NDLI: Health information exchange and information gaps in referrals to a pediatric emergency department.

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Health information exchange and information gaps in referrals to a pediatric emergency department.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Bahous, Marta Chacour Shadmi, Efrat
Description	Author Affiliation: Bahous MC ( The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Sciences, Haifa University, Mount Carmel 31905, Israel); Shadmi E ( The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Sciences, Haifa University, Mount Carmel 31905, Israel.)
Abstract	OBJECTIVE: to assess the extent of information gaps between three information sources available at admission to a pediatric Emergency Department (ED): Health Information Exchange (HIE) system, physicians' referral letters and information collected from patients/parents at admission to the ED (patient's medical history). MATERIALS AND METHODS: A retrospective cohort study of 170 medical records of children aged 6 months to 18 years referred to a pediatric ED for a common childhood disease. Each record was reviewed for information on lab and imaging tests, vaccinations, allergies, previous diagnoses, recent and chronic medical treatment in the HIE system and referral letter, or from the patient's medical history taken on admission to the ED. The percent overlap between information sources and information gaps was assessed. RESULTS: The most informative source, in terms of addressing all key areas, was the patient's medical history, with an average of 73.5% indication of each information key area. Next was the HIE system, with 54.1% indication of each key area; the least informative was the referral letter (43.9%). The overall overlap in data availability among all information sources occurred on average in 23% of the cases. HIE's ability to provide data missing from other routinely available sources was mainly in the area of chronic medication dosages (37% of cases). CONCLUSIONS: Each of the three major information sources available at admission to a pediatric ED lack important data and each makes its own unique contribution. Improving documentation in electronic health records, on which HIE systems feed from can narrow significant information gaps at the most critical time-point-admission to a pediatric ED.
File Format	HTM / HTML
ISSN	13865056
Volume Number	87
e-ISSN	18728243
Journal	International Journal of Medical Informatics
Language	English
Publisher	Elsevier
Publisher Date	2016-03-01
Publisher Place	Ireland
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Medical Informatics Electronic Health Records Utilization Emergency Service, Hospital Standards Health Information Exchange Health Information Systems Patient Selection Quality Of Health Care Referral And Consultation Adolescent Child Child, Preschool Female Hospitalization Humans Infant Male Pediatrics Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Health Informatics

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