Handler Steven M, Sharkey Siobhan S, Hudak Sandra, Ouslander Joseph G
Dr. Handler is from the Department of Biomedical Informatics and Division of Geriatric Medicine, University of Pittsburgh School of Medicine, the Geriatric Research Education and Clinical Center, the Veterans Affairs Pittsburgh Healthcare System; Geriatric Pharmaceutical Outcomes and Gero-informatics Research and Training Program, University of Pittsburgh; and is Medical Director, Long-Term Care Health Information Technology, University of Pittsburgh Medical Center Senior Communities, Pittsburgh, PA. Ms. Sharkey and Ms. Hudak are from Health Management Strategies Inc., Austin, TX. Dr. Ouslander is from the Charles E. Schmidt College of Medicine and Christine E. Lynn College of Nursing Florida Atlantic University, Boca Raton, FL.
Ann Longterm Care. 2011;19(11):23-26.
A substantial reduction in hospitalization rates has been associated with the implementation of the Interventions to Reduce Acute Care Transfers (INTERACT) quality improvement intervention using the accompanying paper-based clinical practice tools (INTERACT II). There is significant potential to further increase the impact of INTERACT by integrating INTERACT II tools into nursing home (NH) health information technology (HIT) via standalone or integrated clinical decision support (CDS) systems. This article highlights the process of translating INTERACT II tools from paper to NH HIT. The authors believe that widespread dissemination and integration of INTERACT II CDS tools into various NH HIT products could lead to sustainable improvement in resident and clinician process and outcome measures, including enhanced interclinician communication and a reduction in potentially avoidable hospitalizations.
通过使用随附的纸质临床实践工具（INTERACT II）实施“减少急性护理转诊干预措施”（INTERACT）质量改进干预，住院率已大幅下降。通过独立或集成的临床决策支持（CDS）系统将INTERACT II工具集成到疗养院（NH）健康信息技术（HIT）中，进一步提高INTERACT的影响具有很大潜力。本文重点介绍了将INTERACT II工具从纸质形式转换为NH HIT的过程。作者认为，将INTERACT II CDS工具广泛传播并集成到各种NH HIT产品中，可能会使居民和临床医生的流程及结果指标得到可持续改善，包括加强临床医生之间的沟通以及减少潜在的可避免住院情况。
