A review on systematic reviews of health information system studies

Abstract

The purpose of this review is to consolidate existing evidence from published systematic reviews on health information system (HIS) evaluation studies to inform HIS practice and research. Fifty reviews published during 1994-2008 were selected for meta-level synthesis. These reviews covered five areas: medication management, preventive care, health conditions, data quality, and care process/outcome. After reconciliation for duplicates, 1276 HIS studies were arrived at as the non-overlapping corpus. On the basis of a subset of 287 controlled HIS studies, there is some evidence for improved quality of care, but in varying degrees across topic areas. For instance, 31/43 (72%) controlled HIS studies had positive results using preventive care reminders, mostly through guideline adherence such as immunization and health screening. Key factors that influence HIS success included having in-house systems, developers as users, integrated decision support and benchmark practices, and addressing such contextual issues as provider knowledge and perception, incentives, and legislation/policy.

Conformité des bilans comparatifs des médicaments à l’admission transmis au département de pharmacie par télécopieur

“…Plusieurs autres pays ont adopté des orientations technologiques favorisant le déploiement d'un dossier santé électronique permettant aux cliniciens des hôpitaux de travailler plus efficacement. Nul doute qu'un tel outil contribuera significativement à la démarche de bilan comparatif des médicaments 27,28 . Toutefois, il incombe de rappeler qu'il ne suffit pas d'informatiser les données pour que les processus soient optimisés.…”

An Examination of the Mediating Role for a Nursing Information System

“…Common anticipated benefits include increased care quality, patient safety and process efficiency as a result of better access to realtime and accurate patient data. The reality has yet to reach this state and over one decade (2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014) of literature reviews report mixed findings including attitude of nurses toward adopting technology solutions and impacts of technology adoption in healthcare (Häyrinen et al, 2008;Lau et al, 2010;Meijden et al, 2003;Mills et al, 2013;Nguyen et al, 2014). Mixed findings are still found in recent research (Lin et al, 2016;Tilahun & Fritz, 2015).…”

“…Over the years, on-going research reports mixed and inconclusive results in regard to impacts of HIS implementation and its assimilation to clinicians' practice and workflow (Lau et al, 2010;Mills et al, 2013;Nguyen et al, 2014). Industry surveys conducted by the American College of Physicians and American EHR Partners (2013) reveal an overall dissatisfaction of the clinician users.…”

International health IT benchmarking: learning from cross-country comparisons

“…4 While success is not guaranteed, a range of studies demonstrate that, under the right conditions, health ICT can contribute to these objectives, driving improvements in timely communication, quality, and efficiency. 5 There is a large body of literature on the experiences of specific organizations and providers in implementing electronic health records (EHRs) and other related applications such as e-prescribing and computerized physician order entry systems. [6][7][8][9] ICTs can also enable new ways of delivering care.…”