J Am Med Inform Assoc - Facility characteristics associated with the use of electronic health records in residential care facilities.

Tópicos

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{ health(3367) inform(1360) care(1135) }
{ studi(1119) effect(1106) posit(819) }
{ state(1844) use(1261) util(961) }
{ medic(1828) order(1363) alert(1069) }
{ can(981) present(881) function(850) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ general(901) number(790) one(736) }
{ import(1318) role(1303) understand(862) }
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{ patient(2837) hospit(1953) medic(668) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
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{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
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{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
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{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

The integration of electronic health records (EHRs) across care settings including residential care facilities (RCFs) promises to reduce medical errors and improve coordination of services. Using data from the 2010 National Survey of Residential Care Facilities (n=2302), this study examines the association between facility structural characteristics and the use of EHRs in RCFs. Findings indicate that in 2010, only 3% of RCFs nationwide were using an EHR. However, 55% of RCFs reported using a computerized system for one or more (but not all) of the functionalities defined by a basic EHR. Ownership, chain membership, staffing levels, and facility size were significantly associated with the use of one or more core EHR functionalities. These findings suggest that facility characteristics may play an important role in the adoption of EHRs in RCFs.

Resumo Limpo

integr electron health record ehr across care set includ residenti care facil rcfs promis reduc medic error improv coordin servic use data nation survey residenti care facil n studi examin associ facil structur characterist use ehr rcfs find indic rcfs nationwid use ehr howev rcfs report use computer system one function defin basic ehr ownership chain membership staf level facil size signific associ use one core ehr function find suggest facil characterist may play import role adopt ehr rcfs

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