scholarly journals Reduced admission rates and resource utilization for chest pain patients using an electronic health record‐embedded clinical pathway in the emergency department

2020 ◽  
Vol 1 (6) ◽  
pp. 1602-1613
Author(s):  
Jasmeet S. Dhaliwal ◽  
Foster Goss ◽  
Melanie D. Whittington ◽  
Kelly Bookman ◽  
P. Michael Ho ◽  
...  
2010 ◽  
Vol 17 (8) ◽  
pp. 824-833 ◽  
Author(s):  
Gregory W. Daniel ◽  
Edward Ewen ◽  
Vincent J. Willey ◽  
Charles L. Reese IV ◽  
Farshad Shirazi ◽  
...  

2019 ◽  
Vol 35 (3) ◽  
pp. 252-257 ◽  
Author(s):  
Ryan F. Coughlin ◽  
David Peaper ◽  
Craig Rothenberg ◽  
Marjorie Golden ◽  
Marie-Louise Landry ◽  
...  

The authors evaluated the effectiveness of an electronic health record (EHR)-based reflex urine culture testing algorithm on urine test utilization and diagnostic yield in the emergency department (ED). The study implemented a reflex urine culture order with EHR decision support. The primary outcome was the number of urine culture orders per 100 ED visits. The secondary outcome was the diagnostic yield of urine cultures. After the intervention, the mean number of urine cultures ordered was 5.95 fewer per 100 ED visits (9.3 vs 15.2), and there was a decrease in normal, or negative, cultures by 2.42 per 100 ED visits. There also was a statistically significant decrease in urine culture utilization and an increase in the positive proportion of cultures. Simple EHR clinical decision-support tools along with reflex urine culture testing can significantly reduce the number of urine cultures performed while improving diagnostic yield in the ED.


2012 ◽  
Vol 60 (4) ◽  
pp. S25 ◽  
Author(s):  
M.J. Ward ◽  
C. Froehle ◽  
K.W. Hart ◽  
S.P. Collins ◽  
C.J. Lindsell

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