The Effect of Hospital Electronic Health Record Adoption on Nurse-Assessed Quality of Care and Patient Safety
This is a review for Kutney-Lee and Kelly's article "The Effect of Hospital Electronic Health Record Adoption on Nurse-Assessed Quality of Care and Patient Safety".
The aim of this study was to examine the effects of having an EHR on nurse assessed quality of care, including patient safety.
Research Design and Methods
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.
The study found nurses working in hospitals with basic EHRs consistently reported poor patient safety and other quality outcomes occurred less frequently than reported by nurses working in hospitals without an EHR.
The authors' findings suggest that the implementation of a basic EHR may result in improved and more efficient nursing care, better care coordination, and patient safety.
I chose this article because I have been exposed to working on a clinical floor with EHR capabilities and one without, and I was curious if the findings of the study would correlate with my own observations. With the endless array of tasks assigned to nurses, it comes as no surprise how much EHRs can assist nurses in providing safe patient care.
EHR gives health care providers an opportunity to have access to legible information that can be access at any point of care. This gives an advantage to users to work in a safer and more efficient environment.
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- Kutney-Lee, A., & Kelly, D. (2011). The Effect of Hospital Electronic Health Record Adoption on Nurse-Assessed Quality of Care and Patient Safety. The Journal of Nursing Administration, 41(11), 466–472. http://doi.org/10.1097/NNA.0b013e3182346e4b