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BACKGROUND: Implementing an electronic health record (EHR) is one of the most disruptive operational tasks a health system can undergo. Despite anecdotal reports of adverse events around the time of EHR implementations, there is limited corroborating research, particularly in pediatrics. We utilized data from Solutions for Patient Safety (SPS), a network of 145+ children's hospitals that share data and protocols to reduce harm in pediatric care delivery, to study the impact of EHR implementations on patient safety. OBJECTIVE: Determine if there is an association between the time immediately surrounding an EHR implementation and hospital-acquired conditions (HACs) rates in pediatrics. METHODS: A survey of information technology leaders at pediatric institutions identified EHR implementations occurring between 2012 and 2022. This list was cross-referenced with the SPS database to create an anonymized dataset of 27 sites comprising monthly HAC and care bundle compliance rates in the 7 months preceding and succeeding the transition. Six HACs were analyzed: central-line associated bloodstream infection (CLABSI), catheter-associated urinary tract infection (CAUTI), adverse drug events, surgical site infections (SSIs), pressure injuries (PIs), and falls, in addition to four associated care bundle compliance rates: CLABSI and CAUTI maintenance bundles, SSI bundle, and PI bundle. To determine if there was a statistically significant association with EHR implementation, the observation period was divided into three eras: "before" (months -7 to -3), "during" (months -2 to +2), and "after" go-live (months +3 to +7). Average monthly HAC and bundle compliance rates were calculated across eras. Paired t-tests were performed to compare rates between the eras. RESULTS: No statistically significant increase in HAC rates or decrease in bundle compliance rates was observed across the EHR implementation eras. CONCLUSION: This multisite study detected no significant increase in HACs and no decrease in preventive care bundle compliance in the months surrounding an EHR implementation.
Assuntos
Infecções Relacionadas a Cateter , Infecção Hospitalar , Criança , Humanos , Infecções Relacionadas a Cateter/prevenção & controle , Registros Eletrônicos de Saúde , Hospitais Pediátricos , Doença IatrogênicaRESUMO
Specialist palliative care (SPC) teams have been hailed by senior nurses for providing end of life care education and training for staff in care home and community settings.
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Nurses with backgrounds in mental health services or experience of providing psychological therapies are needed to join a team supporting the community affected by the Grenfell Tower fire.
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Nurses from a group campaigning for the rights of EU citizens in the UK after Brexit are meeting the Nursing and Midwifery Council (NMC) to press for the pass mark for English language tests to be lowered.
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A mental health nurse is helping volunteers for a football club's charity learn how to tackle mental ill health.
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Protests over plans to drastically cut the post-registration nurse training budget in Northern Ireland appear to have led to a partial victory.
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Professional standards for the work of nursing associates will be drawn up by the Nursing and Midwifery Council this summer.
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The pass level for nurses sitting English language tests is not set too high, a review by the Nursing and Midwifery Council (NMC) has concluded.
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Bank, agency and locum staff working in the NHS will not now automatically have their tax deducted at source.
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The NHS has confirmed it is reviewing fire safety procedures in the wake of the Grenfell Tower tragedy in London, amid concerns about the safety of hospital buildings.
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A Suffolk trust is set to trial a nurse-led community care model that has enjoyed great success in the Netherlands.
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A senior surgical ward sister has spoken of the emotional night shift caring for those injured in the Manchester Arena attack.
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The Nursing and Midwifery Council (NMC) has launched a public consultation on its long-awaited plans for a 'radical' overhaul of UK nurse education.
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Nurses who wore body cameras at work have praised the technology after a three-month trial.
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RCN members have urged the college to lobby parliament to ensure emergency departments (EDs) are no longer used as a place of safety for people experiencing a mental health crisis.
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RCN members have called on the college to demand a 'systematic rebanding' of NHS jobs under Agenda for Change (AfC).
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A slug in a sandwich, a stone in a cottage pie and a Muslim patient being offered pork were among the hundreds of complaints made about NHS hospital food last year, Nursing Standard can reveal.
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University of Greenwich researchers responded to an advert from the Nursing and Midwifery Council (NMC) offering funding for an investigation into its fitness-to-practise (FtP) processes amid concerns about the treatment of NHS staff from black and minority ethnic (BME) backgrounds.
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Povo Asiático/estatística & dados numéricos , População Negra/estatística & dados numéricos , Disciplina no Trabalho , Preconceito , Humanos , Tocologia , Enfermeiras e Enfermeiros , Reino UnidoRESUMO
A sight loss charity has called for more training for nurses in care homes so that they can intervene early to prevent residents' vision deteriorating.
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Cegueira , Instituições de Caridade , Capacitação em Serviço/organização & administração , Casas de Saúde/organização & administração , Humanos , Reino UnidoRESUMO
Campaigners who launched a petition to safeguard children's nursing degree programmes remain sceptical despite reassurance from the government.