Use of Electronic Information Systems in Nursing Homes: United States, 2004
Use of Electronic Information Systems in Nursing Homes: United States, 2004
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DOI：
10.1197/jamia.m2955
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发表时间：
2009-03-01
影响因子：
6.4
通讯作者：
Alwan, Majd
中科院分区：
文献类型：
--
作者：
Resnick, Helaine E.;Manard, Barbara B.;Alwan, Majd
目的：本研究旨在确定美国疗养院（NH）中12种电子信息系统（EIS）功能的利用程度，将EIS利用与选定的设施特征联系起来，并将这些发现与以前对EIS在NH中使用的估计进行对比。设计：本研究使用了来自全国疗养院调查（NNHS）的数据，NNHS是美国NH的全国代表性横断面样本。目前使用的EIS在12个功能领域，包括行政和居民护理活动的数据进行了收集。信息也收集设施的特点，包括所有权，床的大小，以及该设施是否是一个成员的chain.Results：基本上所有（99.6%）美国NH有>= EIS，一个数字，这是由几乎普遍使用的最小数据集（MDS）报告（96.4%）和计费（95.4%）的EIS驱动。近43%的美国NH有医疗记录的EIS，包括护士笔记，医生笔记和MDS表格。EIS的使用范围从79.6%（入院、转院和出院）到17.6%（由认证护理助理（CNA）进行日常护理）。所有权，成员在一个链，床的大小与使用选定的EIS。较大的设施和那些是一个链的一部分，使用更多的EIS比较小的独立facility.Conclusion：在2004年，NH使用EIS的功能以外的MDS和计费是高度可变的，但大大高于以前的估计。
Objectives: This study sought to define the extent of utilization of 12 types of electronic information system (EIS) function in U.S. nursing homes (NH), to relate EIS utilization to selected facility characteristics and to contrast these findings to previous estimates of EIS use in NH.Design: This study used data from the National Nursing Home Survey (NNHS), a nationally representative, cross-sectional sample of U.S. NH.Measurements: Data on current use of EIS in 12 functional areas, including administrative and resident care activities, were collected. Information was also collected on facility characteristics including ownership, bed size, and whether the facility was a member of a chain.Results: Essentially all (99.6%) U.S. NH had >= EIS, a figure that was driven by the nearly universal use of EIS for Minimum Data Set (MDS) reporting (96.4%) and for billing (95.4%). Nearly 43%, of U.S. NH had EIS for medical records, including nurse's notes, physician notes, and MDS forms. EIS use ranged from a high of 79.6%, for admission, transfer, and discharge to a low of 17.6% for daily care by certified nursing assistants (CNAs). Ownership, membership in a chain, and bed size were associated with use of selected EIS. Larger facilities and those that were part of a chain used more EIS than smaller standalone facilities.Conclusion: In 2004, NH use of EIS for functions other than MDS and billing was highly variable, but considerably higher than previous estimates.