National Healthcare Quality and Disparities Report
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大象视频Research Studies
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Research Studies is a compilation of published research articles funded by 大象视频or authored by 大象视频researchers.
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1 to 2 of 2 Research Studies DisplayedGoodman KE, Taneja M, Magder LS
A multi-center validation of the electronic health record admission source and discharge location fields against the clinical notes for identifying inpatients with long-term care facility exposure.
A validation study across 12 University of Maryland hospitals evaluated electronic health record (EHR) data accuracy in identifying patients with long-term care facility (LTCF) exposure. The study compared EHR admission and discharge fields against clinical notes for 1,020 adult admissions. Combined EHR fields identified 76% of LTCF-exposed patients compared to manual chart review, though accuracy was lower for currently exposed patients. History and physical notes showed higher sensitivity for detecting current LTCF exposure than EHR fields alone.
AHRQ-funded; HS028363.
Citation: Goodman KE, Taneja M, Magder LS .
A multi-center validation of the electronic health record admission source and discharge location fields against the clinical notes for identifying inpatients with long-term care facility exposure.
Infect Control Hosp Epidemiol 2024 Aug:1-6. doi: 10.1017/ice.2024.37.
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Long-Term Care, Hospitals
Enyioha C, Khairat S, Kistler CE
Adoption of electronic health records by practices of nursing home providers and Wi-Fi availability in nursing homes.
This study evaluated the rate of electronic health record (EHR) adoption by nursing homes (NHs) and nursing home providers and Wi-Fi availability in nursing homes by geographical region. The authors conducted a cross-sectional survey on a convenience sample of NH primary care providers (PCPs) serving 867 NHs recruited from the Medefield Primary Care research panel. They also sought to evaluate the proportion of NHs with Wi-Fi access. The states were categorized into four geographical locations: Midwest, Northeast, South, and West. Participants included a total of 515 physicians, 209 nurse practitioners, and 143 physician assistants. Mean age of participants was 49 years, 56% were male, and 76% white. The mean number of days per week participants worked in a NH was 1.8 and number of hours per week 32.3. Overall, 89.4% reported EHR adoption in their practice, and 73.2% reported Wi-Fi presence in their primary NH. The three most EHRs were EpicCare Ambulatory (24.0%), Vitera (20.4%), and eClinicalWorks (14.4%) Wi-Fi access was highest in the Northeast (78.1%) and lowest in the West (63.9%). Rates of EHR adoption was also highest in the Northeast (94.5%). These differences may help explain continued deficiencies in care coordination between NH and other sites of clinical care.
AHRQ-funded; HS024519.
Citation: Enyioha C, Khairat S, Kistler CE .
Adoption of electronic health records by practices of nursing home providers and Wi-Fi availability in nursing homes.
J Am Med Dir Assoc 2021 Feb;22(2):475-76. doi: 10.1016/j.jamda.2020.09.028..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Nursing Homes, Long-Term Care
