A Report of Information Technology and Health Deficiencies in U.S. Nursing Homes.
A Report of Information Technology and Health Deficiencies in U.S. Nursing Homes.
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美国养老院信息技术与健康缺陷报告。
DOI：
10.1097/pts.0000000000000390
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发表时间：
2021-09-01
影响因子：
2.2
通讯作者：
Madsen RW
中科院分区：
文献类型：
--
作者：
Alexander GL;Madsen RW
调查养老院信息技术的复杂性对标准检查期间记录的公开报告的健康安全缺陷分数的影响。样本包括来自美国每个州的807名国民保健服务人员。这些设施共记录了2187次卫生检查。使用了一项全国IT成熟度调查，描述了美国NHs在住院护理、临床支持和行政活动中的IT能力、IT使用程度和IT集成程度。使用加权回归检验NH健康缺陷与IT成熟度调查得分之间的关系。控制每个住院医师每天的RN小时，缺陷分数随着总体IT复杂程度的增加而降低。控制总的IT复杂程度得分，缺陷得分随着每个住院医师日注册护士小时的增加而下降。所有权状况显著影响健康缺陷评分。这些结果强调了了解实施NH IT的好处并证明其对患者安全的影响的必要性。
Investigate the impact of nursing home information technology sophistication on publically reported health safety deficiency scores documented during standard inspections. The sample included 807 NHs from every US state. A total of 2187 health inspections were documented in these facilities. A national IT sophistication survey describing IT capabilities, extent of IT use, and degree of IT integration in resident care, clinical support, and administrative activities in US NHs was used. The relationship between NH health deficiencies and IT sophistication survey scores were examined, using weighted regression. Controlling for RN hours per resident day, deficiency scores decreased as total IT sophistication increased. Controlling for total IT sophistication score, deficiency scores decreased as RN hours per resident day increased. Ownership status significantly influenced health deficiency scores. These results highlight the necessity to understand benefits of implementing NH IT and demonstrating its impact on patient safety.