Table 2.
Nurse-Assessed Quality of Care and Patient Safety Outcomes in Hospitals by Basic Electronic Health Record (EHR) Adoption
| Outcomes | All (n = 16,352 Nurses) | n (%) of Nurses Agreeing With Statement Who Work in Hospitals With:
|
||
|---|---|---|---|---|
| Fully Implemented Basic EHR (n = 1,621) | No EHR or Basic EHR Not Fully Implemented (n = 14,731) | Pa | ||
| Important patient information is frequently lost at shift changes | 4825 (29.5%) | 440 (27.1%) | 4385 (29.8%) | .03 |
| Things fall between the cracks when transferring patients from 1 unit to another | 5667 (34.7%) | 502 (31.0%) | 5165 (35.1%) | .001 |
| Actions of hospital management show patient safety is not a top priority | 3592 (22.0%) | 273 (16.8%) | 3319 (22.5%) | <.001 |
| Poor overall unit grade on patient safety | 4996 (31.4%) | 423 (26.9%) | 4573 (31.9%) | <.001 |
| Medication errors occur frequently | 696 (4.5%) | 49 (3.2%) | 647 (4.7%) | .01 |
| Quality of care on your unit is fair or poor | 2421 (15.5%) | 187 (12.1%) | 2234 (15.9%) | <.001 |
| Not confident in patients’ readiness for discharge | 6676 (40.8%) | 582 (35.9%) | 6094 (41.4%) | <.001 |
a
P values generated from χ2. Percentages may differ because of missing data. Sample size for “poor overall unit grade on patient safety” = 15,902. Sample size for “medication errors occur frequently” = 15,449. Sample size for “quality of care on unit is fair/poor” = 15,626.