Team is brain: leveraging EHR audit log data for new insights into acute care processes.

ABSTRACT:

Objective

To determine whether novel measures of contextual factors from multi-site electronic health record (EHR) audit log data can explain variation in clinical process outcomes.

Materials and methods

We selected one widely-used process outcome: emergency department (ED)-based team time to deliver tissue plasminogen activator (tPA) to patients with acute ischemic stroke (AIS). We evaluated Epic audit log data (that tracks EHR user-interactions) for 3052 AIS patients aged 18+ who received tPA after presenting to an ED at three Northern California health systems (Stanford Health Care, UCSF Health, and Kaiser Permanente Northern California). Our primary outcome was door-to-needle time (DNT) and we assessed bivariate and multivariate relationships with six audit log-derived m

SUBMITTER: Rose C 

PROVIDER: S-EPMC9748597 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature