ArticleBMC medical informatics and decision making2011
Use of a health information exchange system in the emergency care of children.
Article in BMC medical informatics and decision making, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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
19 citing papers in PubMed.
- Reductions in Blood Lead Level Screening During Peak COVID-19 Restrictions and Beyond.Public health challenges · 2025Article
- Facilitating and Inhibiting Factors of Clinical Knowledge Sharing among Medical Specialists in University Hospitals.International journal of preventive medicine · 2023Article
- Practice and market factors associated with provider volume of health information exchange.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Creative Approaches for Assessing Long-term Outcomes in Children.Pediatrics · 2021Review
- Health information technology interventions and engagement in HIV care and achievement of viral suppression in publicly funded settings in the US: A cost-effectiveness analysis.PLoS medicine · 2021Article
- Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- A strategic gaming model for health information exchange markets.Health care management science · 2018Article
- Health Information Exchange Use (1990-2015): A Systematic Review.EGEMS (Washington, DC) · 2017Article
- Linking the health data system in the U.S.: Challenges to the benefits.International journal of nursing sciences · 2017Review
- Patient crossover and potentially avoidable repeat computed tomography exams across a health information exchange.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- A user needs assessment to inform health information exchange design and implementation.BMC medical informatics and decision making · 2015Article
- Overview of recent trans-institutional health network projects in Japan and Germany.Journal of medical systems · 2015Article
- Health information technology interventions enhance care completion, engagement in HIV care and treatment, and viral suppression among HIV-infected patients in publicly funded settings.Journal of the American Medical Informatics Association : JAMIA · 2015Article
- The potential for community-based health information exchange systems to reduce hospital readmissions.Journal of the American Medical Informatics Association : JAMIA · 2015Article
- Uncovering Hospitalists' Information Needs from Outside Healthcare Facilities in the Context of Health Information Exchange Using Association Rule Learning.Applied clinical informatics · 2015Article
- Factors related to health information exchange participation and use.Journal of medical systems · 2014Article
- Association between use of a health information exchange system and hospital admissions.Applied clinical informatics · 2014Article
- Does health information exchange reduce unnecessary neuroimaging and improve quality of headache care in the emergency department?Journal of general internal medicine · 2013Article
- Motivating medical information system performance by system quality, service quality, and job satisfaction for evidence-based practice.BMC medical informatics and decision making · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundChildren may benefit greatly in terms of safety and care coordination from the information sharing promised by health information exchange (HIE). While information exchange capability is a required feature of the certified electronic health record, we known little regarding how this technology is used in general and for pediatric patients specifically.
methodsUsing data from an operational HIE effort in central Texas, we examined the factors associated with actual system usage. The clinical and demographic characteristics of pediatric ED encounters (n = 179,445) were linked to the HIE system user logs. Based on the patterns of HIE system screens accessed by users, we classified each encounter as: no system usage, basic system usage, or novel system usage. Using crossed random effects logistic regression, we modeled the factors associated with basic and novel system usage.
resultsUsers accessed the system for 8.7% of encounters. Increasing patient comorbidity was associated with a 5% higher odds of basic usage and 15% higher odds for novel usage. The odds of basic system usage were lower in the face of time constraints and for patients who had not been to that location in the previous 12 months.
conclusionsHIE systems may be a source to fulfill users' information needs about complex patients. However, time constraints may be a barrier to usage. In addition, results suggest HIE is more likely to be useful to pediatric patients visiting ED repeatedly. This study helps fill an existing gap in the study of technological applications in the care of children and improves knowledge about how HIE systems are utilized.
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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.