Previously submitted to: JMIR Medical Informatics (no longer under consideration since Nov 14, 2021)
Date Submitted: Sep 21, 2021
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Building a framework for the ideal emergency department electronic health record.
ABSTRACT
Electronic Health Records (EHRs) have long been touted as a revolutionary step in healthcare by allowing for structured data entry and improved access to information. As the applications of EHRs become more advanced, healthcare providers and other stakeholders seek to leverage these platforms to improve patient outcomes and clinical workflow. Despite the potential of EHRs, evidence suggests that there is a large discrepancy between the potential and empirically demonstrated benefits of EHR systems. The emergency department (ED) provides a rich environment through which to critically examine EHR systems by virtue of its unique challenges: the case load is a mix of high acuity, high complexity presentations as well as a high volume of ambulatory patients, and each care journey can involve multiple care transitions. Moreover, there is a need for a high degree of situational awareness and emphasis on patient safety while balancing departmental flow. For these reasons, there is a growing reliance on digital health solutions and integrated clinical support tools. Additionally, as the gateway into the hospital, it is important that the system needs of an ED are captured in literature. This paper seeks to identify key areas for optimization in EHRs and suggest improvements.
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.