Navigation Links
Using simulation to model the implementation of electronic health records
Date:6/7/2011

CINCINNATIA researcher in the University of Cincinnati (UC) Department of Emergency Medicine has received a two-year, $150,000 fellowship award from the Emergency Medicine Foundation to study the implementation of electronic health records in a suburban emergency department (ED).

The award will support the work of Michael Ward, MD, an assistant professor at the College of Medicine. Ward has spent the past year focusing on simulation modeling in operations research, working with Sean Collins, MD, associate professor of emergency medicine, Craig Froehle, PhD, associate professor of operations management at the UC College of Business, and Christopher Lindsell, PhD, vice chair of research in emergency medicine

Ward's latest research focuses on evaluating the operational disruption to an emergency department undergoing electronic health record (EHR) implementation.

"The claim is that these systems make everything better, faster and more efficient," he says, "yet many centers have to add staff and increase workloads during the weeks and months following their EHR implementation."

The study has two aims: first, to quantify the operational disruption of EHRs and second, to use simulation modeling to evaluate how to maximize efficiency during implementation.

Ward says this type of work wouldn't be possible without simulation modelinga research method that enables him to use existing data to predict how one or several changes can affect a complex system like an emergency department.

"In a regular clinical trial, you take one tiny little piece and change thatpatients get drug A or drug B," he says. "But when it comes to any sort of large-scale operation, there are so many factors involved that it's tough to say that one variable really made a difference.

"For example, we see 80 to 90,000 patients in the UC Health University Hospital emergency department per year. But the number of patients in the department changes depending on the time of day, season or year. You take the department at 12:15 p.m. on a Monday and 12:15 p.m. on a Tuesday and it could be completely different."

With simulation modeling, Ward says he can use probability to simulate a system based on existing data.

"So you have a model that reasonably well approximates reality," he says. "Once you have that, you can start exploring it and running experiments over and over. There are many different ways in which you can start to evaluate the model you have, to give an estimate of what effect a change would have."

In his position as an operations research fellow, Ward has also studied the cost-effectiveness and accuracy of using different tests to diagnose pulmonary embolisms in the ED, decision making in subarachnoid hemorrhage and admission strategies for chest pain patients.

"With this kind of research, you can gain information that a trial never would be able to get or would be prohibitively expensive to study," he says. "It allows investigators to ask questions without actually running a trialand it becomes a very cost-effective way of studying complex systems."


'/>"/>

Contact: Katy Cosse
kathryn.cosse@uc.edu
513-558-0207
University of Cincinnati Academic Health Center
Source:Eurekalert

Related medicine news :

1. Children experience wrist and finger pain when using gaming devices and mobile phones over time
2. Scientists design new anti-flu virus proteins using computational methods
3. Gates Foundation awards Ben-Gurion U. researcher grant for malaria detection using cell phones
4. Penn research using frog embryos leads to new understanding of cardiac development
5. Focusing on One Thing May Blind People to the Obvious
6. Insights gained from growing cold-causing virus on sinus tissue
7. Using MRI, researchers may predict which adults will develop Alzheimers
8. Results show benefits in using acute kidney injury criteria in the diagnosis of cirrhosis
9. Detection of early gastric cancer using hydro-stomach CT
10. U of M researchers using salmonella to fight cancer
11. Using Electronics Before Bed May Hamper Sleep
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... ... PurhealthRX , a leading Health and Nutrition Company, is announcing the ... spectrum CBD oil will revolutionize the rapidly growing CBD market by reducing the amount ... into liquid products, while reducing costs to end users. , The team of researchers ...
(Date:10/13/2017)... , ... October 13, 2017 , ... Many families have ... many long-term care insurance companies have a waiver for care if the client has ... period, when the family pays for care, is often waived, so the benefits from ...
(Date:10/13/2017)... ... ... Yisrayl Hawkins, Pastor and Overseer at The House of Yahweh, has released ... understood books in the Holy Scriptures, Revelation. The Book of Revelation paints a picture ... Many have tossed it off as mere rubbish, but Yisrayl Hawkins says that is ...
(Date:10/13/2017)... ... 2017 , ... “America On The Brink”: the Christian history of the United ... the creation of published author, William Nowers. Captain Nowers and his wife, Millie, ... spent thirty years in the Navy. Following his career as a naval aviator ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... ... products to meet the demand of today’s consumer and regulatory authorities worldwide. From ... probiotic experts and tested to meet the highest standard. , These products ...
Breaking Medicine News(10 mins):
(Date:10/10/2017)...   West Pharmaceutical Services, Inc. (NYSE: WST), ... administration, today shared the results of a study highlighting ... intradermal administration of polio vaccines. The study results were ... 2017 by Dr. Ondrej Mach , Clinical Trials ... (WHO), and recently published in the journal Vaccine. ...
(Date:10/5/2017)... 5, 2017  In response to the nationwide ... Maxillofacial Surgeons (AAOMS) released prescribing recommendations that urge ... used as a first-line therapy to manage a ... Recognizing the value and importance ... "Opioid Prescribing: Acute and Postoperative Pain Management" stresses ...
(Date:10/4/2017)... 2017  According to the Centers for Disease Control and Prevention (CDC), ... PhysicianOne Urgent Care is helping communities across Massachusetts , ... by offering no-cost* flu shots through the end of the month. ... insurance regulations. ... get a flu shot is by the end of October, according to ...
Breaking Medicine Technology: