Dowding, DW, Turley, M and Garrido, T (2011) The impact of an electronic health record on nurse sensitive patient outcomes: an interrupted time series analysis. Journal of the American Medical Informatics Association, 19 (4). 615 - 620 . ISSN 1067-5027
Abstract
Objectives To evaluate the impact of electronic health record (EHR) implementation on nursing care processes and outcomes. Design Interrupted time series analysis, 2003–2009. Setting A large US not-for-profit integrated health care organization. Participants 29 hospitals in Northern and Southern California. Intervention An integrated EHR including computerized physician order entry, nursing documentation, risk assessment tools, and documentation tools. Main outcome measures Percentage of patients with completed risk assessments for hospital acquired pressure ulcers (HAPUs) and falls (process measures) and rates of HAPU and falls (outcome measures). Results EHR implementation was significantly associated with an increase in documentation rates for HAPU risk (coefficient 2.21, 95% CI 0.67 to 3.75); the increase for fall risk was not statistically significant (0.36; −3.58 to 4.30). EHR implementation was associated with a 13% decrease in HAPU rates (coefficient −0.76, 95% CI −1.37 to −0.16) but no decrease in fall rates (−0.091; −0.29 to 0.11). Irrespective of EHR implementation, HAPU rates decreased significantly over time (−0.16; −0.20 to −0.13), while fall rates did not (0.0052; −0.01 to 0.02). Hospital region was a significant predictor of variation for both HAPU (0.72; 0.30 to 1.14) and fall rates (0.57; 0.41 to 0.72).
Metadata
Item Type: | Article |
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Authors/Creators: |
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Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) > Nursing (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 20 Jun 2013 14:44 |
Last Modified: | 16 Sep 2016 14:36 |
Published Version: | http://dx.doi.org/10.1136/amiajnl-2011-000504 |
Status: | Published |
Publisher: | BMJ Publishing Group |
Identification Number: | 10.1136/amiajnl-2011-000504 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:75748 |