TY - GEN
T1 - The influence of EHR components on admission decisions
AU - Ben-Assuli, Ofir
AU - Leshno, Moshe
AU - Shabtai, Itamar
PY - 2012
Y1 - 2012
N2 - Medical organizations are implementing electronic health record (EHR) systems in order to improve medical decisionmaking. The goal of this study was to characterize the specific data components that improve the process of medical decision-making in an emergency department (ED). The outcome measures were the decision to admit/discharge a patient, and differences in single-day admission rates with/without EHR IS. A database containing 3.2 million ED referrals from seven main Israeli hospitals was subjected to log file analysis. We found that viewing medical history via the EHR IS significantly affects admission decisions. The data show a reduction in the number of avoidable single-day admissions but an increase in the rate of prolonged admissions. Previous admissions, laboratory tests, imaging and previous surgeries were the most influential information components.
AB - Medical organizations are implementing electronic health record (EHR) systems in order to improve medical decisionmaking. The goal of this study was to characterize the specific data components that improve the process of medical decision-making in an emergency department (ED). The outcome measures were the decision to admit/discharge a patient, and differences in single-day admission rates with/without EHR IS. A database containing 3.2 million ED referrals from seven main Israeli hospitals was subjected to log file analysis. We found that viewing medical history via the EHR IS significantly affects admission decisions. The data show a reduction in the number of avoidable single-day admissions but an increase in the rate of prolonged admissions. Previous admissions, laboratory tests, imaging and previous surgeries were the most influential information components.
KW - Admission decision
KW - Electronic health record
KW - Information components
UR - http://www.scopus.com/inward/record.url?scp=84878084748&partnerID=8YFLogxK
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AN - SCOPUS:84878084748
SN - 9781622768271
T3 - 18th Americas Conference on Information Systems 2012, AMCIS 2012
SP - 4485
EP - 4491
BT - 18th Americas Conference on Information Systems 2012, AMCIS 2012
T2 - 18th Americas Conference on Information Systems 2012, AMCIS 2012
Y2 - 9 August 2012 through 12 August 2012
ER -