Alexander Gregory L, Madsen Richard
Sinclair School of Nursing, University of Missouri, Columbia, S415, Columbia, MO 65211, USA.
J Gerontol Nurs. 2009 Jul;35(7):22-7. doi: 10.3928/00989134-20090527-05. Epub 2009 Jun 22.
This study explores relationships between current levels of information technology (IT) sophistication and seven reportable quality measures (QMs) in 210 nursing homes in Missouri. Between December 2006 and August 2007, each nursing home completed a survey providing IT sophistication levels measured within nine subscales. During this same time, nationally reported QMs were collected for each nursing home giving permission (n = 95). The QM data were merged with IT sophistication data, and relationships between the QM variables and IT sophistication subscales were examined. Mean IT sophistication scores were higher in resident care management and administrative processes. Significant relationships were found in nearly all IT sophistication subscales and the QM regarding residents' need for assistance with activities of daily living; another significant relationship occurred with IT sophistication in clinical support and incontinence. Correlating IT sophistication with quality is important to determine whether IT implementation provides clinical benefits to residents.
本研究探讨了密苏里州210家疗养院当前的信息技术(IT)成熟度水平与七项可报告质量指标(QM)之间的关系。在2006年12月至2007年8月期间,每家疗养院都完成了一项调查,该调查提供了在九个分量表中测量的IT成熟度水平。在此期间,还收集了每家同意参与的疗养院(n = 95)的全国报告QM。将QM数据与IT成熟度数据合并,并检查QM变量与IT成熟度分量表之间的关系。居民护理管理和行政流程中的平均IT成熟度得分较高。在几乎所有的IT成熟度分量表与关于居民日常生活活动所需协助的QM之间都发现了显著关系;在临床支持和失禁方面的IT成熟度也存在另一个显著关系。将IT成熟度与质量相关联对于确定IT实施是否能为居民带来临床益处很重要。