ArticleApplied clinical informatics2014
Care everywhere, a point-to-point HIE tool: utilization and impact on patient care in the ED.
Article in Applied clinical informatics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
41 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- 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
- The benefits of health information exchange: an updated systematic review.Journal of the American Medical Informatics Association : JAMIA · 2018Pooled it
- Image Sharing Technologies and Reduction of Imaging Utilization: A Systematic Review and Meta-analysis.Journal of the American College of Radiology : JACR · 2015Pooled it
- Patterns and predictors of clinician use of interoperability tools.JAMIA open · 2026Article
- Accuracy of an XGBoost-based privacy preserving record linkage system compared with an electronic health record patient matching module in identifying patients shared between nearby academic health centers.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Comparison of Characteristics and Outcomes of Patients With Metastatic Prostate Cancer With and Without Next-Generation Sequencing Testing.JCO oncology practice · 2026Article
- Modernizing data and data science infrastructure as a strategic asset for cancer center.npj health systems · 2026Review
- Risk of Pancreatic Cancer in Glycemically Defined New-Onset Diabetes: A Prospective Cohort Study.Gastroenterology · 2026Observational
- Barriers to obtaining and using interoperable information among non-federal acute care hospitals.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Long-term outcomes of open midline ventral hernia repair using a narrow well-fixed retrorectus polypropylene mesh.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Article
- Shorter Door-to-ECG Time Is Associated with Improved Mortality in STEMI Patients.Journal of clinical medicine · 2024Article
- Primary Care Physicians' Satisfaction With Interoperable Health Information Technology.JAMA network open · 2024Article
- Use of Epic Electronic Health Record System for Health Care Research: Scoping Review.Journal of medical Internet research · 2023Article
- Health Information Exchange: Understanding the Policy Landscape and Future of Data Interoperability.Yearbook of medical informatics · 2023Review
- How Image Exchange Breaks Down: the Image Library Perspective.Journal of digital imaging · 2022Article
- The effect of My Health Record use in the emergency department on clinician-assessed patient care: results from a survey.BMC medical informatics and decision making · 2022Article
- Recognition and Treatment Challenges of Acute Clozapine Withdrawal Syndrome: A Case Report.Cureus · 2022Article
- Article
- Physicians' and pharmacists' use of My Health Record in the emergency department: results from a mixed-methods study.Health information science and systems · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency departments (EDs) routinely struggle with gaps in information when providing patient care. A point to point health information exchange (HIE) model has the potential to effectively fill those gaps.
objectiveTo examine the utility, perceived and actual, of a point-to-point HIE tool called Care Everywhere (CE) and its impact on patient care in the ED.
methodsThis mixed methods study was performed at four large hospital EDs between January 2012 and November 2012. Retrospective data was extracted from the electronic health record (EHR) to evaluate CE utilization since implementation. ED notes data were extracted from ED visits occurring between January 2012 and June 2012 and were reviewed to evaluate the impact of exchanged information on patient care.
resultsPer focus group discussions, physicians thought the information received via CE was of value to patient care, particularly laboratory results, imaging, medication lists, discharge summaries and ECG interpretations. They feel the greatest impact of HIE is the avoidance of duplicative diagnostic testing and the identification of drug-seeking behavior. Nursing and ancillary staff expressed somewhat less enthusiasm but still felt HIE positively impacted patient care. Over a period of six months, CE was used in approximately 1.46% of ED encounters. A review of ED provider notes over that time period revealed CE use resulted in 560 duplicate diagnostic procedures being avoided and 28 cases of drug seeking behavior identified.
conclusionOur study provides insight into the perceived value of HIE from the point of view of our ED physicians and staff. It also demonstrates that a point-to-point HIE tool such as Epic System's Care Everywhere has the potential to generate greater efficiencies within the ED and impact to patient care through elimination of duplicative diagnostic imaging or testing and resource utilization associated with those procedures.
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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.