Evidence map›Paper›PMID 35172166›Full record

ArticleJournal of the American Medical Directors Association2022

Examining Nursing Home Information Technology Maturity and Antibiotic Use Among Long-Term Care Residents.

Catherine C Cohen, Kimberly Powell, Andrew W Dick, Chelsea B Deroche, Mansi Agarwal, Patricia W Stone, Gregory L Alexander

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Medical Directors Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Catherine C CohenRAND Corporation, Santa Monica, CA, USA. Electronic address: ccohen@rand.org.
Kimberly PowellSinclair School of Nursing, University of Missouri, Columbia, MO, USA.
Andrew W DickRAND Corporation, Boston, MA, USA.
Chelsea B DerocheSinclair School of Nursing, University of Missouri, Columbia, MO, USA.
Mansi AgarwalColumbia University School of Nursing, Center for Health Policy, New York, NY, USA.
Patricia W StoneColumbia University School of Nursing, Center for Health Policy, New York, NY, USA.
Gregory L AlexanderColumbia University School of Nursing, Center for Health Policy, New York, NY, USA.
Columbia University · USRAND Corporation · USUniversity of Missouri · US

Funding

Study of Infection Management and Palliative Care at End-of-Life (SIMP-EL)R01NR013687 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI STONE, PATRICIA W. · 2012 to 2020
$5.8M
A National Report of Nursing Home Quality Measures and Information TechnologyR01HS022497 · AHRQ · UNIVERSITY OF MISSOURI-COLUMBIA · PI ALEXANDER, GREGORY L. · 2013 to 2021
$2.7M
AHRQ HHS R01 HS022497NINR NIH HHS R01 NR013687
6 · The paper itself

Abstract

objectivesUp to 15% of the 1.4 million US nursing home (NH) residents receive antibiotics daily. Antibiotic use in NHs is often inappropriate, contributing to quality and safety concerns as well as antibiotic resistance. Information technology (IT) maturity-defined as the extent to which facilities possess and use diverse technological devices and software that are integrated across resident care, clinical support, and administrative activities-may improve the tracking and reporting of antibiotic use in NH residents. Thus, this research explores trends in IT maturity over time and associations with antibiotic use in US NHs.

designRepeated cross-sectional study. SETTING AND

participantsLong-term resident assessments from a random sample of Medicare-certified US NHs over 4 consecutive years (2013-2017).

methodsThree data sources were used: (1) 4 annual surveys measuring IT maturity, (2) Minimum Data Set (MDS) 3.0 assessments for resident characteristics, and (3) Certification and Survey Provider Enhanced Reporting data for facility characteristics. Nonadmission MDS assessments that were within a 90-day window of the IT survey were eligible. Descriptive statistics were examined. Bivariate and multivariate regressions using NH fixed effects were conducted controlling for resident and NH characteristics.

resultsThere were 219,461 MDS assessments from 80,237 long-stay residents aged ≥65 years, living in 817 NHs. Trends in IT maturity increased significantly over 4 years. IT integration in administrative processes was positively associated with antibiotic use (AOR 1.072, 95% CI 1.025, 1.122). CONCLUSIONS AND IMPLICATIONS: IT components that integrate administrative activities, which can provide greater access to data sources across the organization as a whole, was associated with changes in antibiotic use. Further evaluation is needed to determine if antibiotic use is more appropriate with higher maturity such that policy makers can encourage IT with these capabilities to promote antibiotic stewardship.

Indexed as

Anti-Bacterial AgentsLong-Term CareAgedCross-Sectional StudiesHumansInformation TechnologyMedicareNursing HomesUnited StatesAnti-Bacterial Agentsantibioticsmedical informaticsNursing homestechnology

Identifiers

PMID35172166
PMCPMC9177678
OpenAlexW4212879965

What OpenQuestion holds

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Registered trials

None linked

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.