ArticleComputers, informatics, nursing : CIN2017
Implementation of Electronic Health Records in US Nursing Homes.
Article in Computers, informatics, nursing : CIN, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Implementation of eHealth to Support Assessment and Decision-making for Residents With Dementia in Long-term Care: Systematic Review.Journal of medical Internet research · 2022Pooled it
- Delirium superimposed on dementia in post-acute care: Nurse documentation of symptoms and interventions.Geriatric nursing (New York, N.Y.)Trial
- The views of different care professionals on using an electronic health record in the care for older people.BMC geriatrics · 2026Article
- Enhancing Standardized and Structured Recording by Elderly Care Physicians for Reusing Electronic Health Record Data: Interview Study.JMIR medical informatics · 2024Article
- Electronic Nursing Records: Importance for Nursing and Benefits of Implementation in Health Information Systems-A Scoping Review.Nursing reports (Pavia, Italy) · 2024Article
- Electronic Health Record Implementation Enhances Financial Performance in High Medicaid Nursing Homes.Journal of multidisciplinary healthcare · 2024Article
- Predicting Nurse Turnover for Highly Imbalanced Data Using the Synthetic Minority Over-Sampling Technique and Machine Learning Algorithms.Healthcare (Basel, Switzerland) · 2023Article
- Nursing Homes Underreport Antipsychotic Use but Overreport Diagnoses Qualifying for Appropriate Use.Health affairs scholar · 2023Article
- Urinary tract infection treatment practices in nursing homes reporting to the National Healthcare Safety Network, 2017.Infection control and hospital epidemiology · 2022Article
- The Impact of COVID-19 on Levels of Adherence to the Completion of Nursing Records for Inpatients in Isolation.International journal of environmental research and public health · 2021Observational
- COVID-19: The Time for Collaboration Between Long-Term Services and Supports, Health Care Systems, and Public Health Is Now.The Milbank quarterly · 2021Article
- Electronic Health Record Use in Swiss Nursing Homes and Its Association With Implicit Rationing of Nursing Care Documentation: Multicenter Cross-sectional Survey Study.JMIR medical informatics · 2021Article
- Description of antibiotic use variability among US nursing homes using electronic health record data.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2021Article
- Electronic Health Records in Danish Home Care and Nursing Homes: Inadequate Documentation of Care, Medication, and Consent.Applied clinical informatics · 2021Article
- Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content.Life (Basel, Switzerland) · 2020Article
- Time to Strategically Position Nursing Homes to Effectively Manage Emerging Infections.Journal of the American Medical Directors Association · 2020Article
- Adoption of Health Information Technology Among US Nursing Facilities.Journal of the American Medical Directors Association · 2019Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
While electronic health records have emerged as promising tools to help improve quality of care, nursing homes have lagged behind in implementation. This study assessed electronic health records implementation, associated facility characteristics, and potential impact on quality indicators in nursing homes. Using national Centers for Medicare & Medicaid Services and survey data for nursing homes, a cross-sectional analysis was conducted to identify variations between nursing homes that had and had not implemented electronic health records. A difference-in-differences analysis was used to estimate the longitudinal effect of electronic health records on commonly used quality indicators. Data from 927 nursing homes were examined, 49.1% of which had implemented electronic health records. Nursing homes with electronic health records were more likely to be nonprofit/government owned (P = .04) and had a lower percentage of Medicaid residents (P = .02) and higher certified nursing assistant and registered nurse staffing levels (P = .002 and .02, respectively). Difference-in-differences analysis showed greater quality improvements after implementation for five long-stay and two short-stay quality measures (P = .001 and .01, respectively) compared with those who did not implement electronic health records. Implementation rates in nursing homes are low compared with other settings, and better-resourced facilities are more likely to have implemented electronic health records. Consistent with other settings, electronic health records implementation improves quality in nursing homes, but further research is needed to better understand the mechanism for improvement and how it can best be supported.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.