Emergency Department Experience with Novel Electronic Medical Record Order for Referral to Food Resources
Emergency Department Experience with Novel Electronic Medical Record Order for Referral to Food Resources
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DOI：
10.5811/westjem.2017.12.35211
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发表时间：
2018-03-01
影响因子：
3.1
通讯作者：
Cutts, Diana B.
中科院分区：
文献类型：
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作者：
Martel, Marc L.;Klein, Lauren R.;Cutts, Diana B.
简介：食品不安全是美国的一个重要问题，在急诊科（艾德）患者中普遍存在。本研究的目的是报告一个新的使用综合电子病历（EMR）订单的食品资源，并描述我们最初的机构转介模式后，集中教育和实施order.Methods：这是一个回顾性的，观察性研究，描述食品银行转介模式之前和之后实施专门的艾德教育新的电子病历订单的食品资源。2015年，在接受正规教育之前，共有1，003人被转介到地区粮食银行，第二次收获中心地带。2016年，在教育干预之后，共有1，519名转诊患者，其中55名来自急诊科。在1，519名转诊患者中，Second Harvest Heartland成功联系了1，129名（74%）患者，其中954名（63%）患者接受并获得了援助。使用EMR作为一种工具，将患者转诊至合作组织以获得食物资源是合理的，并可能导致艾德转诊获得食物资源的增加。适当的教育是应用这种新的艾德过程的关键。
Introduction: Food insecurity is a significant issue in the United States and is prevalent in emergency department (ED) patients. The purpose of this study was to report the novel use of an integrated electronic medical record (EMR) order for food resources, and to describe our initial institutional referral patterns after focused education and implementation of the order.Methods: This was a retrospective, observational study, describing food-bank referral patterns before and after the implementation of dedicated ED education on the novel EMR order for food resources.Results: In 2015, prior to formal education a total of 1,003 referrals were made to the regional food bank, Second Harvest Heartland. Five referrals were made from the ED. In 2016, after the educational interventions regarding the referral, there were 1,519 referrals hospital-wide, and 55 referrals were made from the ED. Of the 1,519 referrals 1,129 (74%) were successfully contacted by Second Harvest Heartland, and 954 (63%) accepted and received assistance.Conclusion: Use of the EMR as a tool to refer patients to partner organizations for food resources is plausible and may result in an increase in ED referrals for food resources. Appropriate education is crucial for application of this novel ED process.