Emergency care access to primary care records: an observational study
| Autor: | Enrico Coiera, Thomas Bowden |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | BMJ Health & Care Informatics, Vol 27, Iss 3 (2020) |
| Druh dokumentu: | article |
| ISSN: | 2020-1001 2632-1009 |
| DOI: | 10.1136/bmjhci-2020-100153 |
| Popis: | Objective To measure lookup rates of externally held primary care records accessed in emergency care and identify patient characteristics, conditions and potential consequences associated with access.Measures Rates of primary care record access and re-presentation to the emergency department (ED) within 30 days and hospital admission.Design A retrospective observational study of 77 181 ED presentations over 4 years and 9 months, analysing 8184 index presentations in which patients’ primary care records were accessed from the ED. Data were compared with 17 449 randomly selected index control presentations. Analysis included propensity score matching for age and triage categories.Results 6.3% of overall ED presentations triggered a lookup (rising to 8.3% in year 5); 83.1% of patients were only looked up once and 16.9% of patients looked up on multiple occasions. Lookup patients were on average 25 years older (z=−9.180, p |
| Databáze: | Directory of Open Access Journals |
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