Applied Clinical Informatics, Table of Contents Appl Clin Inform 2012; 03(03): 301-308DOI: 10.4338/ACI-2012-03-RA-0008 Research Article Schattauer GmbH Impact of implementing an EMR on physical exam documentation by ambulance personnel R. Katzer 1 Georgetown University Hospital, Department of Emergency Medicine 2 University of California, Irvine Department of Emergency Medicine , D.J. Barton 3 Georgetown Emergency Response Medical Service , S. Adelman 3 Georgetown Emergency Response Medical Service , S. Clark 3 Georgetown Emergency Response Medical Service , E.L. Seaman 3 Georgetown Emergency Response Medical Service , K.B. Hudson 1 Georgetown University Hospital, Department of Emergency Medicine › Author Affiliations Recommend Article Abstract Full Text PDF Download Keywords KeywordsDocumentation - quality improvement - emergency medical technicians - universities - emergency medical services - electronic health records References References 1 National Collegiate EMS Foundation [Internet].. West Sand Lake New York: National Collegiate Emergency Medical Services Foundation; c2000–2012 [cited 2012 March 30]. Available from: http://www.ncemsf.org. 2 Joyce SM, Dutkowski KL, Hynes T. Efficacy of an ems quality improvement program in improving documentation and performance. Prehosp Emerg Care 1997; 1 (03) 140-144. 3 Staff T, Søvik S. A retrospective quality assessment of pre-hospital emergency medical documentation in motor vehicle accidents in south-eastern Norway. Scand J Trauma Resusc Emerg Med 2011; 19: 20. 4 Laudermilch DJ, Schiff MA, Nathens AB, Rosengart MR. Lack of emergency medical services documentation is associated with poor patient outcomes: a validation of audit filters for prehospital trauma care. J Am Coll Surg 2010; 210 (02) 220-227. 5 Moss RL. Vital signs records omissions on prehospital patient encounter forms. Prehosp Disaster Med 1993; 8 (01) 21-27. 6 Deckelbaum DL. et al. Electronic medical records and mortality in trauma patients. J Trauma 2009; 67 (03) 634-636. 7 O’Connor RE, Megargel RE. The effect of a quality improvement feedback loop on paramedic skills, charting, and behavior. Prehosp Disaster Med 1994; 9 (01) 35-38. 8 Kiefer VF, Schwartz RJ, Jacobs LM. The effect of quality assurance on flight nurse documentation. Air Med J 1993; 1 1–2 11-14. 9 Bergrath S. et al. Is paper-based documentation in an emergency medical service adequate for retrospective scientific analysis? An evaluation of a physician-run service. Emerg Med J 2011; 28: 320-324. 10 Francis RC. et al. Standard operating procedures as a tool to improve medical documentation in preclinical emergency medicine. Emerg Med J 2010; 27 (05) 350-354. 11 Kuisma M. et al. Effect of introduction of electronic patient reporting on the duration of ambulance calls. Am J Emerg Med 2009; 27 (08) 948-955. 12 Faul F, Erdfelder E, Lang AG, Buchner A. G*Power3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007; 39 (02) 175-191. 13 Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. J Am Med Inform Assoc 2004; 11 (02) 104-112. 14 Ash JS. et al. Some unintended consequences of clinical decision support systems. AMIA Annu Symp Proc 2007: 26-30. 15 Landman AB. et al. Prehospital electronic patient care report systems: early experiences from emergency medical services agency leaders. PLoS ONE 2012; 7 (03) e32692.
