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Literature DB >> 14728169

Community clinical data exchange for emergency medicine patients.

John T Finnell¹, J Marc Overhage, Paul R Dexter, Susan M Perkins, Kathleen A Lane, Clement J McDonald.

Abstract

Little is known about the opportunities for a community clinical data exchange network to influence patient care. Rates of patient "cross-over" among different institutions can provide one estimate of the additional value such systems have over unconnected, independent institutional electronic medical records. The Indiana Network for Patient Care (INPC) represents such a system, involving a collaboration of central Indiana hospitals to improve patient care. During a one year study period, 288,696 patients made 471,640 Emergency Department (ED) visits within the INPC collaboration -- accounting for 92% of all Indianapolis ED visits. Overall 25% of the patients with more than one visit also visited one of the other five hospital systems, accounting for 19% of all visits. Our results help clarify the expected frequency within one large metropolitan area that ED patients could obtain direct benefit from a community clinical data exchange network.

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Mesh：

Year: 2003 PMID： 14728169 PMCID： PMC1480174

Source DB: PubMed Journal: AMIA Annu Symp Proc ISSN： 1559-4076

4 in total

1. Strategies for improving information management in emergency medicine to meet clinical, research, and administrative needs. Information Management Work Group.

Authors: W H Cordell; J M Overhage; J F Waeckerle
Journal: Acad Emerg Med Date: 1998-02 Impact factor: 3.451

2. A randomized, controlled trial of clinical information shared from another institution.

Authors: J Marc Overhage; Paul R Dexter; Susan M Perkins; William H Cordell; John McGoff; Roland McGrath; Clement J McDonald
Journal: Ann Emerg Med Date: 2002-01 Impact factor: 5.721

3. The Regenstrief Medical Record System: a quarter century experience.

Authors: C J McDonald; J M Overhage; W M Tierney; P R Dexter; D K Martin; J G Suico; A Zafar; G Schadow; L Blevins; T Glazener; J Meeks-Johnson; L Lemmon; J Warvel; B Porterfield; J Warvel; P Cassidy; D Lindbergh; A Belsito; M Tucker; B Williams; C Wodniak
Journal: Int J Med Inform Date: 1999-06 Impact factor: 4.046

4. Design and implementation of the Indianapolis Network for Patient Care and Research.

Authors: J M Overhage; W M Tierney; C J McDonald
Journal: Bull Med Libr Assoc Date: 1995-01

4 in total

24 in total

Community clinical data exchange for emergency medicine patients.

1. Strategies for improving information management in emergency medicine to meet clinical, research, and administrative needs. Information Management Work Group.

2. A randomized, controlled trial of clinical information shared from another institution.

3. The Regenstrief Medical Record System: a quarter century experience.

4. Design and implementation of the Indianapolis Network for Patient Care and Research.

1. Measuring the Degree of Unmatched Patient Records in a Health Information Exchange Using Exact Matching.

2. Use of a regional health information exchange to detect crossover of patients with MRSA between urban hospitals.

3. Emergency physicians' perceptions of health information exchange.

4. The MidSouth eHealth Alliance: use and impact in the first year.

5. Embracing change in a health information exchange.

6. An empiric modification to the probabilistic record linkage algorithm using frequency-based weight scaling.

7. User perspectives on the usability of a regional health information exchange.

8. Care transitions as opportunities for clinicians to use data exchange services: how often do they occur?

9. Adoption of health information exchange by emergency physicians at three urban academic medical centers.

10. Perceived frequency and impact of missing information at pediatric emergency and general ambulatory encounters.