An objective study of the impact of the electronic medical record on outcomes in trauma patients

Paul J. Schenarts, Claudia E. Goettler, Michael A. White, Brett H. Waibel

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

It is commonly believed that the electronic medical record (EMR) will improve patient outcomes. However, there is scant published literature to support this claim and no studies in any surgical population. Our hypothesis was that the EMR would not improve objective outcome measures in patients with traumatic injury. Prospectively collected data from our university-based Level I trauma center was retrospectively reviewed. Demographic, injury severity as well as outcomes and complications data were compared for all patients admitted over a 20-month period before introduction of the EMR and a 20-month period after full, hospital-wide use of the EMR. Implementation of the EMR was associated with a decreased hospital length of stay, P = 0.02; intensive care unit length of stay, P = 0.001; ventilator days, P = 0.002; acute respiratory distress syndrome, P = 0.006, pneumonia, P = 0.008; myocardial infarction, P = 0.001; line infection, P = 0.03; septicemia, P = 0.000; renal failure, P = 0.000; drug complication, P = 0.001; and delay in diagnosis, P = 0.04. There was no difference in mortality, unexpected cardiac arrest, missed injury, pulmonary embolism/deep vein thrombosis, or late urinary tract infection. This is the first study to investigate the impact of the EMR in surgical patients. Although there was an improvement in some complications, the overall impact was inconsistent. Copyright Southeastern Surgical Congress. All rights reserved.

Original languageEnglish (US)
Pages (from-to)1249-1254
Number of pages6
JournalAmerican Surgeon
Volume78
Issue number11
StatePublished - Nov 1 2012

Fingerprint

Electronic Health Records
Wounds and Injuries
Length of Stay
Trauma Centers
Adult Respiratory Distress Syndrome
Mechanical Ventilators
Heart Arrest
Pulmonary Embolism
Urinary Tract Infections
Venous Thrombosis
Renal Insufficiency
Intensive Care Units
Sepsis
Pneumonia
Myocardial Infarction
Demography
Outcome Assessment (Health Care)
Mortality
Infection
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Surgery

Cite this

An objective study of the impact of the electronic medical record on outcomes in trauma patients. / Schenarts, Paul J.; Goettler, Claudia E.; White, Michael A.; Waibel, Brett H.

In: American Surgeon, Vol. 78, No. 11, 01.11.2012, p. 1249-1254.

Research output: Contribution to journalArticle

Schenarts, Paul J. ; Goettler, Claudia E. ; White, Michael A. ; Waibel, Brett H. / An objective study of the impact of the electronic medical record on outcomes in trauma patients. In: American Surgeon. 2012 ; Vol. 78, No. 11. pp. 1249-1254.
@article{8397105682244a54aef48be3f627fdd3,
title = "An objective study of the impact of the electronic medical record on outcomes in trauma patients",
abstract = "It is commonly believed that the electronic medical record (EMR) will improve patient outcomes. However, there is scant published literature to support this claim and no studies in any surgical population. Our hypothesis was that the EMR would not improve objective outcome measures in patients with traumatic injury. Prospectively collected data from our university-based Level I trauma center was retrospectively reviewed. Demographic, injury severity as well as outcomes and complications data were compared for all patients admitted over a 20-month period before introduction of the EMR and a 20-month period after full, hospital-wide use of the EMR. Implementation of the EMR was associated with a decreased hospital length of stay, P = 0.02; intensive care unit length of stay, P = 0.001; ventilator days, P = 0.002; acute respiratory distress syndrome, P = 0.006, pneumonia, P = 0.008; myocardial infarction, P = 0.001; line infection, P = 0.03; septicemia, P = 0.000; renal failure, P = 0.000; drug complication, P = 0.001; and delay in diagnosis, P = 0.04. There was no difference in mortality, unexpected cardiac arrest, missed injury, pulmonary embolism/deep vein thrombosis, or late urinary tract infection. This is the first study to investigate the impact of the EMR in surgical patients. Although there was an improvement in some complications, the overall impact was inconsistent. Copyright Southeastern Surgical Congress. All rights reserved.",
author = "Schenarts, {Paul J.} and Goettler, {Claudia E.} and White, {Michael A.} and Waibel, {Brett H.}",
year = "2012",
month = "11",
day = "1",
language = "English (US)",
volume = "78",
pages = "1249--1254",
journal = "The American surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "11",

}

TY - JOUR

T1 - An objective study of the impact of the electronic medical record on outcomes in trauma patients

AU - Schenarts, Paul J.

AU - Goettler, Claudia E.

AU - White, Michael A.

AU - Waibel, Brett H.

PY - 2012/11/1

Y1 - 2012/11/1

N2 - It is commonly believed that the electronic medical record (EMR) will improve patient outcomes. However, there is scant published literature to support this claim and no studies in any surgical population. Our hypothesis was that the EMR would not improve objective outcome measures in patients with traumatic injury. Prospectively collected data from our university-based Level I trauma center was retrospectively reviewed. Demographic, injury severity as well as outcomes and complications data were compared for all patients admitted over a 20-month period before introduction of the EMR and a 20-month period after full, hospital-wide use of the EMR. Implementation of the EMR was associated with a decreased hospital length of stay, P = 0.02; intensive care unit length of stay, P = 0.001; ventilator days, P = 0.002; acute respiratory distress syndrome, P = 0.006, pneumonia, P = 0.008; myocardial infarction, P = 0.001; line infection, P = 0.03; septicemia, P = 0.000; renal failure, P = 0.000; drug complication, P = 0.001; and delay in diagnosis, P = 0.04. There was no difference in mortality, unexpected cardiac arrest, missed injury, pulmonary embolism/deep vein thrombosis, or late urinary tract infection. This is the first study to investigate the impact of the EMR in surgical patients. Although there was an improvement in some complications, the overall impact was inconsistent. Copyright Southeastern Surgical Congress. All rights reserved.

AB - It is commonly believed that the electronic medical record (EMR) will improve patient outcomes. However, there is scant published literature to support this claim and no studies in any surgical population. Our hypothesis was that the EMR would not improve objective outcome measures in patients with traumatic injury. Prospectively collected data from our university-based Level I trauma center was retrospectively reviewed. Demographic, injury severity as well as outcomes and complications data were compared for all patients admitted over a 20-month period before introduction of the EMR and a 20-month period after full, hospital-wide use of the EMR. Implementation of the EMR was associated with a decreased hospital length of stay, P = 0.02; intensive care unit length of stay, P = 0.001; ventilator days, P = 0.002; acute respiratory distress syndrome, P = 0.006, pneumonia, P = 0.008; myocardial infarction, P = 0.001; line infection, P = 0.03; septicemia, P = 0.000; renal failure, P = 0.000; drug complication, P = 0.001; and delay in diagnosis, P = 0.04. There was no difference in mortality, unexpected cardiac arrest, missed injury, pulmonary embolism/deep vein thrombosis, or late urinary tract infection. This is the first study to investigate the impact of the EMR in surgical patients. Although there was an improvement in some complications, the overall impact was inconsistent. Copyright Southeastern Surgical Congress. All rights reserved.

UR - http://www.scopus.com/inward/record.url?scp=84867907536&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84867907536&partnerID=8YFLogxK

M3 - Article

C2 - 23089444

AN - SCOPUS:84867907536

VL - 78

SP - 1249

EP - 1254

JO - The American surgeon

JF - The American surgeon

SN - 0003-1348

IS - 11

ER -