ArticleJournal of the American Medical Informatics Association : JAMIA
The impact of an electronic health record on nurse sensitive patient outcomes: an interrupted time series analysis.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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The trial behind it
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 83 citations in OpenAlex.
- Pooled it
- Routine Health Information System (RHIS) improvements for strengthened health system management.The Cochrane database of systematic reviews · 2020Pooled it
- Effects of health information technology on patient outcomes: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2016Pooled it
- Staggered interventions with no control groups.International journal of epidemiology · 2024Article
- The application of health information technology for the elderly care in the emergency department: a conceptual model.BMC geriatrics · 2024Article
- Exploring variation in implementation of multifactorial falls risk assessment and tailored interventions: a realist review.BMC geriatrics · 2023Review
- Designing health IT to support falls prevention in hospitals: Findings from a realist review.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022Article
- Impact of electronic health records on predefined safety outcomes in patients admitted to hospital: a scoping review.BMJ open · 2021Article
- Personalized treatment options for chronic diseases using precision cohort analytics.Scientific reports · 2021Article
- Impact of repeated hospital accreditation surveys on quality and reliability, an 8-year interrupted time series analysis.BMJ open · 2019Article
- Acute care nurses' perceptions of electronic health record use: A mixed method study.Nursing open · 2018Article
- Implementation of Electronic Health Records in US Nursing Homes.Computers, informatics, nursing : CIN · 2017Article
- Implementing Information and Communication Technology to Support Community Aged Care Service Integration: Lessons from an Australian Aged Care Provider.International journal of integrated care · 2017Article
- In Search of Social Translucence: An Audit Log Analysis of Handoff Documentation Views and Updates.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2015Article
- Electronic health records-driven phenotyping: challenges, recent advances, and perspectives.Journal of the American Medical Informatics Association : JAMIA · 2013Article
- Helping Older Adults Improve Their Medication Experience (HOME) by Addressing Medication Regimen Complexity in Home Healthcare.Home healthcare nowArticle
- Software development to support decision making in the selection of nursing diagnoses and interventions for children and adolescents.Revista latino-americana de enfermagemArticle
- The use of health information technology to improve care and outcomes for older adults.Research in gerontological nursingArticle
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the impact of electronic health record (EHR) implementation on nursing care processes and outcomes.
designInterrupted time series analysis, 2003-2009.
settingA large US not-for-profit integrated health care organization.
participants29 hospitals in Northern and Southern California.
interventionAn integrated EHR including computerized physician order entry, nursing documentation, risk assessment tools, and documentation tools.
main outcome measuresPercentage of patients with completed risk assessments for hospital acquired pressure ulcers (HAPUs) and falls (process measures) and rates of HAPU and falls (outcome measures).
resultsEHR 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).
conclusionsThe introduction of an integrated EHR was associated with a reduction in the number of HAPUs but not in patient fall rates. Other factors, such as changes over time and hospital region, were also associated with variation in outcomes. The findings suggest that EHR impact on nursing care processes and outcomes is dependent on a number of factors that should be further explored.
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