ArticleJournal of medical systems2014
EHR in emergency rooms: exploring the effect of key information components on main complaints.
Article in Journal of medical systems, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
13 citing papers in PubMed, 2 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
- The Effects of Health Information Technology on Quality of Care in Emergency Departments: A Systematic Review.Health science reports · 2025Review
- Emergency department and urgent care clinician perspectives on digital access to past medical histories.BMJ health & care informatics · 2022Article
- Emergency care access to primary care records: an observational study.BMJ health & care informatics · 2020Observational
- Readmission Risk Assessment Technologies and the Anchoring and Adjustment Heuristic.Journal of medical systems · 2020Article
- Analysing repeated hospital readmissions using data mining techniques.Health systems (Basingstoke, England) · 2018Article
- Analysing repeated hospital readmissions using data mining techniques.Health systems (Basingstoke, England) · 2018Article
- The implications and impact of 3 approaches to health information exchange: community, enterprise, and vendor-mediated health information exchange.Learning health systems · 2017Article
- Health information exchange associated with improved emergency department care through faster accessing of patient information from outside organizations.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- The Impact of Electronic Health Records on Risk Management of Information Systems in Australian Residential Aged Care Homes.Journal of medical systems · 2016Article
- Cost-Effectiveness Evaluation of EHR: Simulation of an Abdominal Aortic Aneurysm in the Emergency Department.Journal of medical systems · 2016Article
- Development and implementation of an electronic health record generated surgical handoff and rounding tool.Journal of medical systems · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study characterizes the information components associated with improved medical decision-making in the emergency room (ER). We looked at doctors' decisions to use or not to use information available to them on an electronic health record (EHR) and a Health Information Exchange (HIE) network, and tested for associations between their decision and parameters related to healthcare outcomes and processes. Using information components from the EHR and HIE was significantly related to improved quality of healthcare processes. Specifically, it was associated with both a reduction in potentially avoidable admissions as well as a reduction in rapid readmissions. Overall, the three information components; namely, previous encounters, imaging, and lab results emerged as having the strongest relationship with physicians' decisions to admit or discharge. Certain information components, however, presented an association between the diagnosis and the admission decisions (blood pressure was the most strongly associated parameter in cases of chest pain complaints and a previous surgical record for abdominal pain). These findings show that the ability to access patients' medical history and their long term health conditions (via the EHR), including information about medications, diagnoses, recent procedures and laboratory tests is critical to forming an appropriate plan of care and eventually making more accurate admission decisions.
Indexed as
Identifiers
24687240What 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.