Impact of electronic health record implementation on patient flow metrics in a pediatric emergency department
نویسندگان
چکیده
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.
منابع مشابه
Evaluating the impact of the electronic health record on patient flow in a pediatric emergency department.
BACKGROUND There is little data on the effect of the EHR on emergency department (ED) efficiency. OBJECTIVE 1) to quantify the effect of the EHR on patient flow in an academic pediatric ED. 2) to analyze the effects of patient census, boarding time, staffing hours, and acuity on the mean daily ED length-of-stay (LOS) and triage-to-provider time. METHODS ED performance was compared before an...
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