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{
    "pk": 7455,
    "title": "Electronic Prehospital Records are Often Unavailable for Emergency Department Medical Decision Making",
    "subtitle": null,
    "abstract": "Introduction: \nTo determine emergency physician (EP) opinions of prehospital patient care reports (PCRs) and whether such reports are available at the time of emergency department (ED) medical decision-making.\nMethods: \nProspective, cross-sectional, electronic web-based survey of EPs regarding preferences and availability of prehospital PCRs at the time of ED medical decision-making.\nResults: \nWe sent the survey to 1,932 EPs via 4 American College of Emergency Physicians (ACEP) email lists. As a result, 228 (11.8%) of email list members from 31 states and the District of Columbia completed the survey. Most respondents preferred electronic prehospital PCRs as opposed to handwritten prehospital PCRs (52.2% [95% confidence interval (CI): 49.1, 55.3] vs. 17.1% [95%CI: 11.7, 22.5]). The remaining respondents (30.5% [95%CI: 26.0, 35.0]) had no preference or had seen only one type of PCR. Of the respondents, 45.6% [95%CI: 42.1, 48.7] stated PCRs were “very important” while 43.0% [95% CI: 39.3, 46.7] rated PCRs as “important” in their ED practice. Most respondents (79.6% [95%CI: 76.5, 82.7]) reported electronic prehospital PCRs were available ≤50% of the time for medical decision-making while 20.4% [95%CI: 9.2, 31.6] reported that electronic prehospital PCRs were available > 50% of the time (\nP\n=0.00). A majority of participants (77.6% [95%CI: 74.5, 80.7]) reported that handwritten prehospital PCRs were available ≥ 50% while 22.4% [95%CI: 11.8, 33.0] of the time for medical decision-making (\nP\n=0.00).\nConclusion: \nEPs in this study felt that prehospital PCRs were important to their ED practice and preferred electronic prehospital PCRs over handwritten PCRs. However, most electronic prehospital PCRs were unavailable at the time of ED medical decision-making. Although handwritten prehospital PCRs were more readily available, legibility and accuracy were reported concerns. This study suggest that strategies should be devised to improve the overall accuracy of PCRs and assure that electronic prehospital PCRs are delivered to the receiving ED in time for consideration in ED medical decision-making. [West J Emerg Med. 2013;14(5):482–488.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "EMS"
        },
        {
            "word": "Electronic Medical Records"
        },
        {
            "word": "Emergency Medicial Services"
        },
        {
            "word": "Emergency Physician Opinions"
        },
        {
            "word": "Medicine"
        },
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "emergency medical services"
        }
    ],
    "section": "Prehospital Care",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/3n1687p8",
    "frozenauthors": [
        {
            "first_name": "Bryan",
            "middle_name": "E",
            "last_name": "Bledsoe",
            "name_suffix": "",
            "institution": "University of Nevada School of Medicine, Department of Emergency Medicine, Las Vegas, Nevada; MedicWest Ambulance/American Medical Response, Las Vegas, Nevada",
            "department": "None"
        },
        {
            "first_name": "Chad",
            "middle_name": "",
            "last_name": "Wasden",
            "name_suffix": "",
            "institution": "University of Nevada School of Medicine, Department of Emergency Medicine, Las Vegas, Nevada",
            "department": "None"
        },
        {
            "first_name": "Larry",
            "middle_name": "",
            "last_name": "Johnson",
            "name_suffix": "",
            "institution": "University of Nevada School of Medicine, Department of Emergency Medicine, Las Vegas, Nevada; MedicWest Ambulance/American Medical Response, Las Vegas, Nevada",
            "department": "None"
        }
    ],
    "date_submitted": "2012-05-20T02:21:31Z",
    "date_accepted": "2012-05-20T02:21:31Z",
    "date_published": "2013-09-15T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/7455/galley/4407/download/"
        }
    ]
}