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Availability and Quality of Information Used by Nurses While Admitting Patients to a Rural Home Health Care Agency
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Availability and Quality of Information Used by Nurses While Admitting Patients to a Rural Home Health Care Agency

Paulina S. Sockolow, Ellen J. Bass, Yushi Yang, Natasha B. Le, Sheryl Potashnik and Kathryn H. Bowles
MEDINFO 2019: HEALTH AND WELLBEING E-NETWORKS FOR ALL, v 264, pp 798-802
01 Jan 2019
PMID: 31438034
url
https://doi.org/10.3233/SHTI190333View
Published, Version of Record (VoR) Open

Abstract

Computer Science Computer Science, Interdisciplinary Applications Health Care Sciences & Services Life Sciences & Biomedicine Medical Informatics Science & Technology Technology
Home health care admission nurses need high quality patient information but that information is not uniformly available. Despite this challenge, these nurses must make four critical decisions at patient admission to construct the plan of care: (1) patient problems to address in the home health care episode; (2) patient medication management; (3) services in addition to skilled nursing; and (4) skilled nursing visit pattern. We observed 12 in-home admissions at a rural home health care agency and interviewed nurses before and after about these decisions. We analyzed content and quality of documents. To evaluate quality, for each decision we assessed concordance between documents. Interview responses provided context in the analysis. Across all admissions, documents and their contents were not uniformly present. Nurses rarely received visit pattern or medication management information. There was discordance in the number of patient problems among and between available documents and the plan of care. Electronic health record design recommendations include interoperability and structured, consistent, actionable information.

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2 citations in Scopus

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#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Computer Science, Interdisciplinary Applications
Health Care Sciences & Services
Medical Informatics
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