creatinine case study.

Tópicos

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Resumo

Many medical organizations have implemented electronic health record (EHR) and health information exchange (HIE) networks to improve medical decision-making. This study evaluated the contribution of EHR and HIE networks to physicians by investigating whether health information technology can lead to more efficient admission decisions by reducing redundant admissions in the stressful environment of emergency. Log-files were retrieved from an integrative and interoperable EHR that serves seven main Israeli hospitals. The analysis was restricted to a group of patients seen in the emergency departments who were administered a Creatinine test. The assessment of the contribution of EHR to admission decisions used various statistical analyses and track log-file analysis. We showed that using the EHR contributes to more efficient admission decisions and reduces the number of avoidable admissions. In particular, there was a reduction in readmissions when patient history was viewed. Using EHR can help respond to the international problem of avoidable hospital readmissions.

Resumo Limpo

mani medic organ implement electron health record ehr health inform exchang hie network improv medic decisionmak studi evalu contribut ehr hie network physician investig whether health inform technolog can lead effici admiss decis reduc redund admiss stress environ emerg logfil retriev integr interoper ehr serv seven main isra hospit analysi restrict group patient seen emerg depart administ creatinin test assess contribut ehr admiss decis use various statist analys track logfil analysi show use ehr contribut effici admiss decis reduc number avoid admiss particular reduct readmiss patient histori view use ehr can help respond intern problem avoid hospit readmiss

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