Key result
Implementation of inpatient electronic health records showed no significant association with short-term mortality, adverse safety events, or readmissions compared to control hospitals (all P≥0.13).
Why the study?
Does implementation of inpatient electronic health records affect mortality, readmissions, or adverse safety events in Medicare beneficiaries?
Population
Medicare beneficiaries admitted to 17 study hospitals with a verifiable 'go live' date for implementation of…
Comparison
Implementation of inpatient electronic health… vs Contemporaneous admissions to 399 control…
Design
Cohort
Follow-up
30 days
Authors
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No short-term harm linked to EHR implementation; leaves open causal effects and longer-term outcomes.
Observational (n=615,833)
Yes
Does implementation of inpatient electronic health records affect mortality, readmissions, or adverse safety events in Medicare beneficiaries?
p-value: p=≥0.13
The transition to a new inpatient electronic health record system does not appear to adversely affect short-term patient outcomes such as mortality, readmissions, or safety events.
Barnett et al. (2016) conducted an observational in Inpatient admissions (n=615,833). Inpatient electronic health records (EHRs) implementation vs. Contemporaneous admissions to control hospitals without new EHR implementation was evaluated on All cause readmission within 30 days of discharge, all cause mortality within 30 days of admission, and adverse safety events (PSI-90) (p=≥0.13). Implementation of inpatient electronic health records showed no significant association with short-term mortality, adverse safety events, or readmissions compared to control hospitals (all P≥0.13).
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