Patients at Texas hospitals that have automated some aspects of their health information systems appear to have fewer complications, lower death rates and reduced costs, according to a report in the January 26 issue of Archives of Internal Medicine , one of the JAMA/Archives journals.
"In recent years, American health care has been criticized as fragmented, expensive, unsafe and unfair," the authors write as background information in the article. "Clinical or 'health' information technologies, such as electronic medical records, computerized provider order entry systems and clinical decision support systems, have emerged as one antidote, promising reductions in waste, gains in communication, improvements in quality and new accountabilities through automated performance measurement." A hospital's clinical information system can be divided into four categories, the authors note: medical notes and records, test results, order entry (instructions for the treatment of patients) and decision support (programs that assist physicians and other providers with decision-making tasks).
Ruben Amarasingham, M.D., M.B.A., of Parkland Health & Hospital System and University of Texas Southwestern Medical Center, Dallas, and colleagues compared urban hospitals in Texas using a tool that measures physicians' interactions with the information system. Physicians from 41 hospitals rated their facilities' automation in each of the four areas in surveys taken in 2005 and 2006. The researchers then examined rates of inpatient death, complications, costs and length of stay for 167,233 patients older than 50 who were admitted to these hospitals for a variety of conditions during the same timeframe.