Evidence map›Paper›PMID 38427653›Full record

ArticlePloS one2024

Electronic medical record implementation in the emergency department in a low-resource country: Lessons learned.

Nagham Faris, Miriam Saliba, Hani Tamim, Rima Jabbour, Ahmad Fakih, Zouhair Sadek, Rula Antoun, Mazen El Sayed, Eveline Hitti

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
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  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Nagham FarisEmergency Department, American University of Beirut Medical Center, Beirut, Lebanon.ORCID 0000-0002-8902-3764
Miriam SalibaEmergency Department, American University of Beirut Medical Center, Beirut, Lebanon.
Hani TamimDepartment of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Rima JabbourEmergency Department, American University of Beirut Medical Center, Beirut, Lebanon.
Ahmad FakihDepartment of Information Technology, American University of Beirut Medical Center, Beirut, Lebanon.
Zouhair SadekDepartment of Information Technology, American University of Beirut Medical Center, Beirut, Lebanon.
Rula AntounDepartment of Information Technology, American University of Beirut Medical Center, Beirut, Lebanon.
Mazen El SayedEmergency Department, American University of Beirut Medical Center, Beirut, Lebanon.
Eveline HittiEmergency Department, American University of Beirut Medical Center, Beirut, Lebanon.ORCID 0000-0001-9576-895X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThere is paucity of information regarding electronic medical record (EMR) implementation in emergency departments in countries outside the United States especially in low-resource settings. The objective of this study is to describe strategies for a successful implementation of an EMR in the emergency department and to examine the impact of this implementation on the department's operations and patient-related metrics.

methodsWe performed an observational retrospective study at the emergency department of a tertiary care center in Beirut, Lebanon. We assessed the effect of EMR implementation by tracking emergency departments' quality metrics during a one-year baseline period and one year after implementation. End-user satisfaction and patient satisfaction were also assessed.

resultsOur evaluation of the implementation of EMR in a low resource setting showed a transient increase in LOS and visit-to-admission decision, however this returned to baseline after around 6 months. The bounce-back rate also increased. End-users were satisfied with the new EMR and patient satisfaction did not show a significant change.

conclusionsLessons learned from this successful EMR implementation include a mix of strategies recommended by the EMR vendor as well as specific strategies used at our institution. These can be used in future implementation projects in low-resource settings to avoid disruption of workflows.

Indexed as

Electronic Health RecordsEmergency Service, HospitalHumansLebanonRetrospective StudiesUnited States

Identifiers

PMID38427653
PMCPMC10906867

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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.