When Should ED Physicians Use an HIE? Predicting Presence of Patient Data in an HIE

Objectives: Health information exchanges (HIEs) make possible the construction of databases to characterize patients as multisystem users (MSUs), those visiting emergency departments (EDs) of more than one hospital system within a region during a 1-year period. HIE data can inform an algorithm highlighting patients for whom information is more...

A Comprehensive View of Frequent Emergency Department Users Based on Data from a Regional HIE

Objectives: A small but significant number of patients make frequent emergency department (ED) visits to multiple EDs within a region. We have a unique health information exchange (HIE) that includes every ED encounter in all hospital systems in our region. Using our HIE we were able to characterize all frequent ED users in our region, regardless...

Health Information Exchange in the ED: What Do ED Clinicians Think?

Objectives: Our regional health information exchange (HIE), known as Carolina eHealth Alliance (CeHA)-HIE, serves all major hospital systems in our region and is accessible to emergency department (ED) clinicians in those systems. We wanted to understand reasons for low CeHA-HIE utilization and explore options for improving it. Methods: We...

Commentary on “Longitudinal Trends in the Prevalence of Diabetes Mellitus in an Urban Emergency Department”

As emergency medicine physicians, we often encounter patients with diabetes mellitus (DM). These patients present with a variety of continuing problems, including episodic hyperglycemia, hypoglycemia from medication errors (mostly oral agents), diabetic-related infections of the limbs, pain management problems caused by diabetic neuropathy,...

Commentary on “Survival of Trauma Victims Transported by Helicopter Who Required CPR Within the First Hour of Hospital Arrival”

In early December 2015, a Helicopter Emergency Medical Service (HEMS) flight crew was dispatched in California to transport a patient. The helicopter took off in inclement weather conditions--heavy rain and fog--and subsequently crashed. The pilot, paramedic, nurse, and patient aboard ultimately died. At this point we do not know the exact cause...