A descriptive analysis of a nursing home clinical information system with decision support

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Purpose of this article is to focus on a study describing the activity of clinical decision support alerts and triggers during an analysis of an information system implemented in three Nursing homes. these Nursing homes are early adopters of nursing home information systems and it is important to share their experiences to foster implementation of other systems and improve design and evolution of the systems. [1]

As most Nursing homes do not have computer information systems its important these kind of analysis are done. In this particular analysis the three Nursing homes had an information system called One Touch Manager now called Optimus EMR. They gathered data of alerts or triggers with higher frequency with positive resident outcomes which were focus for quality and risk management oversight.

Alert categories were dehydration, constipation, skin integrity, weight loss, weight gain, decline in condition and improvement in condition.

A trigger is predetermined criteria within the resident assessment data that is used to make a clinical alert active.

Triggers are used by clinicians to identify new resident conditions or changes in existing condition.

This analysis provides significant details on how these tools are being used for resident care.

These assessments inform developers how providers use the current system and identify potential areas of future development, which leads to greater convergence between system design and practice.

Linking the designers and users of Nursing information systems is a critical step in creating information structures that are practical and usable in these settings.

References

  1. A Descriptive Analysis of a Nursing Home Clinical Information System with Decision Support http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2533117/