Browsing by Author "Sarkar, Indra Neil"
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- ItemDesiderata for personal electronic communication in clinical systems.(2002-04-24) Sarkar, Indra Neil; Starren, JustinElectronic communication among clinicians and patients is becoming an essential part of medical practice Evaluation and selection of these electronic systems called personal clinical electronic communication PCEC systems can be a difficult task in institutions that have no prior experience with such systems It is particularly difficult in the clinical context To directly address this point the authors consulted a group of potential users affiliated with a nationally recognized telemedicine project to determine important characteristics of a hypothetical PCEC system They compiled a list of these characteristics and produced a desiderata or list of desired features for PCEC systems Two conventional e mail implementations and three Web based PCEC systems were evaluated with respect to the features The Web based systems all scored higher than conventional e mail It is the hope of the authors that this paper will initiate further discussions about the features of PCEC systems and how to evaluate them
- ItemReal-Time Emergency Department Electronic Notifications Regarding High-Risk Patients: A Systematic Review.(0000-00-00) Kimmel, Hannah J; Brice, Yanick N; Trikalinos, Thomas A; Sarkar, Indra Neil; Ranney, Megan LBACKGROUND To systematically review evidence on the feasibility and efficacy of real time electronic notifications about patients at high risk of emergency department ED recidivism METHODS Eight electronic databases were searched for empirical studies of real time ED based electronic tools identifying adult patients at high risk of frequent utilization Study selection and data extraction were performed independently by two reviewers Qualitative data synthesis and assessment of strength of evidence were conducted through consensus discussion RESULTS Of 2 256 records found through the search 210 were duplicates 2 004 were excluded based on abstract review and 31 were excluded after full text review The final sample consisted of 10 studies described in 11 articles describing the effect of real time ED based electronic notifications for high risk patients Three were randomized controlled trials RCTs All notifications were based on prespecified markers of risk Seven studies integrated complex care plans into the electronic health record Effect on ED use and length of stay LOS was mixed nine studies reported decreased ED use although results were statistically significant in only three studies for LOS one study reported a statistically significant reduction Impact on cost and financial metrics was promising with three of three studies reporting this metric showing improved organizational financial metrics Three RCTs reported a reduction in opioid prescriptions CONCLUSIONS Real time electronic notifications of ED providers regarding patients at high risk of ED recidivism are feasible They may help reduce resource utilization and costs Large knowledge gaps remain regarding patient and provider centered outcomes