ArticleJournal of the American Medical Informatics Association : JAMIA
Health information exchange usage in emergency departments and clinics: the who, what, and why.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
58 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The role of information systems in emergency department decision-making-a literature review.Journal of the American Medical Informatics Association : JAMIA · 2024Pooled it
- The role and benefits of accessing primary care patient records during unscheduled care: a systematic review.BMC medical informatics and decision making · 2017Pooled it
- Barriers and facilitators to exchanging health information: a systematic review.International journal of medical informatics · 2016Pooled it
- Influences on Emergency Clinician Use of Health Information Exchange: Interview Study.JMIR medical informatics · 2025Article
- Article
- Influence of Previous Emergency Department Visit Information on Care of Current Patients.The western journal of emergency medicine · 2025Article
- Health Care Worker Usage of Large-Scale Health Information Exchanges in Japan: User-Level Audit Log Analysis Study.JMIR medical informatics · 2024Article
- Using Omaha System data to explore relationships between client outcomes, phenotypes, and targeted home intervention approaches: an exemplar examining practice effectiveness for older women with circulation problems.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Association of Hospital Interoperable Data Sharing With Alternative Payment Model Participation.JAMA health forum · 2022Article
- Electronic health records and clinician burnout: A story of three eras.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Use of My Health Record by Clinicians in the Emergency Department: An Analysis of Log Data.Frontiers in digital health · 2021Article
- Information resource orchestration during the COVID-19 pandemic: A study of community lockdowns in China.International journal of information management · 2020Article
- Emergency care access to primary care records: an observational study.BMJ health & care informatics · 2020Observational
- The impact of transitioning from availability of outside records within electronic health records to integration of local and outside records within electronic health records.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Emergency Physician Use of the Alberta Netcare Portal, a Province-Wide Interoperable Electronic Health Record: Multi-Method Observational Study.JMIR medical informatics · 2018Article
- Does participation in health information exchange improve hospital efficiency?Health care management science · 2018Article
- Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Improving performance in the ED through laboratory information exchange systems.International journal of emergency medicine · 2018Article
- Health Information Exchange Use (1990-2015): A Systematic Review.EGEMS (Washington, DC) · 2017Article
- Patients Visiting Multiple Emergency Departments: Patterns, Costs, and Risk Factors.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2017Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveHealth information exchange (HIE) systems are being developed across the nation. Understanding approaches taken by existing successful exchanges can help new exchange efforts determine goals and plan implementations. The goal of this study was to explore characteristics of use and users of a successful regional HIE.
designWe used a mixed-method analysis, consisting of cross-sectional audit log data, semi-structured interviews, and direct observation in a sample of emergency departments and ambulatory safety net clinics actively using HIE. For each site, we measured overall usage trends, user logon statistics, and data types accessed by users. We also assessed reasons for use and outcomes of use.
resultsOverall, users accessed HIE for 6.8% of all encounters, with higher rates of access for repeat visits, for patients with comorbidities, for patients known to have data in the exchange, and at sites providing HIE access to both nurses and physicians. Discharge summaries and test reports were the most frequently accessed data in the exchange. Providers consistently noted retrieving additional history, preventing repeat tests, comparing new results to retrieved results, and avoiding hospitalizations as a consequence of HIE access.
conclusionHIE use in emergency departments and ambulatory clinics was focused on patients where missing information was believed to be present in the exchange and was related to factors including the roles of people with access, the setting, and other site-specific issues that impacted the overall breadth of routine system use. These data should form an important foundation as other sites embark upon HIE implementation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.