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  1. Zamora, Zeke MD
  2. McCall, Brenda BSN, RN
  3. Patel, Laura MD
  4. Biese, Kevin MD
  5. LaMantia, Michael MD
  6. Platts-Mills, Tim MD
  7. Naus, Nelson BS
  8. Jerkewitz, Hans P. BS
  9. Cairns, Charles B. MD
  10. Busby-Whitehead, Jan MD
  11. Kizer, John S. MD


We constructed a bidirectional Web-based system to transmit critical patient information in real time between referring nursing homes and a university hospital emergency department (ED) to facilitate the care of patients referred to our ED. Our model was inexpensive, improved measures of information transfer, and increased provider satisfaction.