Abstract
The practice of emergency medicine requires rapid decision making. The speed of decision making in the face of limited information contributes to the high risk of medical malpractice suits. We explore design approaches to an emergency physician electronic medical record product, EMstation, that may reduce the risk of adverse medical events by providing cues and tools while the patient may still be in the emergency department. EMstation is an Emergency Medicine Physician Workstation base on a Microsoft Windows 3.1 user interface. Because adaptation and adaptability to physician needs are critical to user acceptance, design to workflow, multisite end user customization, and integrated database support are used to support risk management documentation in EMstation. This article describes techniques that can be incorporated into electronic medical products which may prevent adverse medical events.
Full text
PDF




Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Gouveia-Oliveira A., Raposo V. D., Salgado N. C., Almeida I., Nobre-Leitão C., de Melo F. G. Longitudinal comparative study on the influence of computers on reporting of clinical data. Endoscopy. 1991 Nov;23(6):334–337. doi: 10.1055/s-2007-1010710. [DOI] [PubMed] [Google Scholar]
- Humphreys T., Shofer F. S., Jacobson S., Coutifaris C., Stemhagen A. Preformatted charts improve documentation in the emergency department. Ann Emerg Med. 1992 May;21(5):534–540. doi: 10.1016/s0196-0644(05)82520-x. [DOI] [PubMed] [Google Scholar]
- Johannes R. S., Carr-Locke D. L. The role of automated speech recognition in endoscopic data collection. Endoscopy. 1992 Jul;24 (Suppl 2):493–498. doi: 10.1055/s-2007-1010528. [DOI] [PubMed] [Google Scholar]
- Karcz A., Holbrook J., Burke M. C., Doyle M. J., Erdos M. S., Friedman M., Green E. D., Iseke R. J., Josephson G. W., Williams K. Massachusetts emergency medicine closed malpractice claims: 1988-1990. Ann Emerg Med. 1993 Mar;22(3):553–559. doi: 10.1016/s0196-0644(05)81941-9. [DOI] [PubMed] [Google Scholar]
- Karcz A., Holbrook J. The Massachusetts Emergency Medicine Risk Management Program. Massachusetts Chapter of the American College of Emergency Physicians. QRB Qual Rev Bull. 1991 Sep;17(9):287–292. doi: 10.1016/s0097-5990(16)30470-5. [DOI] [PubMed] [Google Scholar]
- McDonald C. J., Hui S. L., Smith D. M., Tierney W. M., Cohen S. J., Weinberger M., McCabe G. P. Reminders to physicians from an introspective computer medical record. A two-year randomized trial. Ann Intern Med. 1984 Jan;100(1):130–138. doi: 10.7326/0003-4819-100-1-130. [DOI] [PubMed] [Google Scholar]
- Myers D. L., Culp K. S. Pieces of the CPR pie: textual search tools. Healthc Inform. 1992 Oct;9(10):68-70, 72. [PubMed] [Google Scholar]
- O'Leary D. S., O'Leary M. R. From quality assurance to quality improvement. The Joint Commission on Accreditation of Healthcare Organizations and Emergency Care. Emerg Med Clin North Am. 1992 Aug;10(3):477–492. [PubMed] [Google Scholar]
- Rusnak R. A., Stair T. O., Hansen K., Fastow J. S. Litigation against the emergency physician: common features in cases of missed myocardial infarction. Ann Emerg Med. 1989 Oct;18(10):1029–1034. doi: 10.1016/s0196-0644(89)80924-2. [DOI] [PubMed] [Google Scholar]
- Schriger D. L., Cantrill S. V., Greene C. S. The origins, benefits, harms, and implications of emergency medicine clinical policies. Ann Emerg Med. 1993 Mar;22(3):597–602. doi: 10.1016/s0196-0644(05)81952-3. [DOI] [PubMed] [Google Scholar]
- Taragin M. I., Willett L. R., Wilczek A. P., Trout R., Carson J. L. The influence of standard of care and severity of injury on the resolution of medical malpractice claims. Ann Intern Med. 1992 Nov 1;117(9):780–784. doi: 10.7326/0003-4819-117-9-780. [DOI] [PubMed] [Google Scholar]
- Trautlein J. J., Lambert R. L., Miller J. Malpractice in the emergency department--review of 200 cases. Ann Emerg Med. 1984 Sep;13(9 Pt 1):709–711. doi: 10.1016/s0196-0644(84)80733-7. [DOI] [PubMed] [Google Scholar]
