Emergency department access to a longitudinal medical record

被引:48
作者
Hripcsak, George
Sengupta, Soumitra
Wilcox, Adam
Green, Robert A.
机构
[1] Columbia Univ, Dept Biomed Informat, New York, NY USA
[2] Presbyterian Hosp, Dept Emergency Med, New York, NY USA
关键词
D O I
10.1197/jamia.M2206
中图分类号
TP [自动化技术、计算机技术];
学科分类号
0812 ;
摘要
our goal is to assess how clinical information from previous visits is used in the emergency department. We used detailed user audit logs to measure access to different data types. We found that clinician-authored notes and laboratory and radiology data were used most often (common data types were used up to 5% to 20% of the time). Data were accessed less than half the time (up to 20% to 50%) even when the user was alerted to the presence of data. Our access rate indicates that health information exchange projects should be conservative in estimating how often shared data will be used and the wide breadth of data accessed indicates that although a clinical summary is likely to be useful, an ideal solution will supply a broad variety of data.
引用
收藏
页码:235 / 238
页数:4
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