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• W2165647065 abstract "We study the effect of an emergency department (ED) electronic health record implementation on the operational metrics of a diverse group of community EDs.We performed a retrospective before/after analysis of 23 EDs from a single management group that experienced ED electronic health record implementation (with the majority of electronic health records optimized specifically for ED use). We obtained electronic data for 4 length of stay measures (arrival to provider, admitted, discharged, and overall length of stay) and 4 measures of operational characteristics (left before treatment complete, significant returns, overall patient satisfaction, and provider efficiency). We compared the 6-month baseline period immediately before implementation with a steady-state period commencing 6 months after implementation for all 8 metrics.For the length of stay measures, there were no differences in the arrival-to-provider interval (difference of -0.02 hours; 95% confidence interval [CI] of difference -0.12 to 0.08), admitted length of stay (difference of 0.10 hours; 95% CI of difference -0.17 to 0.37), discharged length of stay (difference of 0.07 hours; 95% CI of difference -0.07 to 0.22), and overall length of stay (difference of 0.11 hours; 95% CI of difference -0.04 to 0.27). For operational characteristics, there were no differences in the percentage who left before treatment was complete (difference of 0.24%; 95% CI of difference -0.47% to 0.95%), significant returns (difference of -0.04%; 95% CI of difference -0.48% to 0.39%), overall percentile patient satisfaction (difference of -0.02%; 95% CI of difference -2.35% to 2.30%), and provider efficiency (difference of -0.05 patients/hour; 95% CI of difference -0.11 to 0.02).There is no meaningful difference in 8 measures of operational performance for community EDs experiencing optimized ED electronic health record implementation between a baseline and steady-state period." @default.
• W2165647065 created "2016-06-24" @default.
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• W2165647065 date "2014-06-01" @default.
• W2165647065 modified "2023-09-25" @default.
• W2165647065 title "The Effect of Electronic Health Record Implementation on Community Emergency Department Operational Measures of Performance" @default.
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• W2165647065 doi "https://doi.org/10.1016/j.annemergmed.2013.12.019" @default.
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