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J Am Med Inform Assoc 14:700-705 doi:10.1197/jamia.M2507
  • Perspectives on Informatics

Emergency Physicians’ Perceptions of Health Information Exchange

Table 1

Current Access to External Health Information, Perceived Costs and Benefits, and Current State of Awareness of Health Information Exchange

Response (N = 216 respondents) Rate 95% Confidence Interval
>1/2 of emergency department patients would benefit if access to outside clinical information were immediate 39% 32.4%–45.6%
>1/4 of emergency department patients would benefit if access to outside clinical information were immediate 63% 56.8%–69.9%
It is currently difficult or very difficult to obtain relevant outside clinical information at the point of care in the emergency department 86% 80.7%–90.2%
Current attempts to obtain clinical information from other area providers fail more than 1/2 of the time 66% 63.1%–69.6%
Estimated number of minutes it currently takes to get clinical information from outside providers 66 min 48.2–83.7 min
Attempt to get outside clinical information ≤10% of the time 56% 49%–62.7%
HIE would benefit the delivery of clinical care 97% 94.2%–99.1%
HIE would benefit the emergency department 92% 88.7%–95.9%
HIE would benefit the hospital 91% 87.5%–95.2%
HIE would benefit the health care system overall 98% 95.5%–99.7%
HIE would increase or greatly increase the efficiency of clinical care 88% 83.6%–92.4%
HIE would decrease or greatly decrease the number of tests ordered 78% 72.1%–83.4%
HIE would decrease or greatly decrease the number of medical errors 64% 57.4%–70.5%
HIE would increase or greatly increase the time to disposition decision on individual patients 54% 47.1%–60.6%
HIE would decrease or greatly decrease health care costs 64% 57.1%–70.2%
The benefits of HIE outweigh or greatly outweigh the risks 85% 80.3%–89.9%
Never heard of HIE prior to this survey 76% 70.4%–82.0%
HIE will eventually exist locally 71% 64.7%–77.1%
HIE will eventually exist regionally 64% 57.7%–70.8%
HIE will eventually exist nationally 50% 42.9%–56.6%
HIE will eventually exist internationally 18% 12.8%–23.3%
  • HIE = health information exchange.

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