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Article
Use of health information technology for higher-value critical care
The New England Journal of Medicine (2013)
  • Lena M Chen, University of Michigan
  • Edward H. Kennedy, University of Pennsylvania
  • Anne Sales, University of Michigan
  • Timothy P Hofer, University of Michigan
Abstract

To illustrate how data from a comprehensive EHR might contribute to better triage decisions, we examined the records of a cohort of 101,912 patients admitted for reasons other than surgery to 121 VA acute care hospitals in fiscal year 2009. Critical care guidelines continue to maintain that the ICU is the place to care for “the most seriously ill patients.” For the most common noncardiac diagnoses, we found that, in keeping with this guideline, patients with a high severity of illness were much more likely to be admitted to the ICU than were patients with a low severity of illness. In sharp contrast, for common cardiac diagnoses, severity of illness played a negligible role in ICU-admitting decisions.

Publication Date
2013
Citation Information
Lena M Chen, Edward H. Kennedy, Anne Sales and Timothy P Hofer. "Use of health information technology for higher-value critical care" The New England Journal of Medicine Vol. 368 Iss. 7 (2013)
Available at: http://works.bepress.com/ehkennedy/8/