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This study evaluated the contribution of EHR and HIE networks to physicians by investigating whether health information technology can lead to more efficient admission decisions by reducing redundant admissions in the stressful environment of emergency. Log-files were retrieved from an integrative and interoperable EHR that serves seven main Israeli hospitals. The analysis was restricted to a group of patients seen in the emergency departments who were administered a Creatinine test. The assessment of the contribution of EHR to admission decisions used various statistical analyses and track log-file analysis. We showed that using the EHR contributes to more efficient admission decisions and reduces the number of avoidable admissions. In particular, there was a reduction in readmissions when patient history was viewed. Using EHR can help respond to the international problem of avoidable hospital readmissions.<\/jats:p>","DOI":"10.1177\/1460458213503646","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T22:32:39Z","timestamp":1396391559000},"page":"73-88","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":26,"title":["Using electronic health record systems to optimize admission decisions: The Creatinine case study"],"prefix":"10.1177","volume":"21","author":[{"given":"Ofir","family":"Ben-Assuli","sequence":"first","affiliation":[{"name":"Ono Academic College, Israel; Tel-Aviv University, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Itamar","family":"Shabtai","sequence":"additional","affiliation":[{"name":"The College of Management Academic Studies, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moshe","family":"Leshno","sequence":"additional","affiliation":[{"name":"Tel-Aviv University, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,4,1]]},"reference":[{"key":"bibr1-1460458213503646","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.W5.10"},{"key":"bibr2-1460458213503646","doi-asserted-by":"publisher","DOI":"10.1145\/1089107.1089141"},{"key":"bibr3-1460458213503646","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0900592"},{"key":"bibr4-1460458213503646","doi-asserted-by":"publisher","DOI":"10.1007\/s10916-012-9852-0"},{"key":"bibr5-1460458213503646","unstructured":"The New York Times, http:\/\/www.nytimes.com\/2009\/11\/08\/magazine\/08Healthcare-t.html?_r=2&hp (accessed 27 July 2012)."},{"key":"bibr6-1460458213503646","volume-title":"Key success factors in implementing electronic medical records in University Hospital of Rennes","author":"Sanchez JL","year":"2005"},{"key":"bibr7-1460458213503646","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.25.3.819"},{"key":"bibr8-1460458213503646","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm031"},{"key":"bibr9-1460458213503646","first-page":"272","volume-title":"Telemedizinf\u00fchrer","author":"G\u00f6res U.","year":"2009"},{"key":"bibr10-1460458213503646","unstructured":"Claxton K, Eggington S, Ginnelly L, A pilot study of value of information analysis to support research recommendations for the National Institute for Clinical Excellence. 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