In the article “Information System Applications in the Emergency Department,” Marvin Harper suggests that sometime very soon the Emergency Department (ED) of the future will be much more streamlined due to new software technology and advances in information systems. As someone who has a degree in Healthcare Management and work partially in the healthcare industry, I must say I find Mr. Harper’s views intelligent and very insightful. Harper’s focus on new technology for information systems is designed to help many aspects of the ED. The first area of the ED Harper touches on is the registration process. He points out that new software specific to the ED and not the entire hospital, could speed up the registration process for many by having a process to handle patient specimen analysis and medical test ordering, all of which would be done before demographic information is taken. In addition, the ED could work with the facility to develop a quick registration process by which patients are identified by previous visits to the medical facility or ED. Second, Harper discusses the importance of information systems as related to triage in the ED. Data entry and collection is of utmost importance in this area and having a robust information system in place would do nothing but help everyone from the charge nurse to the treating nurse to the treating physician. I completely agree with Harper especially with this aspect of the ED. Wait times in emergency room have increased dramatically and are potentially going to increase even more since the implementation of the new Affordable Care Act (ACA) law. Experts say that the task of reducing ED wait times is only going to get tougher, as the ACA will expand the pool of eligible Medicaid recipients seeking care by at least 15 million nationally (Farrish, 2013). Third, Harper feels that advances in information systems would help with patient tracking. An electronic system could track patients that were due to arrive to different departments of the medical facility including the ED. Harper explains, the key to this type of efficient patient tracking system needs to be the simplicity of visual displays and the data entry interface of the information system. Large displays seem to help nurses in high volume conditions because when nurses are required to manipulate increasing amounts of clinical information, the large display configurations may support at-a-glance view, as well as for monitoring and understanding global ED state (Priyadarshini & Pennathur, 2011). Some aspects of the system software could also include voice recognition and transcription which would help eliminate mistakes and save time on the part of the clinicians. I also agree with Harper regarding advanced hardware and process for patient tracking especially when it’s designed to keep mistakes at a minimum and improve the patient workflow through the medical facility. Fourth, nurse charting and order entry are two other aspects Harper touches on that could see improvement with the implementation of future advanced information systems. More and more responsibilities are falling on the shoulders of nurses, mostly due to the number of patients an ED treats. Nurses and doctors need a high tech streamlined system to record notes, request drug orders, pull drug retrieval reports, and have administrative capabilities. Harper feels, as do I, that when a doctor needs to order a drug or even a radiological procedure for a patient it should be as simple as a few clicks on a display. This type of system would reduce errors in administered medications and data entry. Although there is no documentation that shows actual improvements in medical outcomes, the literature suggests that such systems have the potential to improve patient outcomes through the decrease of adverse drug events