In our organization we implemented an electronic clinical documentation system for the ED, a completely different system than for inpatient. A dilemma has been created ...when patients receive care in our ED, are admitted and held in the ED due to lack of bed capacity in the hospital, the staff have to double document pertinent information in both systems because the systems do not "talk" to each other. We are in the process of building an interface, but it has taken a lot of time, effort and money.
Last year we implemented barcoding medication administration, where the patient's medications and bracelet is scanned at the bedside ... it has added 15-30 minutes on to our nurses workflow at every med administration pass, which occur at least 4-5 times per shift.
Hi all, I saw a really interesting presentation by [name redacted] of [name redacted] Health System today. He is a practicing GI doctor in a [~20]-doctor practice. His practice is planning to replace the EMR they installed only 5 years ago. The reason he gave was that the vendor was "under capitalized" and therefore unable to keep up with other companies technologically. (An interesting thing that they did not take into account in the initial evaluation.)