Abstract
Mercy Medical Center, North Iowa implemented electronic health records (EHR), computerised provider order entry (CPOE) and event tracking systems in the emergency department (ED) as part of hospital-wide implementation of clinical information systems. This case study examines the changes in outcomes and processes in the ED following implementation. Although the system was designed to enhance efficiency, there was a significant increase in the mean length of stay (about 17 minutes, or 15%) in the ED after implementation. This surprising finding was examined in relationship to the multiple process-of-care changes in the ED.
Publication types
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Comparative Study
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Research Support, N.I.H., Extramural
MeSH terms
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Efficiency, Organizational
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Electronic Health Records / statistics & numerical data*
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Electronic Health Records / trends
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Emergency Service, Hospital / organization & administration*
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Emergency Service, Hospital / trends
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Health Plan Implementation
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Hospital Information Systems / statistics & numerical data
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Hospital Information Systems / trends
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Humans
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Iowa
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Length of Stay / trends*
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Medical Order Entry Systems / statistics & numerical data*
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Medical Order Entry Systems / trends
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Models, Organizational
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Program Evaluation
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Time-to-Treatment / statistics & numerical data