Development and pilot testing of computerized order entry algorithms for geriatric problems in nursing homes

Journal of the American Geriatrics Society

Volumn 57, Issue 9, 2009, Pages 1644-1653

  Colón Emeric, Cathleen S ^a,b,c   Schmader, Kenneth E ^b,c   Twersky, Jack ^b,c   Kuchibhatla, Maragantha ^b   Kellum, Sally ^c   Weinberger, Morris ^d,e  

^a GRECC 182   (United States)

^b DUKE UNIVERSITY MEDICAL CENTER   (United States)

^c Geriatric Res Educ and Clin Ctr   (United States)

^d DURHAM VA MEDICAL CENTER   (United States)

^e The University of North Carolina at Chapel Hill   (United States)

Author keywords

Information technology; Nursing homes; Quality of care

Indexed keywords

ANTIDEPRESSANT AGENT; BENZODIAZEPINE DERIVATIVE; CALCIUM; HYPNOTIC SEDATIVE AGENT; NEUROLEPTIC AGENT; VITAMIN D;

AGED; ALGORITHM; ARTICLE; CONTROLLED STUDY; DRUG USE; ELDERLY CARE; ELECTRONIC MEDICAL RECORD; EVIDENCE BASED PRACTICE; FALLING; FEMALE; HEALTH CARE QUALITY; HEALTH PERSONNEL ATTITUDE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL DOCUMENTATION; NURSING HOME; ORTHOSTATIC BLOOD PRESSURE; OSTEOPOROSIS; PNEUMONIA; URINARY TRACT INFECTION;

ACCIDENTAL FALLS; AGED; AGED, 80 AND OVER; ALGORITHMS; CHRONIC DISEASE; COMBINED MODALITY THERAPY; COST-BENEFIT ANALYSIS; EVIDENCE-BASED MEDICINE; FEASIBILITY STUDIES; FEMALE; FEVER OF UNKNOWN ORIGIN; FRACTURES, SPONTANEOUS; HOMES FOR THE AGED; HUMANS; MALE; MEDICAL ORDER ENTRY SYSTEMS; NURSING HOMES; OSTEOPOROSIS; PATIENT CARE TEAM; PNEUMONIA, BACTERIAL; PRACTICE GUIDELINES AS TOPIC; QUALITY INDICATORS, HEALTH CARE; URINARY TRACT INFECTIONS;

EID: 69549088285     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2009.02387.x     Document Type: Article

References (45)

1. Institute of Medicine Committee on Nursing Home Regulation. Improving the Quality of Care in Nursing Homes. Washington, DC : National Academy Press, 1986.
2. Hooton T. Practice guidelines for urinary tract infection in the era of managed care. Int J Antimicrob Agents 1999 11 : 1 34.
3. Mayfield E. Common Infections in the Long-Term Care Setting: Clinical Practice Guideline. Columbia, MD : American Medical Directors Association, 2003.
4. Naughton B, Mylotte J. Treatment guideline for nursing home-acquired pneumonia based on community practice. J Am Geriatr Soc 2000 48 : 82 88. (Pubitemid 30036409)
5. Bentley D, Bradley S, High K et al. Practice guideline for evaluation of fever and infection in long-term care facilities. Clin Infect Dis 2000 31 : 640 653.
6. van der Steen J, Muller M, Ooms M et al. Decisions to treat or not to treat pneumonia in demented psychogeriatric nursing home patients: Development of a guideline. J Med Ethics 2000 26 : 114 120.
7. Hutt E, Kramer A. Evidence-based guidelines for management of nursing-home acquired pneumonia. J Fam Pract 2002 51 : 709 716.
8. American Geriatrics Society, British Geriatrics Society, American Academy of Orthopedic Surgeons. Guideline for the prevention of falls in older persons. J Am Geriatr Soc 2001 49 : 664 672.
9. Naber K. Experience with the new guidelines on evaluation of new anti-infective drugs for the treatment of urinary tract infection. Int J Antimicrob Agents 1999 11 : 189 196.
10. Resnick B, Quinn C, Baxter S. Testing the feasibility of implementation of clinical practice guidelines in long-term care facilities. J Am Med Dir Assoc 2004 5 : 1 8.
11. Berlowitz D, Young G, Hickey E et al. Clinical Practice Guidelines in the nursing home. Am J Med Qual 2001 16 : 189 195.
12. Wagenaar D, Colenda C, Kreft M et al. Treating depression in nursing homes: Practice guidelines in the real world. J Am Osteopath Assoc 2003 103 : 465 469.
13. Cabana M, Rand C, Powe N et al. Why don't physicians follow clinical practice guidelines?: A framework for improvement. JAMA 1999 282 : 1458 1465.
14. Shye D, Brown J. Primary care HMO clinicians' opinions about clinical practice guidelines. HMO Pract 1995 9 : 111 115.
15. James P, Cowan TG, Graham RP. Patient-centered clinical decisions and their impact on physician adherence to clinical guidelines. J Fam Pract 1998 46 : 311 318.
16. Slomka J, Hoffman-Hogg L, Mion L et al. Influence of clinicians' values and perceptions on use of clinical practice guidelines for sedation and neuromuscular blockade in patients receiving mechanical ventilation. Am J Crit Care 2000 9 : 412 418.
17. Schers H, Wensing M, Huijsmans Z et al. Implementation barriers for general practice guidelines on low back pain. Spine 2001 26 : E348 E353.
18. Vaughn T, Ward MM, Doebbeling B et al. Organizational and provider characteristics fostering smoking cessation practice guideline adherence: An empirical look. J Ambul Care Manage 2002 25 : 17 31.
19. Gandhi T, Sequist T, Poon E et al. Primary care clinician attitudes towards electronic clinical reminders and clinical practice guidelines. AMAI Annu Symp Proc 2003, 848.
20. Colon-Emeric C, Casebeer L, Saag K et al. Barriers to providing osteoporosis care in skilled nursing facilities; perceptions of medical directors and directors of nursing. J Am Med Dir Assoc 2004 5 : 361 366.
21. Matukaitis J, Stillman P, Wykpisz E et al. Appropriate admissions to the appropriate unit: A decision tree approach. Am J Med Qual 2005 20 : 90 97.
22. Durieux P, Trinquart L, Colombet I et al. Computerized advice on drug dosage to improve prescribing practice [update of Cochrane Database Syst Rev. 2001;(1):CD002894; PMID: 11279772]. Cochrane Database Syst Rev, 2008: CD002894
23. Chaudhry B, Wang J, Wu S et al. Systematic review: Impact of health information technology on quality, efficiency, and costs of medical care. [see comment]. Ann Intern Med 2006 144 : 742 752.
24. Conn J, Conn J. A long-term solution. IT scarce in nursing homes, but likely key to future care. Mod Healthc 2007 37 : 52, 54.
25. Robeznieks A, Robeznieks A. IT's not just for hospitals. Long-term-care facilities have distinct needs for information systems. Mod Healthc 2005 35 : 34, 36.
26. Overage JM, Overage JM. It's time for a health information revolution. Provider 2005 31 : 44 46.
27. Wagner L. Long term care group draws IT road map. Provider 2006 32 : 42 44.
28. Yu P. Electronic versus paper-based nursing documentation systems: The caregivers weigh in. J Am Geriatr Soc 2006 54 : 1625 1626.
29. Brandeis GH, Hogan M, Murphy M et al. Electronic health record implementation in community nursing homes. J Am Geriatr Soc 2007 8 : 31 34.
30. Vogelsmeier AA, Halbesleben JR, Scott-Cawiezell JR et al. Technology implementation and workarounds in the nursing home. J Am Med Inform Assoc 2008 15 : 114 119.
31. Pierson S, Hansen R, Greene S et al. Preventing medication errors in long-term care: Results and evaluation of a large scale web-based error reporting system. Qual Saf Health Care 2007 16 : 297 302.
32. Yu P, Qiu Y, Crookes P. Computer-based nursing documentation in nursing homes: A feasibility study. Stud Health Technol Inform 2006 122 : 570 574.
33. Falls and Fall Risk. Columbia, MD : American Medical Directors Association, 2003.
34. Resnick B, Simpson M. Implementing the Falls Clinical Practice Guidelines in long-term care: An exemplary model. Director 2004 12 : 76 81.
35. Mandell L, Bartlett J, Dowell S et al. Update of practice guidelines for the management of community-acquired pneumonia in immunocompetent adults. Clin Infect Dis 2003 37 : 1405 1433.
36. Mandell L, Marrie T, Grossman R et al. Canadian guidelines for the initial management of community-acquired pneumonia: An evidence-based update by the Canadian Infectious Diseases Society and the Canadian Thoracic Society. Clin Infect Dis 2000 31 : 383 421. (Pubitemid 32289568)
37. Brown J, Josse R. Clinical Practice Guidelines for the diagnosis and management of osteoporosis in Canada. Can Med Assoc J 2002 12 : S1 S34.
38. Mayfield E. Osteoporosis: Clinical Practice Guideline. Columbia, MD : American Medical Directors Association, 2003.
39. Wenger NS, Roth CP, Shekelle P et al. Introduction to the assessing care of vulnerable elders-3 quality indicator measurement set. J Am Geriatr Soc 2007 55 (Suppl 2) : S247 S252.
40. Arora VM, Johnson M, Olson J et al. Using assessing care of vulnerable elders quality indicators to measure quality of hospital care for vulnerable elders. J Am Geriatr Soc 2007 55 : 1705 1711.
41. Colon-Emeric C, Schenck A, Gorospe J et al. Translating evidence-based falls prevention into clinical practice in nursing facilities: Results and lessons from a quality improvement collaborative. J Am Geriatr Soc 2006 54 : 1414 1418.
42. Crotty M, Whitehead C, Rowett D et al. An outreach intervention to implement evidence based practice in residential care: A randomized controlled trial. BMC Health Serv Res 2004 4 : 6.
43. Kerse N, Butler M, Robinson E et al. Fall prevention in residential care: A cluster randomized, controlled trial. J Am Geriatr Soc 2004 52 : 524 531.
44. Resnick B, Quinn C, Baxter S. Testing the feasibility of implementation of clinical practice guidelines in long-term care facilities. J Am Med Dir Assoc 2004 5 : 1 8.
45. Gurwitz JH, Field TS, Rochon P et al. Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting. J Am Geriatr Soc 2008 56 : 2225 2233.