literature review part 4; The evidence of EHR in Post Acute Care/Long Term Care setting

Looking at EHR introduction rate by the number of beds in a hospital in 2018 (JAHIS, 2019), we found that the higher the number of beds a hospital has, the higher the EHR introduction rate. For instance, in the case of hospitals with 200 beds or less, the introduction rate remains less than 40%.

As for hospitals for Long Term Care (LTC) beds, 90% of such hospitals has 200 beds or less (Ministry of Health, Labor and Welfare, 2016).

Therefore, it is assumed that EHR are not sufficiently deployed in hospitals for LTC beds.

Therefore, we will search evidence about EHR in LTC setting.

I set the research topic as
“The evidence of EHR in Post Acute Care/Long Term Care setting”

①Searching in Pubmed
＃1,(((((electronic health record) OR (electronic health records)) OR (electronic medical record)) OR (electronic medical records)) OR (EHR)) OR (EMR)
＃2,(“post acute care”) OR (“long term care”)

I searched in Pubmed by #1 AND #2 with filter of 5 years, 244 articles are found

②Scanning the titles, 11 articles were found as below,
③Reading abstract and narrowing articles,
Having looked at abstracts, 5 relevant articles were narrowed below

1. Case Study: Using Electronic Medication Administration Record to Enhance Medication Safety and Improve Efficiency in Long-Term Care Facilities (Liping et al., 2019)
2. The Need for Electronic Health Records in Long-Term Care (Sukirtha et al., 2017)
3. Impact of Electronic Health Records on Long-Term Care Facilities: Systematic Review (Kruse et al., 2017)
4. Electronic Health Records in Long-Term Care: Staff Perspectives (Meehan, 2017)
5. Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: A systematic review (Kruse et al., 2021)

④Finding
Among 5 articles
・2 systematic review; one is impact on EHR system and the other is prescription.
(Kruse et al., 2017) (Kruse et al., 2021)
・2 articles mentioned on safe prescription such as incident or accident.
(Liping et al., 2019) (Kruse et al., 2021)
・2 articles are qualitative research; one is survey for Dr about information gap (Sukirtha et al., 2017) and the other one is 1on1 semi-structured interview for Ns for user’s experience (Meehan, 2017)

References
I. JAHIS, 2019. Introductory survey [WWW Document]. https://www.jahis.jp/action/id=57?contents_type=23. URL https://www.jahis.jp/action/id=57?contents_type=23 (accessed 2.27.21).
II. Kruse, C.S., Mileski, M., Syal, R., MacNeil, L., Chabarria, E., Basch, C., 2021. Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: A systematic review. Technol Health Care 29, 1–14. https://doi.org/10.3233/THC-202196
III. Kruse, C.S., Mileski, M., Vijaykumar, A.G., Viswanathan, S.V., Suskandla, U., Chidambaram, Y., 2017. Impact of Electronic Health Records on Long-Term Care Facilities: Systematic Review. JMIR Med Inform 5, e35. https://doi.org/10.2196/medinform.7958
IV. Liping, F., Jenny, R., Andrea, M., 2019. Case Study: Using Electronic Medication Administration Record to Enhance Medication Safety and Improve Efficiency in Long-Term Care Facilities – PubMed. Nurs Leadersh (Tor Ont). 2019 Jun;32(2):102-113. https://doi.org/10.12927/cjnl.2019.25958
V. Meehan, R., 2017. Electronic Health Records in Long-Term Care: Staff Perspectives. J Appl Gerontol 36, 1175–1196. https://doi.org/10.1177/0733464815608493
VI. Ministry of Health, Labor and Welfare, 2016. Basic data on long term care beds (Report). Ministry of Health, Labor and Welfare, Tokyo.
VII. Sukirtha, T., Simon, H., Sarah, E., 2017. The Need for Electronic Health Records in Long-Term Care – PubMed. Stud Health Technol Inform.