Highlights
- •What is the primary question addressed by this study?How is EHR usability associated with postsurgical outcomes including 30-day readmission, 30-day mortality, and length of stay among older adults with dementia?
- •What is the main finding of this study?Older adults with dementia who received care in hospitals with better EHR usability were less likely to die within 30 days of their admission following surgery compared to hospitals with poorer EHR usability (OR: 0.79, 95% CI: 0.68–0.91, p = 0.001). However, there was no relationship between EHR usability and readmission or LOS.
- •What is the meaning of the finding?Our findings suggested that better EHR usability is associated with reduced 30-day mortality among older adults with dementia. Therefore, improving EHR usability may be beneficial for reducing the likelihood of postsurgical mortality for older adults with dementia.
ABSTRACT
Introduction
Electronic health record (EHR) usability, defined as the extent to which the system
can be used to complete tasks, can influence patient outcomes. The aim of this study
is to assess the relationship between EHR usability and postsurgical outcomes of older
adults with dementia including 30-day readmission, 30-day mortality, and length of
stay (LOS).
Methods
A cross-sectional analysis of linked American Hospital Association, Medicare claims
data, and nurse survey data was conducted using logistic regression and negative binominal
models.
Results
The dementia population who received care in hospitals with better EHR usability were
less likely to die within 30 days of their admission following surgery compared to
hospitals with poorer EHR usability (OR: 0.79, 95% CI: 0.68–0.91, p = 0.001). EHR
usability was not associated with readmission or LOS.
Discussion
Better nurse reported EHR usability has the potential to reduce mortality rates among
older adults with dementia in hospitals.
Key Words
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Article info
Publication history
Published online: February 12, 2023
Accepted:
February 6,
2023
Received in revised form:
February 6,
2023
Received:
October 27,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
Published by Elsevier Inc. on behalf of American Association for Geriatric Psychiatry.
