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. 2007 Nov-Dec;14(6):700-5.
doi: 10.1197/jamia.M2507. Epub 2007 Aug 21.

Emergency physicians' perceptions of health information exchange

Jason S Shapiro  1 , Joseph Kannry, Andre W Kushniruk, Gilad Kuperman; New York Clinical Information Exchange (NYCLIX) Clinical Advisory Subcommittee
Affiliations

Emergency physicians' perceptions of health information exchange

Jason S Shapiro et al. J Am Med Inform Assoc. 2007 Nov-Dec.

Abstract

Background: Health information exchange (HIE) is a potentially powerful technology that can improve the quality of care delivered in emergency departments, but little is known about emergency physicians' current perceptions of HIE.

Objectives: This study sought to assess emergency physicians' perceived needs and knowledge of HIE.

Methods: A questionnaire was developed based on heuristics from the literature and implemented in a Web-based tool. The survey was sent as a hyperlink via e-mail to 371 attending emergency physicians at 12 hospitals in New York City.

Results: The response rate was 58% (n = 216). Although 63% said more than one quarter of their patients would benefit from external health information, the barriers to obtain it without HIE are too high--85% said it was difficult or very difficult to obtain external data, taking an average of 66 minutes, 72% said that their attempts fail half of the time, and 56% currently attempt to obtain external data less than 10% of the time. When asked to create a rank-order list, electrocardiograms (ECGs) were ranked the highest, followed by discharge summaries. Respondents also chose images over written reports for ECGs and X-rays, but preferred written reports for advanced imaging and cardiac studies.

Conclusion: There is a strong perceived need for HIE, most respondents were not aware of HIE prior to this study, and there are certain types of data and presentations of data that are preferred by emergency physicians in the New York City region.

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Figures

Figure 1
Figure 1
Percentage of respondents who chose each data element in their top five from a pick list.
Figure 2
Figure 2
Respondents were asked to choose either images or written reports for the following types of data with a mutually exclusive response.
See this image and copyright information in PMC

References

    1. McCaig LF, Burt CW. National Hospital Ambulatory Medical Care Survey: 2005 emergency department summary Adv Data 2004;340:1-34. - PubMed
    1. Institute of Medicine Hospital-Based Emergency Care: At the Breaking PointWashington, DC: National Academy Press; 2006.
    1. Stiell A, Forster AJ, Stiell IG, van WC. Prevalence of information gaps in the emergency department and the effect on patient outcomes CMAJ 2003;169:1023-1028. - PMC - PubMed
    1. Smith PC, Raya-Guerra R, Bublitz C, Parnes B, Dickinson LM, Van VR, et al. Missing clinical information during primary care visits JAMA 2005;293:565-571. - PubMed
    1. Institute of MedicineCommittee on Quality of Health Care in America To Err Is Human: Building a Safer Health SystemWashington, DC: National Academy Press; 2000.

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