Electronic Integration of ECG into eMR

Mrs Elizabeth Ryan1
1SESLHD, Prince Of Wales ED, Randwick , Randwick , Australia

Method: Two surveys were conducted in a single centre Emergency Department based upon a convenience sample of emergency medical and nursing staff. In the preliminary survey staff were asked to rate their satisfaction with the paper-based ECG system and accessibility to this system. In the post implementation study, staff were asked to rate their satisfaction with the new electronic ECG system and accessibility to this system.

Results: The preliminary survey (n= 35 %) found that 90% of staff were unsatisfied with the current paper based ECG record and accessibility to the current system. The post implementation study found that 82% were now satisfied with the new electronic integration of ECG and 95% were satisfied with accessibility to the current electronic ECG.

Conclusions: Electronic storage of ECG to eMR has been a welcome change in the department. It has improved patient care by allowing the ECG to be viewed by teams that are not in ED quicker than paper-based records. The ability to compare old ECG’s to a current one has improved.

My name is Liz Ryan and i have been working in emergency Department for over 25 years, i currently work as the Nurse Manager looking after a team of 100 nurses and staff. My passion is to manage a team who provide safe and compassionate patient care. I’m driven towards new technologies and innovated practice to provide seamless bedside care.
Background: The emergency department has been transitioning to electronic health records over the past number of years. ECG’s were one of the remaining paper based patient records. The purpose of this project was to improve accessibility and storage of ECG’s within the ED through the implementation of software that allows the ECG to be transferred from the machine directly to the patient’s eMR. This enables quick access to the patient’s record for more co-ordinated, efficient care and securely shares the electronic information with other clinicians.