An unprecedented federal effort is under way to boost the adoption of electronic health records and spur innovation in health care delivery. We reviewed the recent literature on health information technology to determine its effect on outcomes, including quality, efficiency, and provider satisfaction. We found that 92 percent of the recent articles on health information technology reached conclusions that were positive overall. We also found that the benefits of the technology are beginning to emerge in smaller practices and organizations, as well as in large organizations that were early adopters. However, dissatisfaction with electronic health records among some providers remains a problem and a barrier to achieving the potential of health information technology. These realities highlight the need for studies that document the challenging aspects of implementing health information technology more specifically and how these challenges might be addressed.
"" Broadly speaking, HIT is the overarching term applied to various information and communication technologies used to collect, transmit, display, or store patient data " (Sittig and Singh, 2011). Potential benefits of HIT systems include improvements in patient safety, organizational efficiency, and cost savings (Buntin et al., 2011; Chaudhry et al., 2006; Jensen, 2004; Kohli et al., 2004; Poon et al., 2006; Wu et al., 2006). They also allow for improved speed of monitoring and feedback after an adverse event has occurred (Bates, and Gawande, 2003). "
[Show abstract][Hide abstract] ABSTRACT: The objective of this work was to design and evaluate a health information technology (HIT) dashboard that presents evidence-based quality indicators for the purpose of evaluating patient risk in a hospital care setting. A focus group of nurse managers, physicians, and hospital quality professionals was conducted to identify design criteria for the HIT dashboard. The dashboard was developed from dynamic process data from a medical surgical unit in a Midwestern, academic hospital using human factors principles. Heuristic and system usability evaluations were performed to assess the HIT dashboard's functionality and usability. Evaluation results suggest that the HIT dashboard was considered " good " by evaluators (following System Usability Scale criteria), with five suggested changes being recommended by 40% or more of the heuristic evaluators. This work provides a preliminary model for the development of future HIT dashboards intended to communicate patient risk information to hospital care staff.
Proceedings of the Human Factors and Ergonomics Society 59th Annual Meeting, Los Angeles, CA; 10/2015
"There are certainly many possible answers how to explain these contradictory findings, but more important is the fact that many health professionals started to doubt the actual value of investing money, time and energy in the adoption of HIT . According to Buntin, Burke, Hoaglin and Blumenthal  especially the consideration of this human element is important, since a strong association between productivity and health professionals' satisfaction was found. The general problem—which often is neglected in macro-level studies—is that various stakeholders exist that have different usage patterns of and attitudes towards HIT  as well as divergent duties and political agendas  . "
[Show abstract][Hide abstract] ABSTRACT: Objectives: Albeit massive investments in the recent years, the impact of health information technology (HIT) has been controversial and strongly disputed by both research and practice. While many studies are concerned with the development of new or the refinement of existing measurement models for assessing the impact of HIT adoption (ex post), this study presents an initial attempt to better understand the factors affecting viability and fit of HIT and thereby underscores the importance of also having instruments for managing expectations (ex ante).
Methods: We extend prior research by undertaking a more granular investigation into the theoretical assumptions of viability and fit constructs. In doing so, we use a mixed-methods approach, conducting qualitative focus group discussions and a quantitative field study to improve and validate a viability-fit measurement instrument.
Results: Our findings suggest two issues for research and practice. First, the results indicate that different stakeholders perceive HIT viability and fit of the same e-health services very unequally. Second, the analysis also demonstrates that there can be a great discrepancy between the organizational viability and individual fit of a particular e-health service.
Conclusion: The findings of this study have a number of important implications such as for health policy making, HIT portfolios, and stakeholder communication.
International Journal of Medical Informatics 10/2015; DOI:10.1016/j.ijmedinf.2015.10.002 · 2.00 Impact Factor
"The primary purpose of technology in healthcare is to facilitate clinical processes to improve the efficiency, quality and safety of care through innovative technology-enabled solutions. While evidence for positive results is emerging through the literature (Buntin et al. 2011, Häyrinen et al. 2008, Lau et al. 2010), user dissatisfaction and barriers to technology adoption remain as significant issues; this appears to be particularly problematic in nursing contexts. Nurses represent a critical link in healthcare delivery as they are the largest group of health professionals in the healthcare system and the only healthcare professionals that provide constant patient surveillance at the bedside for 24 hours a day; but limited access to health information systems have been recognized as problems for nurses (Ballard 2006, Hegney et al. 2007). "
[Show abstract][Hide abstract] ABSTRACT: Abstract
The objective of this study, which is part of a wider longitudinal research project, was to assess the fidelity and feasibility of a NIS for acute care contexts. In order to do this, principles of design science research and user-centred design were drawn upon. The stages of the study discussed in this paper involved nurses as the intended users and evaluated the system at two early stages of development; user acceptance of the concept and testing of the prototype using simulation. Analyses of data collected in the early stages of the research highlight the importance of nurses’ involvement during system development to ensure fidelity for nursing work. Findings from this research provide suggestions about the potential for the NIS to improve nurses work processes and factors likely to impact the usability and acceptability of the system for nursing work. In addition, the need for co-evaluation of both the problem space as well as solution space in design science is confirmed. Face validity of the solution has been established. In addition, lessons have been incorporated into the refinement of the tool and will be evaluated in a large scale clinical trial which will involve multiple hospitals.
The Pacific Asia Conference on Information Systems (PACIS'2015), Singapore; 07/2015
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