Annotated Bibliography

Electronic Health Record

Annotated Bibliography

Electronic Medical Records

Rantz et al. 2010 Cost, staffing and quality impact of bedside electronic medical record (EMR) in nursing homes. (eng) Journal Of The American Medical Directors Association [J Am Med Dir Assoc], Vol. 11 (7), pp. 485-93

There is growing political pressure for nursing homes to implement the electronic medical record (EMR) but there is little evidence of its impact on resident care. The purpose of this study was to test the unique and combined contributions of EMR at the bedside and on-site clinical consultation by gerontological expert nurses on cost, staffing, and quality of care in nursing homes.

Purvis 2010, M Innovative use of electronic health record reports by clinical nurse specialists. (eng) , Clinical Nurse Specialist CNS [Clin Nurse Spec], Vol. 24 (6), pp. 289-94;;

The purpose of the study was to demonstrate how clinical nurse specialists (CNSs) can use information pulled from the electronic health record (EHR) in innovative ways to improve nursing care of vulnerable older adults. As the number of older adult's increases, the need will grow for easier access to evidence-based practice nursing interventions for the older population. Clinical nurse specialists are the experts in evaluating research and will also need to find innovative ways to bring the evidence-based practice pertinent to the care of older adults to the bedside nurse. Clinical information from various parts of the EHR is pulled into computer-generated reports that focus on identifying older adult patients with specific high-risk indicators. The specific clinical information pulled into the reports and examples of how the reports are used will be presented. Four reports are described including new hospital admissions of patients older than 65 years, current hospitalized patients with dementia/delirium, current hospitalized patients on cholinesterase inhibitors, and a comprehensive report of all current hospitalized patients older than 65 years focusing on specific geriatric indicators identified in the literature. Computerized reports can be used to facilitate the use of nursing practice guidelines and evidence-based clinical tools such as the confusion assessment method and to increase use of nursing plans of care.

By Wilson et al. 2010, Identifying risk factors for healthcare-associated infections from electronic medical record home address data. (Eng), International Journal of Health Geographics [Int J Health Geogr], Vol. 9, pp. 47; Residential address is a common element in patient electronic medical records. Guidelines from the U.S. Centers for Disease Control and Prevention specify that residence in ...