title: A descriptive analysis of a nursing home clinical information system with decision support.
abstract: Clinical information systems are absent in most nursing homes. Therefore, the vast numbers of elderly people who reside in the facilities are not reaping the benefits that these systems are thought to have, including better management of chronic conditions, greater efficiencies, and improved access to information. It is important for early adopters of nursing home information systems to share experiences to foster implementation of other systems and improve design and evaluation of these systems. The purpose of this study is to describe the activity of clinical decision support alerts and associated triggers during an analysis of an information system implemented in three nursing homes. The proportion of triggers used for each active alert in each alert category is described across resident diagnoses within the nursing home decision support system during six months of data collection.
authors.affiliation: Sinclair School of Nursing at University of Missouri in Columbia, MO, USA.
authors.forename: Gregory L
authors.initials: GL
authors.lastname: Alexander
mesh_terms: D001291:Attitude of Health Personnel; D034201:Computers, Handheld / Q000706:statistics & numerical data; D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D004059:Diffusion of Innovation; D006707:Homes for the Aged / Q000458:organization & administration*; D006801:Humans; D016247:Information Storage and Retrieval / Q000379:methods; D016347:Medical Records Systems, Computerized / Q000458:organization & administration; D020380:Needs Assessment / Q000458:organization & administration*; D009735:Nursing Homes / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care; D019095:Point-of-Care Systems / Q000458:organization & administration*; D014481:United States
references.citation: Comput Inform Nurs. 2007 Jul-Aug;25(4):189-97
references.pmid: 17625399
references.citation: J Gerontol A Biol Sci Med Sci. 2003 Sep;58(9):M820-5
references.pmid: 14528038
references.citation: J Gerontol A Biol Sci Med Sci. 2004 Jan;59(1):79-82
references.pmid: 14718490
references.citation: J Gerontol Nurs. 2008 Feb;34(2):15-20
references.pmid: 18286788
references.citation: Nurs Adm Q. 2006 Jan-Mar;30(1):21-9
references.pmid: 16449881
references.citation: AMIA Annu Symp Proc. 2007 Oct 11;:11-5
references.pmid: 18693788
references.citation: J Am Med Inform Assoc. 2008 May-Jun;15(3):290-6
references.pmid: 18308985
references.citation: J Am Geriatr Soc. 2004 Aug;52(8):1378-83
references.pmid: 15271130