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Methods of Documentation VII: EMR

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...

Methods of Documentation VI: Case Management Model

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Purpose of Health Records I

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Types of Reports III: Telephone and Verbal Reports

Types of Reports III: Telephone and Verbal Reports

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Health Information Technology and Healthcare Information System

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
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SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
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Updated: Mar 1, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

The Effect of Utilization Review on Emergency Department Operations.

Shoma Desai¹, Phillip F Gruber¹, Erick Eiting¹

¹Department of Emergency Medicine, University of Southern California, Los Angeles, CA.

Annals of Emergency Medicine

|June 1, 2017

Summary

Hospital utilization review software reduced admissions but increased revisits and observation unit use. Cost savings were observed, suggesting resource reallocation, though further research is needed.

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Area of Science:

Health Services Research
Hospital Operations
Emergency Medicine

Background:

Hospitals increasingly use utilization review (UR) software to control costs by reducing admissions.
The impact of UR software on emergency department (ED) operations and patient outcomes is not well understood.
Safety-net hospitals may face challenges with UR software potentially leading to unsafe discharges.

Purpose of the Study:

To evaluate the effect of prospective admission decision support software on ED operations.
To analyze the impact of UR software on patient disposition, revisits, and cost savings.

Main Methods:

Implementation of computerized admission criteria in the ED of a public hospital.
Analysis of electronic medical records for 245,662 adult ED encounters before and after implementation.
Comparison of operational metrics, 30-day ED revisits, and admission rates using regression methods.

Main Results:

Inpatient admission rate decreased from 14.2% to 12.8%.
Discharge rate increased to 83.4%, and ED observation unit utilization rose to 3.4%.
30-day ED revisits increased to 24.4%, while the 30-day admission rate among return visitors decreased to 2.8%.
Estimated cost savings were $193.17 per ED visit.

Conclusions:

Prospective use of UR software in the ED reduced admission rates.
This was accompanied by increased ED observation unit use and 30-day revisits.
Identified cost savings support resource redirection to ED and observation units, pending generalizability confirmation.