we use ibex. we were the first ed in nj to go paperless, but not without heartache. the quality of our documetation is suffering, not to mention the ease of finger swipe errors. people just arent documenting things they would have had it been right in front of them. i have the unlucky pleasure of doing hundreds of chart audits a month and i read some charts and cringe.
for example, we had a brain dead pt (huge bleed) who wound up being an organ donor very quickly.
after being declared brain dead twice and the procurement, the me read the chart and noticed the pt was a&ox3 on arrival. this was no where near the truth, but was entered into the mr by habit. now this a big problem.
it also time stamps when you do your charting. if you dont enter the actual time you did something, it looks like it was done at the time you charted it. this was a big problem with another pt expiration.
the recall of pt visits and legibility is invaluable. rx writer should be great, too, once we get it.
it also takes a while to get software changes made through programming.
it also cant interface with our hospital's main charting system, which are jcaho problems w/ medication reconcilation and ed holds.
these problems might be inherent with any emr system, who knows? shop around and good luck!
uote=ernursie172]we are currently looking at different vendors for emr in our emergency department. if your ed is using emr i would love to hear your comments, pitfalls and all please!!! we will be doing a site visit at houston medical center in georgia to check out ibex next week.
thanks for your input....