Abstract
Background
Although electronic health record systems (EHRs) and emergency department information
systems (EDISs) enable safe, efficient, and high-quality care, these systems have
not yet been studied well. Here, we assessed (1) the prevalence of EHRs and EDISs,
(2) changes in efficiency in emergency medical practices after introducing EHR and
EDIS, and (3) barriers to and expectations from the EHR-EDIS transition in EDs of
medical facilities with EHRs in Japan.
Materials and methods
A survey regarding EHR (basic or comprehensive) and EDIS implementation was mailed
to 466 hospitals. We examined the efficiency after EHR implementation and perceived
barriers and expectations regarding the use of EDIS with existing EHRs. The survey
was completed anonymously.
Results
Totally, 215 hospitals completed the survey (response rate, 46.1%), of which, 76.3%
had basic EHRs, 4.2% had comprehensive EHRs, and 1.9% had EDISs. After introducing
EHRs and EDISs, a reduction in the time required to access previous patient information
and share patient information was noted, but no change was observed in the time required
to produce medical records and the overall time for each medical care. For hospitals
with EHRs, the most commonly cited barriers to EDIS implementation were inadequate
funding for adoption and maintenance and potential adverse effects on workflow. The
most desired function in the EHR-EDIS transition was establishing appropriate clinical
guidelines for residents within their system.
Conclusion
To attract EDs to EDIS from EHR, systems focusing on decreasing the time required
to produce medical records and establishing appropriate clinical guidelines for residents
are required.
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Article Info
Publication History
Published online: March 31, 2014
Accepted:
March 20,
2014
Received in revised form:
March 20,
2014
Received:
February 4,
2014
Footnotes
☆Grant: This work was funded by a grant-in-aid for Young Scientists (C) ( 127100000424 ) to HS, MG, NY, and SN and a Health Labour Sciences Research Grant to HS, NY, and SN.
☆☆Author contribution: RI conceived the study. RI, HS, YK, and SN designed the analysis plan. RI and HS performed the statistical analyses. RI wrote the first draft of the study. KN and YA contributed to draft of the study. RI, KN, MG, TM, YK, NY, and SN obtained the data. YA, KS, and NY critically reviewed the manuscript. All authors contributed to the design, interpretation of results, and critical revision of the article for intellectually important content.
★Conflicts of interest statement: The authors declare that they do not have any conflicts of interest.
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