ArticleJournal of medical systems2012
Using electronic medical record systems for admission decisions in emergency departments: examining the crowdedness effect.
Article in Journal of medical systems, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 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
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Health Outcomes and Healthcare Efficiencies Associated with the Use of Electronic Health Records in Hospital Emergency Departments: a Systematic Review.Journal of medical systems · 2020Pooled it
- Using electronic health record audit logs to study clinical activity: a systematic review of aims, measures, and methods.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled 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
- Acquisition of patients' EHR information under ED congestion - an empirical investigation.Health systems (Basingstoke, England) · 2025Review
- Incidence of moral hazards among health care providers in the implementation of social health insurance toward universal health coverage: evidence from rural province hospitals in Indonesia.Frontiers in public health · 2023Article
- Physicians' and pharmacists' use of My Health Record in the emergency department: results from a mixed-methods study.Health information science and systems · 2021Article
- Exploring overcrowding trends in an inner city emergence department in the UK before and during COVID-19 epidemic.BMC emergency medicine · 2021Article
- Use of My Health Record by Clinicians in the Emergency Department: An Analysis of Log Data.Frontiers in digital health · 2021Article
- Use of natural language processing to improve predictive models for imaging utilization in children presenting to the emergency department.BMC medical informatics and decision making · 2019Article
- Cost-Effectiveness Evaluation of EHR: Simulation of an Abdominal Aortic Aneurysm in the Emergency Department.Journal of medical systems · 2016Article
- Validation of a nurses' views on electronic medical record systems (EMR) questionnaire in Turkish health system.Journal of medical systems · 2015Article
- EHR in emergency rooms: exploring the effect of key information components on main complaints.Journal of medical systems · 2014Article
- The impact of EHR and HIE on reducing avoidable admissions: controlling main differential diagnoses.BMC medical informatics and decision making · 2013Article
- Epidemiological challenges in pandemic coronavirus disease (COVID-19): Role of artificial intelligence.Wiley interdisciplinary reviews. Data mining and knowledge discoveryReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Many medical organizations have deployed electronic medical record (EMR) information systems (IS) to improve medical decision-making and increase efficiency. Despite their advantages, however, EMR IS may make less of a contribution in the stressful environment of an emergency department (ED) that operates under tight time constraints. The high level of crowdedness in the EDs itself can cause physicians to make medical decisions resulting in more unnecessary admissions and fewer necessary admissions. Thus this study evaluated the contribution of an EMR IS to physicians by investigating whether EMR IS leads to improved medical outcomes in points of care in EDs under different levels of crowdedness. For this purpose a track log-file analysis of a database containing 3.2 million ED referrals in seven main hospitals in Israel (the whole population in these hospitals) was conducted. The findings suggest that viewing medical history via the EMR IS leads to better admission decisions, and reduces the number of possibly avoidable single-day admissions. Furthermore, although the ED can be very stressful especially on crowded days, physicians used EMR IS more on crowded days than on non-crowded days. These results have implications as regards the viability of EMR IS in complex, fast-paced environments.
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What OpenQuestion holds
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.