The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety
J Nurs Adm. 2011 November; 41(11): 466–472.
PMID: 22033316 [PubMed - indexed for MEDLINE] PMCID: PMC3236066
The aim of this study was to examine the effect of having a basic
electronic health record (EHR) on nurse-assessed quality of care,
including patient safety. Few large-scale studies have examined how
adoption of EHRs may be associated with quality of care. A
cross-sectional, secondary analysis of nurse and hospital survey data
was conducted. The final sample included 16,352 nurses working in 316
hospitals in 4 states. Logistic regression models were used to evaluate
the relationship between basic EHR adoption and nurse-assessed quality
of care outcomes. Nurses working in hospitals with basic EHRs
consistently reported that poor patient safety and other quality
outcomes occurred less frequently than reported by nurses working in
hospitals without an EHR. Our findings suggest that the implementation
of a basic EHR may result in improved and more efficient nursing care,
better care coordination, and patient safety.
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