This study will evaluate various performance metrics of emergency department operations after the implementation of computerized physician order entry in an academic emergency department.
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.
Study Type
OBSERVATIONAL
Computer ordering system allowing emergency department physicians to order medications, laboratory tests, radiology studies, and nursing interventions
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
Time to Antibiotics
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.
Time frame: 6 months
Emergency Department Length of Stay
Secondary outcome measure is length of stay defined as the time from patient registration to time the patients leave the emergency department.
Time frame: 6 months
Lab turnaround time
Lab turnaround time is defined as the time it takes from when the sample is collected to when the results are entered.
Time frame: 6 months
Resource Utilization
Resource utilization defined as the number of CBC, Chem7, and troponin tests ordered.
Time frame: 6 months
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