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Table 4 Performance outcomes of EPs’ use of LIE systems

From: Improving performance in the ED through laboratory information exchange systems

Performance outcomes of LIE usea

Mean

SD

Outcomes of iEHR use (n = 120 users)

  

 Accessing the laboratory test results provided by the iEHR:

  

  - Improves the continuity of my patients’ care;

4.3

0.6

  - Allows me to make better clinical decisions;

4.1

0.6

  - Provides me with results that I cannot obtain from my usual information sources (e.g., the EDIS);

4.0

0.8

  - Improves the way in which I evaluate patients;

3.9

0.8

  - Reduces duplication of the lab tests that are prescribed to my patients;

3.8

1.0

  - Prevents me from missing an important result;

3.7

0.8

  - Allows me to intervene more rapidly and effectively with my patients;

3.7

0.9

  - Increases the safety of my patients’ care;

3.7

0.9

  - Provides me with an overall view of my patients’ lab results (patients’ test history);

3.6

1.0

  - Allows me to discharge patients more rapidly;

3.2

0.9

  - Provides support to my clinical research or my performance measurement activities.

1.3

0.7

Overall performance outcome of iEHR use for LIE purposesb

3.6

0.5

 Outcomes of EDIS use (n = 18 users)

  

  - I can take faster action when laboratory test results are available in the EDIS.

4.1

0.9

  - The information being in one place, I gain time when I follow up on lab results through the EDIS.

3.8

1.3

  - The ability to generate tables and graphs with the EDIS is very helpful in interpreting lab results.

3.6

1.3

Overall performance outcome of EDIS use for LIE purposesd

3.8

0.9

 Outcomes of LRV use (n = 150 users)

  

  - The viewer provides most of the lab test results that I need to care for patients arriving in the ED.

4.4

0.8

  - My patients’ lab test results are easier to consult in the viewer than in the paper medical record.

4.2

1.0

  - It is quicker for me to access the viewer to consult patients’ previous lab test results than waiting to receive their paper medical record.

4.2

1.2

  - As most of my patients reside in the region, I have little use for the iEHR because the viewer provides me with most of the lab test results that I need.

2.9

1.5

  - The viewer is very useful in allowing me to access test results produced by the public laboratories in my region.

2.2

1.5

Overall performance outcome of LRV use for LIE purposesc

3.6

0.8

  1. aAs perceived by the emergency physician on Likert scales of 1 (strongly disagree) to 5 (strongly agree)
  2. bMean of the 11 performance outcomes of iEHR use
  3. cMean of the five performance outcomes of LRV use
  4. dMean of the three performance outcomes of EDIS use