Electronic Health Record Adoption by Children's Hospitals in the United States

Nakamura, Mari; Ferris, Timothy G.; DesRoches, Catherine M.; Jha, Ashish K.

doi:10.1001/archpediatrics.2010.234

Cited by 43 publications

(22 citation statements)

References 21 publications

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“…Some functions were used less relevant, less frequently or never used (Darbyshire, 2004;Nakamura et al, 2010;Tilahun & Fritz, 2015). Satisfaction Majority of nurses have a moderately positive attitude toward using HIS (de Veer & Francke, 2010;Mills et al, 2013;Moody et al, 2004).…”

Section: Usefulness / Effectivenessmentioning

confidence: 99%

An Examination of the Mediating Role for a Nursing Information System

Nguyen

Wickramasinghe

2017

AJIS

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This paper reports on findings from an examination of a nursing information system through the lens of Activity Theory. The information system was designed to support real-time nursing documentation in acute care hospital contexts. The objective was to enable superior nursing care to ensue by providing nurses with the opportunity to document patient care data into a tablet computer located at the patient bedside. The system was evaluated in a not-for-profit acute care hospital's wards during its implementation. Nurses' interactions with the system and their perceptions were collected and analysed through the lens of Activity Theory. The analysis highlighted nurses' positive attitude towards the system and identified potential mediation capabilities as well as areas for improvements. Activity Theory was found to be useful to examine the positive and potentially problematic aspects of this new nursing information system.

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Section: Usefulness / Effectivenessmentioning

confidence: 99%

An Examination of the Mediating Role for a Nursing Information System

Nguyen

Wickramasinghe

2017

AJIS

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“…2 As early as 2005, children's hospitals reported barriers to EHR use similar to hospitals that care for adults, such as cost and provider resistance, as well as barriers unique to pediatric care, such as products not designed for care of children. 3,4 Examples of important EHR features needed to support pediatric workflows include weight-based dosing of medications, pediatric-specific drug-drug interactions, growth charts, and age-adjusted normal values for vital signs, and diagnostic test results. [5][6][7] Despite these challenges, studies have revealed that US children's hospitals are relatively early adopters of information technology (IT), with adoption rates that are higher than those of community hospitals focused on care of adults and similar to those of other academic teaching hospitals.…”

Section: What This Study Addsmentioning

confidence: 99%

Factors Associated With Meaningful Use Incentives in Children's Hospitals

Teufel

Nakamura³

et al. 2015

PEDIATRICS

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“…Such pediatric-specific considerations are not standard features in all commercial EHRs and can require careful customization with stakeholders from various hospital departments. This lack of standard pediatric-specific features is a commonly noted barrier to pediatric EHR adoption [10,11].…”

Section: Clinical Decision Support Tools Addressing Pediatric-specifimentioning

confidence: 99%

Clinical Decision Support in the Pediatric Hospital Setting

Utidjian

Kirkendall

Shelov

2014

Curr Treat Options Peds

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The electronic health record (EHR) is a key component in the delivery of healthcare in most hospitals in the USA today. Current EHR systems have evolved from simple databases for basic administrative and patient information to complex systems that are also capable of storing clinical documentation, laboratory results, and radiologic images, as well as transmitting patient care orders throughout a hospital's various departments and systems. Within the EHR, clinical decision support (CDS) tools have the potential to help improve patient care by standardizing practice, reducing errors, and aiding diagnostic and therapeutic decision-making. In the pediatric hospital setting, CDS tools can deliver pediatricspecific information and guidance on disease management through alerts, computerized provider order entry and order sets, and clinical practice guidelines. These various CDS functions are of great importance to the practice of safe, high-quality patient care and learning to maximize their potential is of great benefit to clinicians. At the same time, these tools must be implemented in a manner consistent with established CDS best practices to prevent potential unintended consequences that introduce new sources of error and potential harm.

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Electronic Health Record Adoption by Children's Hospitals in the United States

Cited by 43 publications

References 21 publications

An Examination of the Mediating Role for a Nursing Information System

An Examination of the Mediating Role for a Nursing Information System

Factors Associated With Meaningful Use Incentives in Children's Hospitals

Clinical Decision Support in the Pediatric Hospital Setting

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