Title

Electronic Health Records in Long-Term Care: Staff Perspectives

Publication Title

Journal of Applied Gerontology

Publication Date

10-2017

Document Type

Article

DOI

10.1177/0733464815608493

Keywords

electronic health record, long-term care, health information technology

Disciplines

Health Information Technology | Health Sciences and Medical Librarianship | Library and Information Science | Nursing

Abstract

As long-term post-acute care (LTPAC) settings continue to increase their adoption of electronic health records (EHRs), it is important to learn from end users currently working with the technology to identify clinical implications and opportunities to improve systems and surrounding processes. This study utilized one-on-one interviews of direct care nurses (n = 20) in a Midwest United States LTPAC setting to describe patterns of use, and areas to improve. The majority of respondents evaluated the EHR as easy to use, with a positive impact on quality of care, through efficiencies gained in communication with the care team. Staff responses outline desired modifications to the software, including fixes to data fields for more accurate medication administration and accurate reports on bowel protocol follow-up. Recommendations for LTPAC organizations are made regarding improved staff training on the EHR, and modifications to the EHR and related processes to improve quality of care and staff retention.

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