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Related Experiment Videos

Improving information access with an emergency department system

D Travers1, T Parham

  • 1Department of Emergency Medicine, University of North Carolina School of Medicine, Chapel Hill, USA.

Proceedings : a Conference of the American Medical Informatics Association. AMIA Fall Symposium
|January 1, 1997
PubMed
Summary

A new emergency department (ED) clinical system was developed using existing hardware and hospital information system (HIS) customization. This cost-effective solution met the information needs of a busy academic ED through comprehensive training and change management.

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Area of Science:

  • Health Informatics
  • Clinical Systems Engineering
  • Emergency Medicine

Background:

  • Emergency departments (EDs) face increasing demands for efficient information management.
  • Existing hospital information systems (HIS) may require customization to meet specific ED needs.
  • In-house development can offer a cost-effective approach to clinical system implementation.

Purpose of the Study:

  • To describe the development and implementation of a cost-effective clinical system for a busy academic emergency department.
  • To highlight the importance of interdisciplinary staff input in system design.
  • To outline strategies for successful transition to an automated ED environment.

Main Methods:

  • Development of an ED clinical system by in-house personnel.

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  • Incorporation of input from ED physicians, nursing, registration, and clerical staff.
  • Customization of the hospital's mainframe HIS utilizing existing hardware.
  • Implementation of a comprehensive training plan and change management strategies.

    • Main Results:

    • A cost-effective ED clinical system was successfully implemented.
    • The system met the information access requirements of a state-of-the-art academic ED.
    • The transition to automation was facilitated by effective training and change strategies.

    Conclusions:

    • In-house development, leveraging existing infrastructure and staff collaboration, can lead to successful and cost-effective ED clinical systems.
    • Comprehensive training and strategic change management are crucial for the adoption of new clinical technologies in busy EDs.
    • Customized HIS solutions can enhance information access and operational efficiency in academic emergency departments.