Improving Medical Decision-Making Using Electronic Health Record Systems
نویسندگان
چکیده
This paper evaluates the contribution of an electronic health records (EHR) system to efficient decision-making by physicians, and investigates whether these systems lead to more efficient medical care in emergency departments (ED). Log-files of patient visits and admissions were retrieved from an integrative EHR system that serves seven main hospitals owned by a large health maintenance organization (HMO). This study focused on readmissions within seven days and single-day admissions, problems that concern hospitals around the world. The findings indicate that using an EHR system in the EDs correlates with a decreased number of readmissions within seven days as well as with a reduced number of single-day admissions. The results provide evidence that using EHR system may contribute to efficiency in an ED by assisting decision-making. We believe this is the first data set that investigates the impact of an EHR on hospital efficiency at the scale of HMO.
منابع مشابه
Implementation of a cloud-based electronic medical record for maternal and child health in rural Kenya
BACKGROUND Complete and timely health information is essential to inform public health decision-making for maternal and child health, but is often lacking in resource-constrained settings. Electronic medical record (EMR) systems are increasingly being adopted to support the delivery of health care, and are particularly amenable to maternal and child health services. An EMR system could enable t...
متن کاملRanking the Micro Level Critical Factors of Electronic Medical Records Adoption Using Topsis Method
In many countries, the health care sector is entering into a time of unprecedented change. Electronic Medical Record (EMR) has been introduced into healthcare organizations in order to incorporate better use of technology, to aid decision making, and to facilitate the search for medical solution. This needs those professionals in healthcare organizations to be in the process of changing from th...
متن کاملThe Electronic Health Record System May Destroy the Empathy
Aims: The use of the electronic health record systems has been developed in the health system, but it is still not known whether empathy is created in the visit of the patient despite this system. Therefore, this study was designed with the purpose of comparing patients’ perceptions about physicians’ empathy after the patient viewed standardized and scripted video vignettes of two physicians on...
متن کاملA Proposal of a Comprehensive Medical Emergency Decision Support System
The aim of pre-hospital emergency medicine is to save lives, minimize sanitary harm and restore the quality of life as good as possible. Emergency pre-hospital care has the challenge of being time critical in nature. It requires rapid decision making despite the limited information around the patient which contributes to the high risk of medical errors. Although many clinical decision systems h...
متن کاملImplementation of a Cloud-Based Electronic Medical Record to Reduce Gaps in the HIV Treatment Continuum in Rural Kenya.
BACKGROUND Electronic medical record (EMR) systems are increasingly being adopted to support the delivery of health care in developing countries and their implementation can help to strengthen pathways of care and close gaps in the HIV treatment cascade by improving access to and use of data to inform clinical and public health decision-making. METHODS This study implemented a novel cloud-bas...
متن کامل