Electronic Medical Records, Nurse Staffing, and Nurse-Sensitive Patient Outcomes: Evidence From the National Database of Nursing Quality Indicators

被引：39

作者：

Furukawa, Michael F. ^{[1
]}

Raghu, T. S. ^{[1
]}

Shao, Benjamin B. M. ^{[1
]}

机构：

[1] Arizona State Univ, Tempe, AZ 85287 USA

来源：

MEDICAL CARE RESEARCH AND REVIEW | 2011年 / 68卷 / 03期

关键词：

health information technology; electronic medical records; nurse staffing; patient outcomes; efficiency; HEALTH INFORMATION-TECHNOLOGY; CROSS-SECTIONAL DEPENDENCE; PRESSURE ULCERS; ORDER ENTRY; IMPACT; CARE; DOCUMENTATION; SYSTEMS; TIME; IMPLEMENTATION;

D O I：

10.1177/1077558710384877

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Electronic medical records (EMR) have the potential to improve nursing care in the hospital setting. This study estimated the association of EMR implementation with nurse staffing levels, skill mix, contract/agency percent, and nurse-sensitive patient outcomes in U. S. hospitals. Data on nurse staffing and patient outcomes came from the 2004-2008 National Database of Nursing Quality Indicators. Data on EMR implementation came from the 2004-2008 HIMSS Analytics Database. The authors conducted a longitudinal analysis of an unbalanced panel of 3,048 medical/surgical units in 509 short-term, general acute care hospitals. EMR implementation was associated with lower total nurse hours per patient day, higher Registered Nurse percent and contract/agency percent, and higher adverse patient events in the short term. EMR may create a skill bias toward higher-skilled nurses. As more advanced EMR systems diffuse into practice, managers and policy makers should consider potential negative associations of EMR implementation with patient safety.

引用

页码：311 / 331

页数：21

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