Computerized charting in the ED

Jrsygrl1 · Sep 11, 1998

I work in an ED with 35,000 visits. We were one of the first ED's to use the Kurzweila Voice system. Our physicians use it for their documentation along with discharge instructions for about 10-12 years now. Our nursing division had a grant for the use of this system for the OR and ED. It took a significant amount of time to get staff through the word recognition and I did not find the system 10 years ago to be user friendly. We currently do not use this software. We had the system out in triage, which I did not feel was very beneficial. I think it would have been better used in the critical care area of our department. The software was all encompassing and would print out full sentences and short paragraphs by only saying certain key words. Kurtzweila is very well known. I have seen it advertised for home use for voice recognition software. Good Luck. If you have any more questions, feel free to email me.

MassED, BSN, RN · Jun 19, 2008

Help! Can anyone recommend a computerized documentation program for ED documentation--both nursing and medical charting--from triage to D/C???

Medhost rocks. Love love love it. Easy, concise, point and click system. You can free text where you need, but it's very comprehensive and can be set up to communicate with whatever system on the floor. I am using Meditech in the ER now and it really bites.

Larry77, RN · Jun 19, 2008

We use T-systems...it's ok, I've used others but they all have their own "flaws" or "characteristics", I'm sure just like us--non are perfect.

northshore08 · Jun 19, 2008

We use Epic in our ED and the hospital and attendings recently went live, so lotsa bugs (i think they are mostly personal with the docs) but I like it. Much better than the Meditech we used at my last ED. That was terrible.

SteveNNP, MSN, NP · Jun 19, 2008

We used EmSTAT in the ED I worked in, and it was AWESOME. Simple, individual focused flowsheets for each dx, interactive bed board, you could see instantly who needed bloods, who needed the scanner, and who had a bed waiting upstairs, among other great features....

MassED, BSN, RN · Jun 19, 2008

We used EmSTAT in the ED I worked in, and it was AWESOME. Simple, individual focused flowsheets for each dx, interactive bed board, you could see instantly who needed bloods, who needed the scanner, and who had a bed waiting upstairs, among other great features....

That's how Medhost was .... it is kindof like a computer game, you can see a blinking bone for who needs to go to xray, a blinking empy lab vial - they need labs. It was so user friendly. And you could click on the bed on the screen and move it to another bed. It was say "admit" when there was a bed or "hold." Meditech is outrageous - the places that continue to use this system (Where I WORK!) is simply ignorant of better and more efficient possibilities for e-charting.

Roy Fokker, BSN, RN · Jun 19, 2008

That's how Medhost was .... it is kindof like a computer game, you can see a blinking bone for who needs to go to xray, a blinking empy lab vial - they need labs. It was so user friendly. And you could click on the bed on the screen and move it to another bed. It was say "admit" when there was a bed or "hold." Meditech is outrageous - the places that continue to use this system (Where I WORK!) is simply ignorant of better and more efficient possibilities for e-charting.

:yeahthat:

We use something similar called IBEX.

It's light years ahead of Meditech.

Trauma Columnist · Jun 21, 2008

EMSTAT for nursing staff and T-system paper charting for MDs.

TRAMA1RN · Jun 21, 2008

EPIC is very nice from entering ER doors to D/C from hospital all nurses and MD's use the same system, I loved it!

crzyernurse12 · Jun 21, 2008

We also use Medhost. I love it, would not use any other. We have touch screen computers so it is really fast. It prompts you on assessment areas to cover,and highlights areas to chart on. :yeah:

RedSox33RN · Jun 21, 2008

We used EmSTAT in the ED I worked in, and it was AWESOME. Simple, individual focused flowsheets for each dx, interactive bed board, you could see instantly who needed bloods, who needed the scanner, and who had a bed waiting upstairs, among other great features....

We use Emstat also, and while there have been some 'tweaks' they've needed to fix, I think it works really well. The timers are great and really are helpful for team nursing, when we are getting toward end-of-shift, we can all see who has timers running in our zone, and help knock those out for incoming shift.