A Custom-Developed Emergency Department Provider Electronic Documentation System Reduces Operational Efficiency.

ABSTRACT:

Study objective

Electronic health record implementation can improve care, but may also adversely affect emergency department (ED) efficiency. We examine how a custom, ED provider, electronic documentation system (eDoc), which replaced paper documentation, affects operational performance.

Methods

We analyzed retrospective operational data for 1-year periods before and after eDoc implementation in a single ED. We computed daily operational statistics, reflecting 60,870 pre- and 59,337 postimplementation patient encounters. The prespecified primary outcome was daily mean length of stay; secondary outcomes were daily mean length of stay for admitted and discharged patients and daily mean arrival time to disposition for admitted patients. We used a prespecified multiple regressio

SUBMITTER: Feblowitz J 

PROVIDER: S-EPMC5653416 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature