Health Information Management Journal · 2009 · 20 citations · 11 references
ComputingEmergency MedicineInformation SystemsClinical Information SystemsElectronic Health RecordsHealth Information SystemsComputerized Provider Order EntryElectronic Health Record IntegrationEmergency Care SystemsHospital Information SystemsSystem ImplementationWorkflow IntegrationCare Process EvaluationElectronic Health Record UseElectronic Health Record WorkflowEms Data SystemsHospital Electronic Health Records
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.
11
Crossing the Quality Chasm: A New Health System for the 21st Century
BMJ · 2001 · 10.8K citations
Hagop S. Mekhjian, Renjith R. Kumar, L. A. Kuehn et al. · Journal of the American Medical Informatics Association · 2002 · 361 citations · Full text