{"id":"https://openalex.org/W2161840762","doi":"https://doi.org/10.1093/jamia/ocv061","title":"Improving prediction of fall risk among nursing home residents using electronic medical records","display_name":"Improving prediction of fall risk among nursing home residents using electronic medical records","publication_year":2015,"publication_date":"2015-06-22","ids":{"openalex":"https://openalex.org/W2161840762","doi":"https://doi.org/10.1093/jamia/ocv061","mag":"2161840762","pmid":"https://pubmed.ncbi.nlm.nih.gov/26104743"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocv061","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocv061","pdf_url":"https://academic.oup.com/jamia/article-pdf/23/2/276/34147665/ocv061.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://academic.oup.com/jamia/article-pdf/23/2/276/34147665/ocv061.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5039670924","display_name":"Allison Marier","orcid":null},"institutions":[{"id":"https://openalex.org/I4210152550","display_name":"Abt Global (United States)","ror":"https://ror.org/0502afh35","country_code":"US","type":"company","lineage":["https://openalex.org/I4210152550"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Allison Marier","raw_affiliation_strings":["Abt Associates, U.S. Health Division, Bethesda, MD, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Abt Associates, U.S. Health Division, Bethesda, MD, USA","institution_ids":["https://openalex.org/I4210152550"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005863511","display_name":"Lauren E.W. Olsho","orcid":"https://orcid.org/0000-0003-4503-9745"},"institutions":[{"id":"https://openalex.org/I4210152550","display_name":"Abt Global (United States)","ror":"https://ror.org/0502afh35","country_code":"US","type":"company","lineage":["https://openalex.org/I4210152550"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lauren E.W. Olsho","raw_affiliation_strings":["Abt Associates, U.S. Health Division, Cambridge, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Abt Associates, U.S. Health Division, Cambridge, MA, USA","institution_ids":["https://openalex.org/I4210152550"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050310333","display_name":"William Rhodes","orcid":"https://orcid.org/0000-0001-9361-6223"},"institutions":[{"id":"https://openalex.org/I4210152550","display_name":"Abt Global (United States)","ror":"https://ror.org/0502afh35","country_code":"US","type":"company","lineage":["https://openalex.org/I4210152550"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"William Rhodes","raw_affiliation_strings":["Abt Associates, U.S. Health Division, Cambridge, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Abt Associates, U.S. Health Division, Cambridge, MA, USA","institution_ids":["https://openalex.org/I4210152550"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5109850023","display_name":"William D. Spector","orcid":null},"institutions":[{"id":"https://openalex.org/I82994568","display_name":"Agency for Healthcare Research and Quality","ror":"https://ror.org/03jmfdf59","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I82994568"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"William D. Spector","raw_affiliation_strings":["Agency for Healthcare Research & Quality, U.S. Department of Health & Human Services, Rockville, MD, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Agency for Healthcare Research & Quality, U.S. Department of Health & Human Services, Rockville, MD, USA","institution_ids":["https://openalex.org/I82994568"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":null,"fwci":6.1826,"has_fulltext":false,"cited_by_count":43,"citation_normalized_percentile":{"value":0.94957599,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"23","issue":"2","first_page":"276","last_page":"282"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10114","display_name":"Balance, Gait, and Falls Prevention","score":0.589900016784668,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10114","display_name":"Balance, Gait, and Falls Prevention","score":0.589900016784668,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11719","display_name":"Data Quality and Management","score":0.06509999930858612,"subfield":{"id":"https://openalex.org/subfields/1803","display_name":"Management Science and Operations Research"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.04830000177025795,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/nursing-homes","display_name":"Nursing homes","score":0.5693885684013367},{"id":"https://openalex.org/keywords/medical-record","display_name":"Medical record","score":0.5103911757469177},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.4533804953098297},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.43640226125717163},{"id":"https://openalex.org/keywords/electronic-health-record","display_name":"Electronic health record","score":0.4213918447494507},{"id":"https://openalex.org/keywords/gerontology","display_name":"Gerontology","score":0.33548542857170105},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.08403447270393372}],"concepts":[{"id":"https://openalex.org/C3019398978","wikidata":"https://www.wikidata.org/wiki/Q837142","display_name":"Nursing homes","level":2,"score":0.5693885684013367},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.5103911757469177},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4533804953098297},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.43640226125717163},{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.4213918447494507},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.33548542857170105},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.08403447270393372},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000058","descriptor_name":"Accidental Falls","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D000058","descriptor_name":"Accidental Falls","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D000058","descriptor_name":"Accidental Falls","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002140","descriptor_name":"California","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002140","descriptor_name":"California","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002140","descriptor_name":"California","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006707","descriptor_name":"Homes for the Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006707","descriptor_name":"Homes for the Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006707","descriptor_name":"Homes for the Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009735","descriptor_name":"Nursing Homes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009735","descriptor_name":"Nursing Homes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009735","descriptor_name":"Nursing Homes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D066264","descriptor_name":"Datasets as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D066264","descriptor_name":"Datasets as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D066264","descriptor_name":"Datasets as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.1093/jamia/ocv061","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocv061","pdf_url":"https://academic.oup.com/jamia/article-pdf/23/2/276/34147665/ocv061.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:26104743","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/26104743","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:europepmc.org:6702693","is_oa":false,"landing_page_url":"http://europepmc.org/pmc/articles/PMC7784312","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:open-archive.highwire.org:jaminfo:23/2/276","is_oa":false,"landing_page_url":"http://jamia.oxfordjournals.org/cgi/content/short/23/2/276","pdf_url":null,"source":{"id":"https://openalex.org/S4406923041","display_name":"HighWire Press Open Archive","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"TEXT"},{"id":"pmh:oai:pubmedcentral.nih.gov:7784312","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7784312","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/jamia/ocv061","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocv061","pdf_url":"https://academic.oup.com/jamia/article-pdf/23/2/276/34147665/ocv061.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G7949328255","display_name":null,"funder_award_id":"HHSA290201000031I","funder_id":"https://openalex.org/F4320332505","funder_display_name":"U.S. Public Health Service"}],"funders":[{"id":"https://openalex.org/F4320332505","display_name":"U.S. Public Health Service","ror":"https://ror.org/05xf94514"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":33,"referenced_works":["https://openalex.org/W73659361","https://openalex.org/W339111449","https://openalex.org/W1518386324","https://openalex.org/W1520242404","https://openalex.org/W1588404570","https://openalex.org/W1975482756","https://openalex.org/W1985927154","https://openalex.org/W1998477359","https://openalex.org/W2024641550","https://openalex.org/W2024924967","https://openalex.org/W2032509125","https://openalex.org/W2038656059","https://openalex.org/W2060486879","https://openalex.org/W2061049620","https://openalex.org/W2073140076","https://openalex.org/W2076563800","https://openalex.org/W2086622679","https://openalex.org/W2127218829","https://openalex.org/W2128068968","https://openalex.org/W2128814754","https://openalex.org/W2145629871","https://openalex.org/W2146368921","https://openalex.org/W2152933085","https://openalex.org/W2154209841","https://openalex.org/W2158190397","https://openalex.org/W2169044058","https://openalex.org/W2290173036","https://openalex.org/W2916491205","https://openalex.org/W4255411484","https://openalex.org/W6611457876","https://openalex.org/W6678735560","https://openalex.org/W6681503346","https://openalex.org/W6696544798"],"related_works":["https://openalex.org/W2414313387","https://openalex.org/W2011675014","https://openalex.org/W2365852645","https://openalex.org/W2353747608","https://openalex.org/W3198350974","https://openalex.org/W2059527191","https://openalex.org/W2421931440","https://openalex.org/W2361337294","https://openalex.org/W2403542557","https://openalex.org/W2921453021"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Falls":[1],"are":[2,237],"physically":[3],"and":[4,37,80],"financially":[5],"costly,":[6],"but":[7,33],"may":[8,41,56],"be":[9],"preventable":[10],"with":[11,233,239],"targeted":[12],"intervention.":[13],"The":[14,68,116],"Minimum":[15],"Data":[16],"Set":[17],"(MDS)":[18],"is":[19],"one":[20],"potential":[21],"source":[22],"of":[23,121,153,184,245],"information":[24],"on":[25],"fall":[26,114,127,145],"risk":[27,64,128,146,163,177,194,215,247],"factors":[28,147,178],"among":[29,157,188],"nursing":[30,88],"home":[31],"residents,":[32],"its":[34,43],"limited":[35],"breadth":[36],"relatively":[38],"infrequent":[39],"updates":[40],"limit":[42],"practical":[44],"utility.":[45],"Richer,":[46],"more":[47,170],"frequently":[48,171],"updated":[49,172],"data":[50,82,207,223,236],"from":[51,102,136,148,179,229,243],"electronic":[52],"medical":[53],"records":[54],"(EMRs)":[55],"improve":[57],"ability":[58,209],"to":[59,76,111,130,210,219],"identify":[60,211],"individuals":[61],"at":[62,213],"highest":[63,161,192,214],"for":[65,83,174,216],"falls.":[66],"METHODS:":[67],"authors":[69,117],"applied":[70],"a":[71,91,98,103,142,196],"repeated":[72],"events":[73],"survival":[74],"model":[75,143],"analyze":[77],"MDS":[78,150,222],"3.0":[79],"EMR":[81,100,138,181,206,235],"5129":[84],"residents":[85,158,189],"in":[86,133,159,190],"13":[87],"homes":[89],"within":[90,124],"single":[92],"large":[93],"California":[94],"chain":[95],"that":[96],"uses":[97],"centralized":[99],"system":[101],"leading":[104],"vendor.":[105],"Estimated":[106],"regression":[107],"parameters":[108],"were":[109],"used":[110],"project":[112],"resident":[113],"probability.":[115],"examined":[118],"the":[119,149,160,175,180,191,200,230],"proportion":[120],"observed":[122,154,185],"falls":[123,155,186,217],"each":[125],"projected":[126,162,193],"decile":[129],"assess":[131],"improvements":[132,226],"predictive":[134],"power":[135],"including":[137],"data.":[139],"RESULTS:":[140],"In":[141,165],"incorporating":[144,169],"only,":[151],"28.6%":[152],"occurred":[156,187],"decile.":[164],"an":[166],"alternative":[167],"specification":[168],"measures":[173],"same":[176],"data,":[182],"32.3%":[183],"decile,":[195],"13%":[197],"increase":[198],"over":[199],"base":[201],"MDS-only":[202],"specification.":[203],"CONCLUSIONS:":[204],"Incorporating":[205],"improves":[208],"those":[212],"relative":[218],"prediction":[220],"using":[221],"alone.":[224],"These":[225],"stem":[227],"chiefly":[228],"greater":[231],"frequency":[232],"which":[234],"updated,":[238],"minimal":[240],"additional":[241,246],"gains":[242],"availability":[244],"factor":[248],"variables.":[249]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":12},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":5},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":7},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":2},{"year":2014,"cited_by_count":1}],"updated_date":"2026-07-02T09:51:11.867554","created_date":"2025-10-10T00:00:00"}