Operational Metrics of the Emergency Department
Conditions
Keywords
Alert Systems, Medication, Computerized Physician Order Entry System, CPOE, Medication Alert Systems, Medical Order Entry Systems
Brief summary
This study will evaluate various performance metrics of emergency department operations after the implementation of computerized physician order entry in an academic emergency department.
Detailed description
The study will be a prospective before-after study comparing various operational and performance metrics before and after the implementation of a computerized physician order entry system in the emergency department. The investigators will collect 6 month before, 6 month after of data along with a 2-4 week washout period. The investigators will also administer a computerized physician order entry survey after the study is completed. This confidential survey will be emailed to all ED nurses, residents, and attendings using RedCap. Consent will be implied if they choose to participate.
Interventions
Computer ordering system allowing emergency department physicians to order medications, laboratory tests, radiology studies, and nursing interventions
Sponsors
Beth Israel Deaconess Medical Center
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All consecutive adult patients (Age \>=18) presenting to the Emergency Department during the study period will be included in the study.
Exclusion criteria
* Patients who eloped, left without being seen, or signed out against medical advice will be excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to Antibiotics | 6 months | Primary outcome measure is time to antibiotics. This is defined as the time patients are registered to the time they receive their first antibiotics for patients with an ED diagnosis of pneumonia. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Emergency Department Length of Stay | 6 months | Secondary outcome measure is length of stay defined as the time from patient registration to time the patients leave the emergency department. |
| Lab turnaround time | 6 months | Lab turnaround time is defined as the time it takes from when the sample is collected to when the results are entered. |
| Resource Utilization | 6 months | Resource utilization defined as the number of CBC, Chem7, and troponin tests ordered. |
Countries
United States
Outcome results
None listed