Madison hospitals team up for emergency room electronic exchange of medical records

From the Wisconsin Technology Network:

Electronic medical record exchange and interoperability has taken a step forward as Madison area hospitals have launched a 120-day pilot project that will provide participating hospital emergency services and urgent care facilities access to vital patient electronic medical records – based on a patients right to consent.

Dean Health System, Group Health Cooperative, Meriter Hospital, St. Mary’s Hospital, UW Health as well as UW Medical Foundation physicians’ group are all involved.

The pilot testing of Epic’s Electronic Health Information Exchange module called Care Everywhere began on March 29. Electronic health information exchange is for patients who have been seen by providers at other healthcare organizations that are using electronic medical record software that is capable of an electronic exchange

Tired Medics

From Prehospital Emergency Care:

Sleep Quality and Fatigue Among Prehospital Providers

Background. Fatigue is common among medical professionals and has been linked to poor performance and medical error.

Objective. To characterize sleep quality and its association with severe fatigue in emergency medical services (EMS) providers. Methods. We studied a convenience sample of EMS providers who completed three surveys: the Pittsburgh Sleep Quality Index (PSQI), the Chalder Fatigue Questionnaire (CFQ), and a demographic survey. We used established measures to examine survey psychometrics and performed t-tests, analysis of variance (ANOVA), and chi-square tests to identify differences in PSQI and CFQ scores.

Results. One hundred nineteen surveys were completed. The eight-hour shift was most commonly reported (35.4%). A majority of subjects were overweight (41.9%) or obese (42.7%), and 59.6% had been diagnosed with one or more health conditions (e.g., diabetes). Results from psychometric tests were positive. The mean (± standard deviation) PSQI score was 9.2 (± 3.7). A CFQ score ≥4, indicating severe mental and physical fatigue, was present in 44.5% of the subjects. The mean PSQI score was higher among those reporting severe fatigue (11.3 ± 3.2) than among those not reporting fatigue (7.5 ± 3.0, p < 0.0001).

Conclusions. The results from this study suggest that the sleep quality and fatigue status of EMS workers are at unhealthy levels. The health and safety of the EMS worker and patient population should be considered in light of these results.

Prehospital Ultrasound

From Emergency Medicine Journal: