Evidence map›Paper›PMID 28963091›Full record

ArticleJMIR medical informatics2017

Impact of Electronic Health Records on Long-Term Care Facilities: Systematic Review.

Clemens Scott Kruse, Michael Mileski, Alekhya Ganta Vijaykumar, Sneha Vishnampet Viswanathan, Ujwala Suskandla, Yazhini Chidambaram

Abstract read
In one paragraph

Article in JMIR medical informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed.

  1. Article
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  9. Review
  10. Observational
  11. Article
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  17. Artificial Intelligence in Periodontics: A Comprehensive Review.Journal of pharmacy & bioallied sciences · 2024
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Clemens Scott KruseCollege of Health Professions, School of Health Administration, Texas State University, San Marcos, TX, United States.ORCID http://orcid.org/0000-0002-7636-1086
Michael MileskiCollege of Health Professions, School of Health Administration, Texas State University, San Marcos, TX, United States.ORCID http://orcid.org/0000-0003-1503-6869
Alekhya Ganta VijaykumarCollege of Health Professions, School of Health Administration, Texas State University, San Marcos, TX, United States.ORCID http://orcid.org/0000-0002-1763-4208
Sneha Vishnampet ViswanathanCollege of Health Professions, School of Health Administration, Texas State University, San Marcos, TX, United States.ORCID http://orcid.org/0000-0002-3277-3599
Ujwala SuskandlaCollege of Health Professions, School of Health Administration, Texas State University, San Marcos, TX, United States.ORCID http://orcid.org/0000-0001-9927-3591
Yazhini ChidambaramCollege of Health Professions, School of Health Administration, Texas State University, San Marcos, TX, United States.ORCID http://orcid.org/0000-0002-5281-0692

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term care (LTC) facilities are an important part of the health care industry, providing care to the fastest-growing group of the population. However, the adoption of electronic health records (EHRs) in LTC facilities lags behind other areas of the health care industry. One of the reasons for the lack of widespread adoption in the United States is that LTC facilities are not eligible for incentives under the Meaningful Use program. Implementation of an EHR system in an LTC facility can potentially enhance the quality of care, provided it is appropriately implemented, used, and maintained. Unfortunately, the lag in adoption of the EHR in LTC creates a paucity of literature on the benefits of EHR implementation in LTC facilities.

objectiveThe objective of this systematic review was to identify the potential benefits of implementing an EHR system in LTC facilities. The study also aims to identify the common conditions and EHR features that received favorable remarks from providers and the discrepancies that needed improvement to build up momentum across LTC settings in adopting this technology.

methodsThe authors conducted a systematic search of PubMed, Cumulative Index of Nursing and Allied Health (CINAHL), and MEDLINE databases. Papers were analyzed by multiple referees to filter out studies not germane to our research objective. A final sample of 28 papers was selected to be included in the systematic review.

resultsResults of this systematic review conclude that EHRs show significant improvement in the management of documentation in LTC facilities and enhanced quality outcomes. Approximately 43% (12/28) of the papers reported a mixed impact of EHRs on the management of documentation, and 33% (9/28) of papers reported positive quality outcomes using EHRs. Surprisingly, very few papers demonstrated an impact on patient satisfaction, physician satisfaction, the length of stay, and productivity using EHRs.

conclusionsOverall, implementation of EHRs has been found to be effective in the few LTC facilities that have implemented them. Implementation of EHRs in LTC facilities caused improved management of clinical documentation that enabled better decision making.

Indexed as

benefitselectronic health recordelectronic medical recordlong-term carenursing homepatient outcomequality

Identifiers

PMID28963091
PMCPMC5640822

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.