Professional Practice and Innovation: Transformation of Emergency Department Processes of Care with EHR, CPOE, and ER Event Tracking Systems

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 outcome...

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Bibliographic Details
Published in:Health Information Management Journal 2009-06, Vol.38 (2), p.27-32
Main Authors: Vartak, Smruti, Crandall, Donald K, Brokel, Jane M, Wakefield, Douglas S, Ward, Marcia M
Format: Article
Language:English
Subjects:
Case studies
Electronic records
Emergency service
Forecasts and trends
Hospitals
Innovations
Medical informatics
Medical practice software
Medical records
Technology application
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Summary: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.
ISSN:1833-3583
1833-3575
DOI:10.1177/183335830903800204