Document Type

Article

Publication Date

1-1-2023

Publication Title

On - Line Journal of Nursing Informatics: OJNI

Volume

26

Issue

3

First page number:

1

Last page number:

15

Abstract

Improvement in quality and patient safety outcomes have been at the forefront of the United States healthcare system. Policies advocate for implementing different electronic health records (EHR) levels to support this effort. Several studies have demonstrated mixed results on the impact of EHR on quality and safety outcomes. Our study delves deeper into gaining an understanding of this influence on hospitals that have adopted various levels of EHR, especially intermediate and comprehensive. Using a longitudinal study design for general acute care hospitals within the U.S., we examine the relationship between intermediate and comprehensive EHR on quality (readmission rates for pneumonia and COPD) and safety (adverse incident rate) using a random-effects model. Our national sample consisted of 7,084 hospital-year observations from 2014-2016. Hospitals with intermediate EHR had about an 8% decrease in 30-day readmission for Pneumonia compared to the hospitals with no intermediate EHR, while comprehensive EHR experienced a decrease of about 1% in adverse incident rate compared to hospitals that did not have comprehensive EHR. Our study buttresses prior findings that simply having EHR may not have an effect on outcomes, and a more targeted, meaningful use would need to be ensured.

Controlled Subject

Medical records--Data processing; Medical informatics; Patients--Safety measures

Disciplines

Health and Medical Administration | Health Information Technology | Quality Improvement

File Format

PDF

File Size

2400 KB

Language

English

Rights

IN COPYRIGHT. For more information about this rights statement, please visit http://rightsstatements.org/vocab/InC/1.0/

Creative Commons License

Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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