ArticleJournal of the American Medical Directors Association2019
Adoption of Health Information Technology Among US Nursing Facilities.
Article in Journal of the American Medical Directors Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
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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.
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Who cites it
25 citing papers in PubMed.
- Delirium superimposed on dementia in post-acute care: Nurse documentation of symptoms and interventions.Geriatric nursing (New York, N.Y.)Trial
- Article
- Exploring Australian pharmacists' experiences with the electronic National Residential Medication Chart: a qualitative descriptive study.International journal of clinical pharmacy · 2025Article
- Gaps in Primary Care Follow-Up After Hospital Discharge Among Medicare Beneficiaries.Journal of the American Geriatrics Society · 2025Article
- Best Practices for Implementing Electronic Care Records in Adult Social Care: Rapid Scoping Review.JMIR aging · 2025Article
- Use of electronic health record data to examine administrations of pro re nata analgesics during hip fracture post-acute care.Pharmacoepidemiology and drug safety · 2024Article
- [Modeling and comfort analysis of arrayed air cushion mattress for pressure ulcer prevention and assisted repositioning].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2024Article
- Information sharing to support care transitions for patients with complex mental health and social needs.Journal of the American Geriatrics Society · 2023Article
- Characteristics of telemedicine workflows in nursing homes during the COVID-19 pandemic.BMC health services research · 2023Article
- Identifying a Clinical Informatics or Electronic Health Record Expert Witness for Medical Professional Liability Cases.Applied clinical informatics · 2023Article
- Design, Development, and Evaluation of an Automated Solution for Electronic Information Exchange Between Acute and Long-term Postacute Care Facilities: Design Science Research.JMIR formative research · 2023Article
- What is the level of information technology maturity in Ontario's long-term care homes? A cross-sectional survey study protocol.BMJ open · 2023Article
- Reimagining Infection Control in U.S. Nursing Homes in the Era of COVID-19.Journal of the American Medical Directors Association · 2022Article
- Numerical simulation-based loaded inflation height modeling of nursing bed airbag.Medical & biological engineering & computing · 2022Article
- Progress Toward Digital Transformation in an Evolving Post-Acute Landscape.Innovation in aging · 2022Article
- Association of Private Equity Investment in US Nursing Homes With the Quality and Cost of Care for Long-Stay Residents.JAMA health forum · 2021Article
- Health Data Sharing in US Nursing Homes: A Mixed Methods Study.Journal of the American Medical Directors Association · 2021Article
- The Effect of Innovation Capabilities of Health Care Organizations on the Quality of Health Information Technology: Model Development With Cross-sectional Data.JMIR medical informatics · 2021Article
- An evaluation of telehealth expansion in U.S. nursing homes.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Ternary Trends in Nursing Home Information Technology and Quality Measures in the United States.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesNursing facilities have lagged behind in the adoption of interoperable health information technology (ie technologies that allow the sharing and use of electronic patient information between different information systems). The objective of this study was to estimate the nationwide prevalence of electronic health record (EHR) adoption among nursing facilities and to identify the factors associated with adoption.
designCross-sectional survey. SETTING &
participantsWe surveyed members of the Society for Post-Acute & Long-Term Care Medicine (AMDA) about their organizations' health information technology usage and characteristics. MEASUREMENTS: Using questions adopted from existing instruments, the survey measured nursing home's EHR adoption, the ability to send, receive, search and integrate electronic information, as well as barriers to usage. Additionally, we linked survey responses to public use secondary data sources to construct measurements for 8 determinants known to be associated with organizational adoption: innovativeness, functional differentiation, role specialization, administrative intensity, professionalism, complexity, technical knowledge resources, and slack resources. A series of regression models estimated the association between potential determinants and technology adoption.
results84% of nursing facilities reported using an EHR. After controlling for all other factors, respondents who characterized their organization as more innovative had more than 6 times the odds (adjusted odds ratio = 6.39, 95% confidence interval = 2.69, 15.21) of adopting an EHR. Organization innovativeness was also associated with an increased odds of being able to send, integrate, and search for electronic information. The most commonly identified barrier to sharing clinical information among nursing facilities with an EHR was a reported absence of interoperability (57%). CONCLUSIONS/IMPLICATIONS: An organizational culture that fosters innovation and awareness campaigns by professional societies may facilitate further adoption and effective use of technology. This will be increasingly important as policy makers continue to emphasize the use of EHRs and interoperability to improve the quality of care in nursing facilities.
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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.