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Modifications and Integration of the Electronic Tracking Board in a Pediatric Emergency Department

Dexheimer, Judith W. PhD*†; Kennebeck, Stephanie MD*

doi: 10.1097/PEC.0b013e31829ba7ef
IT in the ED
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Electronic health records (EHRs) are used for data storage; provider, laboratory, and patient communication; clinical decision support; procedure and medication orders; and decision support alerts. Clinical decision support is part of any EHR and is designed to help providers make better decisions. The emergency department (ED) poses a unique environment to the use of EHRs and clinical decision support. Used effectively, computerized tracking boards can help improve flow, communication, and the dissemination of pertinent visit information between providers and other departments in a busy ED. We discuss the unique modifications and decisions made in the implementation of an her and computerized tracking board in a pediatric ED. We discuss the changing views based on provider roles, customization to the user interface including the layout and colors, decision support, tracking board best practices collected from other institutions and colleagues, and a case study of using reminders on the electronic tracking board to drive pain reassessments.

From the Divisions of *Emergency Medicine and †Biomedical Informatics, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH.

Disclosure: The authors declare no conflict of interest.

Reprints: Judith W. Dexheimer, PhD, Division of Emergency Medicine, Cincinnati Children’s Hospital Medical Center, MLC 2008, 3333 Burnet Ave, Cincinnati, OH 45229 (e-mail: Judith.Dexheimer@cchmc.org).

© 2013 Lippincott Williams & Wilkins, Inc.