ArticleHospital pediatrics2025
Implementation of an EHR-Based Emergency Information Form for Children With Medical Complexity.
Article in Hospital pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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
2 citing papers in PubMed.
- Advances in Efforts to Enhance Care Coordination and Wellbeing Among Family Caregivers of Children With Medical Complexity.Academic pediatrics · 2026Review
- Implementation of Emergency Information Forms and Impact on Health Outcomes: A Long Time Coming.Hospital pediatrics · 2025Article
Corrections and comments
- Commented on by
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTimely access to concise, accurate clinical information for children with medical complexity (CMC) may improve emergency department (ED) care. Our objective was to improve ED care of CMC via design and implementation of an electronic health record (EHR)-based Emergency Information Form (EIF). PATIENTS AND
methodsUsing the Model for Improvement, we engaged key stakeholders to develop and implement EIFs. We developed EIFs containing patient summary, prehospital triage instructions, resuscitation status, typical admission diagnoses, medical technologies, critical care needs and plans, and disposition guidelines. We implemented an EHR-based alert to the presence of an EIF. Our primary outcome was time to ED disposition decision. Secondary outcomes were accuracy of EIF and influence on expediting care, measured via clinician survey, and hospital admission rate. Process measures included number of CMC with EIFs, number of ED visits by children with EIFs, and percentage of providers accessing the EIF.
resultsFrom April 1, 2022, to May 31, 2024, we created and maintained EIFs for 311 CMC who experienced 838 ED visits. Ninety-eight percent and 86% of ED providers agreed or strongly agreed that EIFs contained accurate clinical information and that EIFs expedited care, respectively. A clinician leader-led initiative improved use of EIFs from 42% to 64% over 3 months. Although there was no association between EIFs and time to ED disposition decision, there was a modest reduction in hospitalization rates (53.4% to 50.5%).
conclusionsWe demonstrate the feasibility/utilization of EIFs in the EHR that provide timely and accurate clinical information when accessed, but did not influence ED disposition efficiency.
Indexed as
Identifiers
40754320What 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.