Evaluating the Implementation of Electronic Medical Records in the Emergency Medical Services Department at Johns Hopkins Aramco Healthcare

H. Mushcab, Jalal Al Alwan, S. Ashrafi, Maesoon Abusadah, David Bunting, Saeed Al Yami
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Abstract

This paper evaluates the implementation of EPIC system on the quality performance of Johns Hopkins Aramco Healthcare's (JHAH) Emergency Medical Services (EMS) department. This is a retrospective observational study conducted to compare the EMS department performance prior and post the implementation of EPIC on January 26th, 2018. A total number of 49,006 patients visited the EMS department during the control period (pre EPIC) while a total number of 42,431 patients visited the department during the study period (post EPIC). A statistically significant improvement with P<0.05 was found in the waiting time for patients triaged in all acuity levels. The volume of patients visiting the EMS department had a statistically significance increment after the implementation of EPIC. EHRs use the advancement in technology to store and instantly provide clinical information to the healthcare providers. Integrating EHRs to the person-centered care culture has a great potential of empowerment, education, and engagement of individuals in a more effective manner.
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评估约翰霍普金斯阿美医疗保健公司急诊医疗服务部电子病历的实施情况
本文评估了EPIC系统对约翰霍普金斯阿美医疗(JHAH)紧急医疗服务(EMS)部门质量绩效的实施。这是一项回顾性观察性研究,旨在比较EMS部门在2018年1月26日实施EPIC之前和之后的表现。在对照组(EPIC前)共有49,006名患者访问了EMS部门,而在研究期间(EPIC后)共有42,431名患者访问了该部门。所有视敏度分级患者的等待时间均有统计学意义的改善(P<0.05)。实施EPIC后,就诊急诊的患者数量有统计学意义的增加。电子病历使用先进的技术来存储并立即向医疗保健提供者提供临床信息。将电子病历整合到以人为本的护理文化中,具有更有效的赋权、教育和个人参与的巨大潜力。
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