Adoption Of Health Information Technology For Medication Safety In U.S. Hospitals, 2006
Arizona State University (ASU) in Tempe, USA.Health Affairs (Impact Factor: 4.97). 05/2008; 27(3):865-75. DOI: 10.1377/hlthaff.27.3.865
Health information technology (IT) is regarded as an essential tool to improve patient safety, and a range of initiatives to address patient safety are under way. Using data from a comprehensive, national survey from HIMSS Analytics, we analyzed the extent of health IT adoption for medication safety in U.S. hospitals in 2006. Our findings indicate wide variation in health IT adoption by type of technology and geographic location. Hospital size, ownership, teaching status, system membership, payer mix, and accreditation status are associated with health IT adoption, although these relationships differ by type of technology. Hospitals in states with patient safety initiatives have greater adoption rates.
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- "In most developed countries, sustained information technology (IT) investments allow the progressive adoption of electronic healthcare records (EHR) and their associated care management and decision support tools    . For example, in the second 2015 quarter 23.6% of US hospitals have reached Stage 6 of the Electronic Medical Record Adoption Model of Healthcare Information and Management Systems Society (HIMSS–EMRAM) maturity model . "
ABSTRACT: Context: Meaningful use and end-user satisfaction are two major components of the success of a clinical information system (CIS). The purpose of this study was to longitudinally measure and analyze the CIS use and satisfaction determinants in a multi-professional group at the Georges Pompidou university hospital (HEGP) in Paris. Methods: From the different evaluation surveys performed at HEGP, three periods were considered corresponding to 4,8 and over 10 years after the first CIS deployment in 2000, respectively. Six acceptance dimensions were considered: CIS quality (CISQ), facilitating conditions (FC), perceived usefulness (PU), confirmation of expectations (CE), use, and global satisfaction (GS). Relationships between these constructs were tested through multiple regressions analysis and structural equation modeling (SEM). Results: Responses were obtained from 298, 332, and 448 users for the three periods considered. CIS acceptance dimensions progressively and significantly increased over time. Significant differences between professions were observed with an initial low PU among medical staff. In the early deployment phase, GS appeared to be determined by CIS use, CISQ and PU (R-2=.53 in SEM). In the very late post-adoption phase, GS was strongly determined by CISQ, CE, and PU (R-2=.86 in SEM) and was no longer associated with CIS use. Conclusion: Acceptance models should be adapted to the phase of deployment of a CIS and integrate endusers' individual characteristics. Progressive reduction over time of the positive relationships between CIS use and satisfaction could possibly be considered as a maturity indicator of CIS deployment. These observations validate the introduction in post-adoption models of a continuance intention dimension.
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- "Despite the tangible value that these systems have been shown to bring to the delivery of health services , the adaptation and implementation of health information technology (HIT) has been slow  . This is, in part, due to concerns about cost, patient privacy, clinician resistance and weak integration with backend systems  . With the development and ubiquity of miniaturised devices that can match the mobility of paper, new forms of technology are meeting the challenge of improved access to information systems and greater integration with the demands of highly mobile clinical practice  . "
ABSTRACT: Background Previous work has examined the impact of technology on information sharing and communication between doctors and patients in general practice consultations, but very few studies have explored this in hospital settings.AimsTo assess if, and how, senior clinicians use an iPad to share information (e.g. patient test results) with patients during ward-rounds and to explore patients’ and doctors’ experiences of information sharing events.Methods Ten senior doctors were shadowed on ward-rounds on general wards during interactions with 525 patients over 77.3 hours, seven senior doctors were interviewed and 180 patients completed a short survey.ResultsDoctors reported that information sharing with patients is critical to the delivery of high quality healthcare, but were not seen to use the iPad to share information with patients on ward-rounds. Patients did not think the iPad had impacted on their engagement with doctors on rounds. Ward-rounds were observed to follow set routines and patient interactions were brief.Conclusions Although the iPad potentially creates new opportunities for information sharing and patient engagement, the ward-round may not present the most appropriate context for this to be done.
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- "This may reflect an ability to negotiate better prices or learn from other system-member's adoption. Furukawa et al.  examined the extent of health IT adoption in US hospitals in 2006. In their paper, they explored how hospital characteristics and geographic location relate to the adoption of health IT with particular focus on medication safety. "
ABSTRACT: This work provides prevalence estimates for electronic health record (EHR) systems within U.S. hospitals in 2008. Specifically, we identify the set of information technology (IT) applications that provide the technological pre-conditions for hospitals' achievement of meaningful use. We estimate a set of descriptive and multivariate analyses to identify the organizational attributes that are significantly related to EHR adoption. In addition to considering IT applications individually, we consider the cumulative adoption by hospitals. Our results suggest that most U.S. hospitals continue to lack the technological pre-conditions for achieving meaningful use. Approximately 72% of hospitals had adopted three or fewer of these key applications. Furthermore, we observe some evidence of complementarities between IT and other production inputs. Finally, ownership status, system affiliation, and geographic location are all significantly related to IT adoption. These results provide a useful benchmark for pending IT investments resulting from health reform.
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