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Am J Obstet Gynecol. 2008 Jun;198(6):690.e1-5; discussion 690.e5-6. doi: 10.1016/j.ajog.2008.03.022.

Voluntary physician adoption of an inpatient electronic medical record by obstetrician-gynecologists.

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  • 1Women's and Children's Department, Saddleback Memorial Medical Center, Laguna Hills, CA, USA.



The purpose of this study was to review the utilization statistics for voluntary physician adoption of a comprehensive inpatient electronic record by community obstetrician-gynecologists.


A retrospective analysis of administrative data on the utilization of a modern electronic medical record system in a private hospital setting was performed. The physician statistics for order entry and physician documentation pre- and postimplementation were compared.


During the study period monthly hospital average was 268 discharges per month and 64.9 orders per discharge. Utilizing the prior stand alone order entry system, 38.7% of orders were directly entered by physicians, and, following implementation, this rose to 72.1% with phone/verbal orders reduced by 44.9%. Monthly transcription rates of history and physical, consultations, operative and discharge summary notes were reduced by 61.5%, 75.8%, 56.6%, and 88.2%, respectively, over the study time period.


A well designed electronic medical record can be utilized in the voluntary private inpatient setting with significant physician adoption.

[PubMed - indexed for MEDLINE]
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