J Am Med Inform Assoc - Impact of electronic health record implementation on patient flow metrics in a pediatric emergency department.

Tópicos

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Resumo

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. Overall LOS and time to doctor increased during EHR implementation. On average, admitted patients' LOS was 6-20% longer. For discharged patients, LOS was 12-22% longer. Attempts to reduce patient volumes by diverting patients to another clinic were not effective in minimizing delays in care during this EHR implementation. Delays in ED throughput during EHR implementation are real and significant despite additional providers in the ED, and in this setting resolved by 3 months post-implementation.

Resumo Limpo

implement electron health record ehr healthcar set incur challeng none import maintain effici safeti rollout report quantifi impact offload lowacu visit altern care site emerg depart ed ehr implement addit report evalu effect ehr implement overal patient length stay los time medic provid provid product implement ehr overal los time doctor increas ehr implement averag admit patient los longer discharg patient los longer attempt reduc patient volum divert patient anoth clinic effect minim delay care ehr implement delay ed throughput ehr implement real signific despit addit provid ed set resolv month postimplement

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