| Title |
Electronic Health Records Associated With Lower Hospital Mortality After Systems Have Time To Mature
|
|---|---|
| Published in |
Health Affairs, July 2018
|
| DOI | 10.1377/hlthaff.2017.1658 |
| Pubmed ID | |
| Authors |
Sunny C Lin, Ashish K Jha, Julia Adler-Milstein |
| Abstract |
Evidence linking electronic health record (EHR) adoption to better care is mixed. More nuanced measures of adoption, particularly those that capture the common incremental approach of adding functions over time in US hospitals, could help elucidate the relationship between adoption and outcomes. We used data for the period 2008-13 to assess the relationship between EHR adoption and thirty-day mortality rates. We found that baseline adoption was associated with a 0.11-percentage-point higher rate per function. Over time, maturation of the baseline functions was associated with a 0.09-percentage-point reduction in mortality rate per year per function. Each new function adopted in the study period was associated with a 0.21-percentage-point reduction in mortality rate per year per function. We observed effect modification based on size and teaching status, with small and nonteaching hospitals realizing greater gains. These findings suggest that national investment in hospital EHRs should yield improvements in mortality rates, but achieving them will take time. |
X Demographics
The data shown below were collected from the profiles of 354 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 152 | 43% |
| Canada | 20 | 6% |
| United Kingdom | 18 | 5% |
| Australia | 12 | 3% |
| Spain | 9 | 3% |
| Ireland | 4 | 1% |
| India | 4 | 1% |
| Denmark | 3 | <1% |
| Argentina | 3 | <1% |
| Other | 19 | 5% |
| Unknown | 110 | 31% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 230 | 65% |
| Practitioners (doctors, other healthcare professionals) | 63 | 18% |
| Scientists | 48 | 14% |
| Science communicators (journalists, bloggers, editors) | 13 | 4% |
Mendeley readers
The data shown below were compiled from readership statistics for 120 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 120 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 14 | 12% |
| Student > Ph. D. Student | 12 | 10% |
| Student > Master | 11 | 9% |
| Student > Doctoral Student | 10 | 8% |
| Other | 7 | 6% |
| Other | 23 | 19% |
| Unknown | 43 | 36% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 26 | 22% |
| Nursing and Health Professions | 11 | 9% |
| Social Sciences | 8 | 7% |
| Business, Management and Accounting | 6 | 5% |
| Economics, Econometrics and Finance | 4 | 3% |
| Other | 14 | 12% |
| Unknown | 51 | 43% |
Attention Score in Context
This research output has an Altmetric Attention Score of 349. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 October 2022.
All research outputs
#94,766
of 25,736,439 outputs
Outputs from Health Affairs
#286
of 6,542 outputs
Outputs of similar age
#2,018
of 342,616 outputs
Outputs of similar age from Health Affairs
#6
of 74 outputs
Altmetric has tracked 25,736,439 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 6,542 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 67.7. This one has done particularly well, scoring higher than 95% of its peers.
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We're also able to compare this research output to 74 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 91% of its contemporaries.