Is there a link between the hospital-acquired injurious fall rates in us acute care hospitals and these institutions' implementation levels of computerized systems?

Huey-Ming Tzeng, Hsou Mei Hu, Chang Yi Yin

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Medicare no longer reimburses acute care hospitals for the costs of additional care required due to hospital-acquired injuries. Consequently, this study explored the effective computerized systems to inform practice for better interventions to reduce fall risk. It provided a correlation between type of computerized system and hospital-acquired injurious fall rates at acute care hospitals in California, Florida, and New York. It used multiple publicly available data sets, with the hospital as the unit of analysis. Descriptive and Pearson correlation analyses were used. The analysis included 462 hospitals. Significant correlations could be categorized into two groups: (1) meaningful computerized systems that were associated with lower injurious fall rates: the decision support systems for drug allergy alerts, drug-drug interaction alerts, and drug-laboratory interaction alerts; and (2) computerized systems that were associated with higher injurious fall rates: the decision support system for drug-drug interaction alerts and the computerized provider order entry system for radiology tests. Future research may include additional states, multiple years of data, and patient-level data to validate this study's findings. This effort may further inform policy makers and the public about effective clinical computerized systems provided to clinicians to improve their practice decisions and care outcomes.

Original languageEnglish (US)
Pages (from-to)721-729
Number of pages9
JournalCIN - Computers Informatics Nursing
Volume29
Issue number12
DOIs
StatePublished - Dec 1 2011
Externally publishedYes

Fingerprint

Drug Interactions
Medical Order Entry Systems
Drug Hypersensitivity
Hospital Units
Hospital Costs
Medicare
Administrative Personnel
Radiology
Pharmaceutical Preparations
Wounds and Injuries

Keywords

  • Accidental fall
  • Clinical decision support systems
  • Electronic health records
  • Hospitals
  • Inpatients
  • Quality of healthcare
  • Safety

ASJC Scopus subject areas

  • Health Informatics
  • Nursing (miscellaneous)

Cite this

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abstract = "Medicare no longer reimburses acute care hospitals for the costs of additional care required due to hospital-acquired injuries. Consequently, this study explored the effective computerized systems to inform practice for better interventions to reduce fall risk. It provided a correlation between type of computerized system and hospital-acquired injurious fall rates at acute care hospitals in California, Florida, and New York. It used multiple publicly available data sets, with the hospital as the unit of analysis. Descriptive and Pearson correlation analyses were used. The analysis included 462 hospitals. Significant correlations could be categorized into two groups: (1) meaningful computerized systems that were associated with lower injurious fall rates: the decision support systems for drug allergy alerts, drug-drug interaction alerts, and drug-laboratory interaction alerts; and (2) computerized systems that were associated with higher injurious fall rates: the decision support system for drug-drug interaction alerts and the computerized provider order entry system for radiology tests. Future research may include additional states, multiple years of data, and patient-level data to validate this study's findings. This effort may further inform policy makers and the public about effective clinical computerized systems provided to clinicians to improve their practice decisions and care outcomes.",
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