this applies to sfgh. Currently the emergency room has it's own electronic medical record system that is independent of InVision. Can improve patient care by allowing providers outside of er to view the system. Patients in er and clinical decision unit have vitals tracked within that system, also nurses notes, and medications given are all tracked in the system. Though the data does eventually get loaded into invision, there are sometimes delays in the uploading and can improve patient care as well as speed of admitting by allowing others to view the system.