Although computerized physician order entry (CPOE) has been successfully implemented in many acute care hospitals, few descriptions of its use in the long-term care (LTC) setting are available. This report describes the experiences of one LTC facility in developing and implementing a CPOE system with clinical decision support (CDS). Even when a facility has the necessary resources and "institutional will," many challenges are associated with the implementation of this application. The system was designed to meet the needs of healthcare providers in the LTC setting, in particular by informing prescribing decisions, reducing the frequency of prescribing and monitoring errors, and reducing adverse drug event rates. Based on experience adopting this technology early, 10 insights are offered that it is hoped will assist others who are considering the implementation of CPOE systems with CDS in the LTC setting.
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http://dx.doi.org/10.1111/j.1532-5415.2005.53515.x | DOI Listing |
Alzheimers Dement (N Y)
December 2024
Introduction: The professional caregiver workforce (nursing assistants and personal care aides) is critical to quality of care and quality of life in nursing home (NH) and assisted living (AL) settings. The work is highly stressful, so improving responses to stress in this workforce could contribute to satisfaction and retention. This research developed a coping measure appropriate for the diverse professional caregiver workforce.
View Article and Find Full Text PDFJ Am Med Dir Assoc
December 2024
Innovation in Dementia and Aging Lab, University of British Columbia, Vancouver, British Columbia, Canada.
Objectives: To explore and understand the sources and experiences of joy in caregiving among formal caregivers in Canadian long-term care (LTC).
Design: A qualitative study with interpretative descriptive design.
Setting And Participants: The participants consisted of 20 formal caregivers from a large public LTC home in British Columbia, Canada, focusing on those with at least 6 months of direct caregiving experience.
J Am Med Dir Assoc
December 2024
Department of Medicine, University of Calgary, Calgary, Alberta, Canada. Electronic address:
Objective: To assess the comparative efficacy of interventions on depressive symptoms and disorders in older adults living in long-term care (LTC).
Design: Systematic review and network meta-analysis.
Setting And Participants: Older adults living in LTC or equivalent settings.
Digit Health
December 2024
School of Nursing, University of Northern British Columbia, Prince George, BC, Canada.
Background: During the COVID-19 pandemic, governments across the world implemented processes and policies to limit the spread of COVID-19, especially in long-term care (LTC) homes. This led to changes in technology use for persons living in LTC homes, their families and friends, as well as the paid workforce dedicated to caring for them.
Objective: The study describes the role of technology and its impact on the experiences of LTC staff working in northern and rural areas in Western Canada during COVID-19.
J Nurs Adm
January 2025
Author Affiliation: Assistant Professor (Dr Abbeyquaye) and Assistant Professor (Dr Cross), School of Nursing, Massachusetts College of Pharmacy and Health Sciences, Boston.
Like the acute care environment, long-term care (LTC) settings struggle to recruit and retain nursing staff. As the population ages, there are implications for administrators to create innovative approaches to attract and retain nurses to work in LTC. This article explores the basic tenets that foster and hinder retention in this important care setting.
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