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

International Journal of Medical Informatics
Marta Chacour Bahous, Efrat Shadmi

Abstract

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). 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. 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...Continue Reading

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Citations

May 20, 2017·Healthcare Informatics Research·Hiroshi WatanabeKazuhiko Ohe
Mar 14, 2018·International Journal of Emergency Medicine·Louis RaymondJosianne Marsan
Jan 30, 2021·Pediatric Emergency Care·Bradley D BeamonDmitry Tumin

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