Transcript EDIS Emergency Department Information System

EDIS
Emergency Department Information
System
Manitoba Nursing Informatics Association
March 16th, 2009
Presented by Debbie McMahon
EDIS Clinical Nursing Coordinator
WRHA Emergency Program
WHAT IS EDIS?
electronic
patient tracking system
EDIS is a system that automates such
functions as triage, patient tracking,
orders/results, documentation and
discharge.
The fast and easy access to clinical
information
The Future of Health Care

ER Task Force & CAEP recognize EDIS
 Technology is a key goal in 10-year plan for
health care renewal
 Technology is being introduced across Canada –
all are working towards the electronic record

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Calgary Health introduced EPR
Saskatoon Health, Atlantic Health in process of introducing
EDIS & EPR
Vancouver has implemented EPR
Technology & Information Principles
Current eTriage does not allow
information to be available globally
 The Eclipsys system is designed with
patient safety as a priority by:

Ensuring information is filed against the patient
as it is created
 Providing information to all care providers as
soon as it’s created

Also provides information that
quantitatively measures time to care for a
patient in the ER.
 Also indicates where bottlenecks are
occurring in the ER’s
 Factual information regarding patient care
in real time.
 reports for hospital administration showing
data.

Benefits of EDIS

Saves time
- shows patient location at all times
- allows instant access to patient chart
- allows for multi-person access to the
chart
- streamlines pt. flow using bedside
registration and documentation

Improves Communication
- provides Clinicians access to
information throughout the department via
-Patient tracking display
- Clinical Documentation
- Orders and Results
- Eliminates lost patients
- Enables staff to prioritize tasks
- Decreases departmental noise
- Admissions tracking

Simplifies Reporting
- eliminates manual reporting
- automatically generates department log
-
Benefits to Administrators

Increases Patient Satisfaction
- fewer LWBS, elopements, AMA
- improves door to doc
- decreased noise
- decreased patient wait time and
length of stay

Decreases Liability
-
Printed discharge instructions
Legible documentation ( once clindoc)
Eliminates lost of misplaced patients
Increased patient safety

Increases Accountability
- reports help focus on department
inefficiencies
- Automatic reporting provides clear
meaningful statistics
- ED patient information will eventually
be one system process
- Resource for Quality Management,
Risk management, and Infection Control
maintenance
How is this important for Informatics.

As you may know Informatics is the
science of information, the practice of
information processing and the
engineering of information systems.
With this in mind, many data elements
could be obtained from the EDIS system.
TRIAGE

Data elements from the triage and
registration (quick and full registration)
provides timelines for
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Time of patient arrival
Patient arrival to triage
Triage to reassessment times
Door to Doc timeline
Clear concise length of stay data
Patient Tracking Board
Provides multiple data elements that can be
measured in time lines.
These timelines assist with process
mapping, defining, as well as process
redefining.
How do we use the information?
Take the raw data and input and
evaluate data to improve system workprocesses.
 Re-evaluate work processes to confirm
improvement.
 Concrete data allows for system
changes with in the hospital system.
ie consultants assess time, length of
time for stretcher service pickup.

What data do we have now?

Parallel process of triage and registration
showing that the total time spent for both
processes to completion is about 7 min.
Data from LOS in ER at SOGH show
that the average LOS is 2.8 hours.
 At Vic LOS was 36 hours.
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Where do we go from here?
More data collection to improve systems
 Feedback with hard data to clinical staff
to show improvement or no changes.
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QUESTIONS?