Table of Contents
ISRN Nursing
Volume 2011, Article ID 208142, 8 pages
http://dx.doi.org/10.5402/2011/208142
Research Article

Can Electronic Tools Help Improve Nursing Home Quality?

1Løvåsen Teaching Nursing Home, Municipality of Bergen, Løvåsen 26, 5145 Fyllingsdalen, Norway
2Medical Faculty, University of Bergen, 5020 Bergen, Norway
3Haraldsplass Hospital, 5009 Bergen, Norway
4Centre for Clinical Research, Haukeland University Hospital, 5021 Bergen, Norway
5Research Group on Lifestyle Epidemiology, Department of Public Health and Primary Health Care, 5021 Bergen, Norway
6Department of Public Health and General Practice, Norwegian University of Science and Technology, 7491 Trondheim, Norway

Received 21 June 2011; Accepted 3 August 2011

Academic Editors: D. L. Tamlyn and F. Zhanlian

Copyright Β© 2011 Kjell KrΓΌger et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Nursing homes face challenges in the coming years due to the increased number of elderly. Quality will be under pressure, expectations of the services will rise, and clinical complexity will grow. New strategies are needed to meet this situation. Modern clinical information systems with decision support may be part of that. Objectives. To study the impact of introducing an electronic patient record system with decision support on the use of warfarin, neuroleptics and weighing of patients, in nursing homes. Methods. A prevalence study was performed in seven nursing homes with 513 subjects. A before-after study with internal controls was performed. Results. The prevalence of atrial fibrillation in the seven nursing homes was 18.8%. After intervention, the proportion of all patients taking warfarin increased from 3.0% to 9.8% ( 𝑃 = 0 . 0 0 8 6 ), neuroleptics decreased from 33.0% to 21.5% ( 𝑃 = 0 . 0 1 2 1 ), and the proportion not weighed decreased from 72.6% to 16.0% ( 𝑃 < 0 . 0 0 0 1 ). The internal controls did not change significantly. Conclusion. Statistics and management data can be continuously produced to monitor the quality of work processes. The electronic health record system and its system for decision support can improve drug therapy and monitoring of treatment policy.