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. 2020 Nov 17;1(6):1602–1613. doi: 10.1002/emp2.12308

TABLE 2.

Descriptive comparison of outcomes at the intervention site only: Paper‐based decision support (pre period) versus ePATH (post period)

Intervention site: Paper‐based tool (April 2013–February 2016) Intervention site: ePath tool (March 2016–July 2017) P a
All ED visits 332 minutes 280 minutes <0.001
Median ED Length of Stay
ED visits for admitted patients 246 minutes 239 minutes 0.17
ED visits for discharged patients 410 minutes 321 minutes <0.001
Median Hospital Length of Stay 
Hospital LOS b 517 minutes 431 minutes <0.001
Admission 
Admit overall 28.2% 20.9% <0.001
Admit to floor 22.9% 17.8% 0.002
Admit to ICU 5.2% 3.2% <0.001
Proportion Receiving Stress Test
Stress Test 15.8% 12.7% 0.001
Major adverse cardiac events
MI 5.7% 6.1% 0.30
CABG 0.58% 0.72% 0.56
PCI 2.3% 2.5% 0.69
Death c 0.33% 0.34% 0.96

CABG, coronary artery bypass grafting; CDS, clinical decision support; ED, emergency department; ePATH, electronic health record‐embedded clinical pathway; ICU, intensive care unit; MI, myocardial infarction; PCI, percutaneous coronary intervention.

a

Wilcoxon rank sum test was calculated to determine if there were significant differences before and after the implementation of each decision support tool.

b

Defined as arrival in ED to discharge from hospital, inclusive of any time admitted to inpatient service.

c

Defined as death from any cause.