The impact of electronic health record implementation and use on performance of the Surgical Care Improvement Project measures.
The impact of electronic health record implementation and use on performance of the Surgical Care Improvement Project measures.
复制标题
电子健康记录的实施和使用对外科护理改进项目措施绩效的影响。
DOI：
10.1111/1475-6773.12191
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发表时间：
2015
影响因子：
3.4
通讯作者：
Friedman,Bruce
中科院分区：
文献类型：
--
作者：
Thirukumaran,CarolinePinto;Dolan,JamesG;ReaganWebster,Patricia;Panzer,RobertJ;Friedman,Bruce
目的探讨电子病历(EHR)在三级医疗教学医院实施外科护理改进项目(SCIP)措施中的作用。数据来源SCIP核心测量数据集，来自CMS医院住院患者质量报告计划(2010年3月至2012年2月)。研究设计一组EHR治疗前后的Logistic回归和差异分析。主要研究结果显示，综合治疗、术后拔除导尿管和心脏手术后血糖控制措施的评分在短期内显著下降。在电子病历部署3个月后，这些测量的分数在统计学上没有显著的改善。结论向EHR过渡似乎与短期质量下降有关。应制定实施战略，以抢占或最大限度地减少这种最初的下降。
Objective To examine the impact of electronic health record (EHR) deployment on Surgical Care Improvement Project (SCIP) measures in a tertiary-care teaching hospital. Data Sources SCIP Core Measure dataset from the CMS Hospital Inpatient Quality Reporting Program (March 2010 to February 2012). Study Design One-group pre- and post-EHR logistic regression and difference-in-differences analyses. Principal Findings Statistically significant short-term declines in scores were observed for the composite, postoperative removal of urinary catheter and post–cardiac surgery glucose control measures. A statistically insignificant improvement in scores for these measures was noted 3 months after EHR deployment. Conclusion The transition to an EHR appears to be associated with a short-term decline in quality. Implementation strategies should be developed to preempt or minimize this initial decline.