Can Automated Retrieval of Data from Emergency Department Physician Notes Enhance the Imaging Order Entry Process?

ABSTRACT:

Background

When a paucity of clinical information is communicated from ordering physicians to radiologists at the time of radiology order entry, suboptimal imaging interpretations and patient care may result.

Objectives

Compare documentation of relevant clinical information in electronic health record (EHR) provider note to computed tomography (CT) order requisition, prior to ordering of head CT for emergency department (ED) patients presenting with headache.

Methods

In this institutional review board-approved retrospective observational study performed between April 1, 2013 and September 30, 2014 at an adult quaternary academic hospital, we reviewed data from 666 consecutive ED encounters for patients with headaches who received head CT. The primary outcome was the n

SUBMITTER: Rousseau JF 

PROVIDER: S-EPMC6426724 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature