| Adoption of information technology in Massachusetts emergency departments. | |
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MedLine Citation:
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PMID: 19232877 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Information technology improves outcomes (e.g., by reducing error), and universal implementation of electronic medical records throughout the United States is a national goal. Prior studies have shown low rates of implementation. OBJECTIVES: To assess the current state of acquisition and implementation of information technology tools in Massachusetts emergency departments (EDs). METHODS: This was part of a larger survey that sought to describe various attributes of all non-federal Massachusetts EDs. We asked about implementation of technologies listed below, and report proportions (95% confidence intervals) and medians (interquartile ranges). We compare responding to non-responding EDs to guard against response bias. RESULTS: We identified and surveyed 74 non-federal EDs; 61 (82%) responded. Of these, the following number (%) reported full implementation of the following technologies: medication ordering, 9 (15%); medication error checking, 7 (11%); current visit information (e.g., chief complaint), 25 (41%); computerized management recommendations based on clinical decision rules, 6 (10%); electronic laboratory results, 55 (90%); computerized clinical reminders, 10 (17%); tracking information, 31 (51%); hospital discharge summaries, 50 (82%); current outpatient medications, 15 (25%); ED visit notes, 30 (49%); radiographic images from a prior visit, 39 (64%); old electrocardiograms, 33 (54%); and computer system to collect real-time clinical data, 23 (38%). CONCLUSION: Massachusetts EDs have been slow to adopt evidence-based information technologies. A collaborative approach to determining the best available technologies and their implementation would decrease duplication of effort, frustration, and financial waste (due to non-implementation of acquired systems), and would facilitate inter-operability of ED computer systems. |
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Authors:
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Daniel J Pallin; Ashley F Sullivan; Bruce S Auerbach; Carlos A Camargo |
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Publication Detail:
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Type: Journal Article Date: 2009-02-20 |
Journal Detail:
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Title: The Journal of emergency medicine Volume: 39 ISSN: 0736-4679 ISO Abbreviation: J Emerg Med Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-09 Completed Date: 2010-11-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8412174 Medline TA: J Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 240-4 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Data Collection Decision Support Systems, Clinical / utilization* Electronic Health Records / utilization* Emergency Service, Hospital* Humans Massachusetts Medical Order Entry Systems / utilization* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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