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

2017 ◽  
Vol 5 (3) ◽  
pp. e35 ◽  
Author(s):  
Clemens Scott Kruse ◽  
Michael Mileski ◽  
Alekhya Ganta Vijaykumar ◽  
Sneha Vishnampet Viswanathan ◽  
Ujwala Suskandla ◽  
...  
Keyword(s):  
Systematic Review ◽  
Electronic Health Records ◽  
Long Term Care ◽  
Term Care ◽  
Health Records ◽  
Care Facilities ◽  
Electronic Health

scholarly journals Adoption factors associated with electronic health record among long-term care facilities: a systematic review

BMJ Open ◽  
2015 ◽  
Vol 5 (1) ◽  
pp. e006615-e006615 ◽  
Author(s):  
C. S. Kruse ◽  
M. Mileski ◽  
V. Alaytsev ◽  
E. Carol ◽  
A. Williams
Keyword(s):  
Systematic Review ◽  
Electronic Health Record ◽  
Long Term Care ◽  
Health Record ◽  
Term Care ◽  
Factors Associated ◽  
Adoption Factors ◽  
Care Facilities ◽  
Electronic Health

scholarly journals Electronic Health Records in Danish Home Care and Nursing Homes: Inadequate Documentation of Care, Medication, and Consent

2021 ◽  
Vol 12 (01) ◽  
pp. 027-033
Author(s):  
Morten Hertzum
Keyword(s):  
Patient Safety ◽  
Nursing Homes ◽  
Electronic Health Records ◽  
Home Care ◽  
Long Term Care ◽  
Adverse Drug Events ◽  
Term Care ◽  
Health Records ◽  
Electronic Health

Abstract Background Electronic health records (EHRs) are used in long-term care to document the patients' condition, medication, and care, thereby supporting communication among caregivers and counteracting adverse drug events. However, the use of EHRs in long-term care has lagged behind EHR use in hospitals. In addition, most EHR research focuses on hospitals. Objective This study gives a countrywide status of the documentation-related risks to patient safety in Danish home care and nursing homes, which are the two main providers of long-term care. Such a status provides a basis for national improvement efforts and international comparisons. Method The study is based on the reports from 893 inspections of home care and nursing homes by the Danish Patient Safety Authority (Styrelsen for Patientsikkerhed [STPS]). Results As much as 69% of the inspected institutions document inadequately to an extent that has led to demands (i.e., issues the institution is legally obliged to rectify) or requests (i.e., issues the institution is merely asked to rectify) from STPS. Documentation issues about the patients' condition and care are present in nearly all institutions that receive demands (97%) and in the majority of those that receive requests (68%). Documentation issues about medication and consent to care are also common, but less so. The predominant risk to patient safety is incomplete documentation. It covers 72% of the documentation issues identified in the institutions that received demands; the remaining risks concern inconsistent (11%), nonexistent (7%), inaccessible (5%), and noncompliant (5%) documentation. The documentation inadequacies are similar for home care and nursing homes. Conclusion Inadequate EHR documentation is a widespread problem in Danish long-term care. While previous research mainly focuses on how EHR documentation affects patient medication, this study finds that documentation issues about the patients' condition and care are more prevalent and that issues about their consent are also common.

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