Literature DB >> 24965357

The impact of electronic health record implementation and use on performance of the Surgical Care Improvement Project measures.

Caroline Pinto Thirukumaran1, James G Dolan, Patricia Reagan Webster, Robert J Panzer, Bruce Friedman.   

Abstract

OBJECTIVE: To examine the impact of electronic health record (EHR) deployment on Surgical Care Improvement Project (SCIP) measures in a tertiary-care teaching hospital. DATA SOURCES: SCIP Core Measure dataset from the CMS Hospital Inpatient Quality Reporting Program (March 2010 to February 2012). STUDY
DESIGN: One-group pre- and post-EHR logistic regression and difference-in-differences analyses. PRINCIPAL
FINDINGS: Statistically significant short-term declines in scores were observed for the composite, postoperative removal of urinary catheter and post-cardiac surgery glucose control measures. A statistically insignificant improvement in scores for these measures was noted 3 months after EHR deployment.
CONCLUSION: The transition to an EHR appears to be associated with a short-term decline in quality. Implementation strategies should be developed to preempt or minimize this initial decline. © Health Research and Educational Trust.

Entities:  

Keywords:  Quality of care/patient safety (measurement); observational data/quasi-experiments; surgery

Mesh：

Year:  2014        PMID： 24965357      PMCID： PMC4319882          DOI： 10.1111/1475-6773.12191

Source DB:  PubMed          Journal:  Health Serv Res        ISSN： 0017-9124            Impact factor:   3.402


  37 in total

1.  Immediate benefits realized following implementation of physician order entry at an academic medical center.

Authors:  Hagop S Mekhjian; Rajee R Kumar; Lynn Kuehn; Thomas D Bentley; Phyllis Teater; Andrew Thomas; Beth Payne; Asif Ahmad
Journal:  J Am Med Inform Assoc       Date:  2002 Sep-Oct       Impact factor: 4.497

2.  Types of unintended consequences related to computerized provider order entry.

Authors:  Emily M Campbell; Dean F Sittig; Joan S Ash; Kenneth P Guappone; Richard H Dykstra
Journal:  J Am Med Inform Assoc       Date:  2006-06-23       Impact factor: 4.497

3.  Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit.

Authors:  Mark A Del Beccaro; Howard E Jeffries; Matthew A Eisenberg; Eric D Harry
Journal:  Pediatrics       Date:  2006-07       Impact factor: 7.124

4.  The extent and importance of unintended consequences related to computerized provider order entry.

Authors:  Joan S Ash; Dean F Sittig; Eric G Poon; Kenneth Guappone; Emily Campbell; Richard H Dykstra
Journal:  J Am Med Inform Assoc       Date:  2007-04-25       Impact factor: 4.497

5.  Costs and benefits of health information technology: new trends from the literature.

Authors:  Caroline Lubick Goldzweig; Ali Towfigh; Margaret Maglione; Paul G Shekelle
Journal:  Health Aff (Millwood)       Date:  2009-01-27       Impact factor: 6.301

6.  Point-of-care electronic prompts: an effective means of increasing compliance, demonstrating quality, and improving outcome.

Authors:  Nanette M Schwann; Karen A Bretz; Sherrine Eid; Terry Burger; Deborah Fry; Frederick Ackler; Paul Evans; David Romancheck; Michelle Beck; Anthony J Ardire; Harry Lukens; Thomas M McLoughlin
Journal:  Anesth Analg       Date:  2011-07-25       Impact factor: 5.108

7.  Meaningful use of electronic health record systems and process quality of care: evidence from a panel data analysis of U.S. acute-care hospitals.

Authors:  Ajit Appari; M Eric Johnson; Denise L Anthony
Journal:  Health Serv Res       Date:  2012-07-20       Impact factor: 3.402

8.  A new sociotechnical model for studying health information technology in complex adaptive healthcare systems.

Authors:  Dean F Sittig; Hardeep Singh
Journal:  Qual Saf Health Care       Date:  2010-10

9.  Role of computerized physician order entry systems in facilitating medication errors.

Authors:  Ross Koppel; Joshua P Metlay; Abigail Cohen; Brian Abaluck; A Russell Localio; Stephen E Kimmel; Brian L Strom
Journal:  JAMA       Date:  2005-03-09       Impact factor: 56.272

10.  Electronic medical records and diabetes quality of care: results from a sample of family medicine practices.

Authors:  Jesse C Crosson; Pamela A Ohman-Strickland; Karissa A Hahn; Barbara DiCicco-Bloom; Eric Shaw; A John Orzano; Benjamin F Crabtree
Journal:  Ann Fam Med       Date:  2007 May-Jun       Impact factor: 5.166
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  4 in total

Review 1.  A Survey of the Literature on Unintended Consequences Associated with Health Information Technology: 2014-2015.

Authors:  K Zheng; J Abraham; L L Novak; T L Reynolds; A Gettinger
Journal:  Yearb Med Inform       Date:  2016-11-10

Review 2.  Review of information technology for surgical patient care.

Authors:  Jamie R Robinson; Hannah Huth; Gretchen P Jackson
Journal:  J Surg Res       Date:  2016-03-29       Impact factor: 2.192

Review 3.  The use of Electronic Health Records to Support Population Health: A Systematic Review of the Literature.

Authors:  Clemens Scott Kruse; Anna Stein; Heather Thomas; Harmander Kaur
Journal:  J Med Syst       Date:  2018-09-29       Impact factor: 4.460

Review 4.  The Value of Electronic Health Records Since the Health Information Technology for Economic and Clinical Health Act: Systematic Review.

Authors:  Shikha Modi; Sue S Feldman
Journal:  JMIR Med Inform       Date:  2022-09-27
  4 in total

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