Using electronic health record systems to optimize admission decisions: the Creatinine case study

Many medical organizations have implemented electronic health record (EHR) and health information exchange (HIE) networks to improve medical decision-making. This study evaluated the contribution of EHR and HIE networks to physicians by investigating whether health information technology can lead to...

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Bibliographic Details
Published in:Health informatics journal Vol. 21; no. 1; p. 73
Main Authors: Ben-Assuli, Ofir, Shabtai, Itamar, Leshno, Moshe
Format: Journal Article
Language:English
Published: England 01.03.2015
Subjects:
Creatinine - blood
Decision Support Systems, Clinical
Electronic Health Records - utilization
Health Information Exchange - utilization
Humans
Israel
Outcome and Process Assessment (Health Care) - methods
Patient Admission
Israel
e-health
clinical decision-making
information technology health-care evaluation
databases and data mining
electronic health record
ISSN:1741-2811, 1741-2811
Online Access:Get more information
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Summary:Many medical organizations have implemented electronic health record (EHR) and health information exchange (HIE) networks to improve medical decision-making. This study evaluated the contribution of EHR and HIE networks to physicians by investigating whether health information technology can lead to more efficient admission decisions by reducing redundant admissions in the stressful environment of emergency. Log-files were retrieved from an integrative and interoperable EHR that serves seven main Israeli hospitals. The analysis was restricted to a group of patients seen in the emergency departments who were administered a Creatinine test. The assessment of the contribution of EHR to admission decisions used various statistical analyses and track log-file analysis. We showed that using the EHR contributes to more efficient admission decisions and reduces the number of avoidable admissions. In particular, there was a reduction in readmissions when patient history was viewed. Using EHR can help respond to the international problem of avoidable hospital readmissions.
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ISSN:1741-2811
1741-2811
DOI:10.1177/1460458213503646