Electronic medical records and mortality in trauma patients.
BACKGROUND
The Electronic Medical Record (EMR) has been proposed as a way to reduce medical errors. It can also be used to document clinician involvement, which may affect outcomes. We sought to determine whether the EMR could be used to improve attending involvement in daily care, enhance surgical revenue, and lower mortality of patients with trauma.


METHODS
In 2004, the Trauma Division adopted a software program (CARE, Miami, FL) for creating an EMR and implemented a weekly report that was distributed to all members of the division and also to Departmental decision makers. Before initiation, explicit instructions were given to all surgeons that daily notes in the EMR were expected and would be followed by weekly reports. Before this, most notes were recorded in the paper chart and were difficult to track. Differences among proportions were determined with z test or chi, where appropriate with significance defined as p < 0.05.


RESULTS
With implementation of the EMR, daily and weekly reports were immediately available. Both attending surgeon documented notes and divisional annual revenue increased. A reduction in mortality was also observed.


CONCLUSIONS
The EMR can be used to change attending surgeon involvement in patient care and procedures. The increase in attending involvement was associated with an increase in revenue. Use of the EMR was associated with a significant reduction in hospital mortality.
Deckelbaum
Dan L
DL
Ryder Trauma Center, University of Miami, Miami, Florida 33101, USA. ddeckelbaum@med.miami.edu
Feinstein
Ara J
AJ
Schulman
Carl I
CI
Augenstein
Jeffrey S
JS
Murtha
Mary F
MF
Livingstone
Alan S
AS
McKenney
Mark G
MG
D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D015331:Cohort Studies; D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D007182:Income; D008297:Male; D016347:Medical Records Systems, Computerized / Q000191:economics* / Q000706:statistics & numerical data*; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D015397:Program Evaluation; D012189:Retrospective Studies; D014193:Trauma Centers; D014947:Wounds and Injuries / Q000401:mortality* / Q000628:therapy; D055815:Young Adult