Effect of a nursing information system on the quality of information processing in nursing: An evaluation study using the HIS-monitor instrument

Ammenwerth, Elske; Rauchegger, Franz; Ehlers, F.; Hirsch, Bernhard; Schaubmayr, Christine

doi:10.1016/j.ijmedinf.2010.10.010

Cited by 76 publications

(59 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[7][8][9] However, some scholars have found that EHS might even increase medical errors, poor care consequences, and mortality. 10 Thus, deploying EHS is not merely a source of improvement in reducing medical errors as there are some contradictions in the findings of the past research with regard to the impacts of such systems on the reduction of medical errors. [8][9][10][11] Some researchers have highlighted the unexpectedly high likelihood of patients' safety threats that may arise from EHS, including electronic prescribing (e-prescribing) technology.…”

Section: Introductionmentioning

confidence: 99%

Electronic Prescribing Usability: Reduction of Mental Workload and Prescribing Errors Among Community Physicians

Shah

Peikari

2016

Telemedicine and e-Health

View full text Add to dashboard Cite

Background: Medical errors are common in hospitals, and research is always needed to find ways of reducing these. This study attempts to address three gaps in this field. First, the factors leading to the reduction of mental workload and its relationship with the reduction of prescribing errors by improving electronic prescribing (e-prescribing) usability have not been empirically examined before. Second, the past research in the field of e-prescribing usability lacks robust theoretical models. Third, there are no existing studies to examine the direct influences of user interface consistency and error prevention with the reduction of mental workload and prescribing errors. Materials and Methods: A quantitative survey method was used to collect data from 188 community physicians. The partial least squares path modeling technique was applied to analyze the data. Results: Prescribing errors were reduced by improving the information quality, user interface consistency, system ease of use, and mental workload reduction. Mental workload is reduced by ease of use, error prevention, and consistency. No significant relationships between prescribing error reduction with error prevention and also between information quality with mental workload reduction were found. Conclusions: The designers of e-prescribing should improve the error prevention and consistency of the system and make it easy to use if they wish for the system to reduce users' mental workload. They should also improve the system information quality, ease of use, and consistency if they claim that their system reduces physicians' prescribing errors. The system should also reduce users' mental workload to meet this objective.

show abstract

Section: Introductionmentioning

confidence: 99%

Electronic Prescribing Usability: Reduction of Mental Workload and Prescribing Errors Among Community Physicians

Shah

Peikari

2016

Telemedicine and e-Health

View full text Add to dashboard Cite

show abstract

“…Information systems that facilitate data collection and tracking for patient care can also sustain care quality improvement [4]. In the past decades, application of electronic health records (EHRs) has streamlined data processing and management in many health care settings with benefits of increasing access to more complete, accurate and up-to-date data and reducing redundancy [1,5,6,7]. In aged care settings, the implementation of EHRs has potential to improve quality of care, efficiency of operation and integration of services [4].…”

Section: Introductionmentioning

confidence: 99%

Description and comparison of quality of electronic versus paper-based resident admission forms in Australian aged care facilities

Wang

Hailey

2013

International Journal of Medical Informatics

View full text Add to dashboard Cite

Purpose To describe the paper-based and electronic formats of resident admission forms used in several aged care facilities in Australia and to compare the extent to which resident admission information was documented in paper-based and the electronic health records. Methods Retrospective auditing and comparison of the documentation quality of paper-based and electronic resident admission forms were conducted. A checklist of admission data was qualitatively derived from different formats of the admission forms collected. Three measures were used to assess the quality of documentation of the admission forms, including completeness rate, comprehensiveness rate and frequency of documented data element. The associations between the number of items and their completeness and comprehensiveness rates were estimated at a general level and at each information category level. Results Various paper-based and electronic formats of admission forms were collected, reflecting varying practice among the participant facilities. The overall completeness and comprehensiveness rates of the admission forms were poor, but were higher in the electronic health records than in the paper-based records (60% versus 56% and 40% versus 29% respectively, p < 0.01). There were differences in the overall completeness and comprehensiveness rates between the different formats of admission forms (p < 0.01). At each information category level, varying degrees of difference in the completeness and comprehensiveness rates were found between different form formats and between the paper-based and the electronic records. A negative association between the completeness rate and the number of items in a form was found at each information category level (p < 0.01), i.e., more data items designed in a form, the less likely that the items would be completely filled. However, the associations between the comprehensiveness rates and the number of items were highly positive at both overall and individual information category levels (p < 0.01), suggesting more items designed in a form, more information would be captured. Conclusion Better quality of documentation in resident admission forms was identified in the electronic documentation systems than in previous paper-based systems, but still needs to be further improved in practice. The quality of documentation of resident admission data should be further analysed in relation to its specific content. Website: http://www.uow.edu.au/~ping/ Key words: electronic health record, paper record, electronic record, nursing documentation, admission form, auditing, quality, evaluation.-2 - AbstractPurpose: To describe the paper-based and electronic formats of resident admission forms used in several aged care facilities in Australia and to compare the extent to which resident admission information was documented in paper-based and the electronic health records.Methods: Retrospective auditing and comparison of the documentation quality of paperbased and electronic resident admission forms were conducted. A checklist...

show abstract

“…Low satisfactory / dissatisfaction (Darbyshire, 2004;Laerum et al, 2004;Mills et al, 2013;Stevenson et al, 2010;Tilahun & Fritz, 2015). Dynamics of nurses' experience: During the period of implementation, nurses' attitude and satisfaction increased overtime as they experienced more with the system (Ammenwerth et al, 2011;Carayon et al, 2011;Lee et al, 2008). Fidelity HIS functionality did not meet the nurses' needs nor support their workflows and practice (Novak et al, 2013;Stevenson et al, 2010); workflow interruptions, additional work (Eley et al, 2009;Lee et al, 2008), unintended consequences (Dowding et al, 2009;Koppel et al, 2005).…”

Section: Usefulness / Effectivenessmentioning

confidence: 99%

An Examination of the Mediating Role for a Nursing Information System

Nguyen

Wickramasinghe

2017

AJIS

View full text Add to dashboard Cite

This paper reports on findings from an examination of a nursing information system through the lens of Activity Theory. The information system was designed to support real-time nursing documentation in acute care hospital contexts. The objective was to enable superior nursing care to ensue by providing nurses with the opportunity to document patient care data into a tablet computer located at the patient bedside. The system was evaluated in a not-for-profit acute care hospital's wards during its implementation. Nurses' interactions with the system and their perceptions were collected and analysed through the lens of Activity Theory. The analysis highlighted nurses' positive attitude towards the system and identified potential mediation capabilities as well as areas for improvements. Activity Theory was found to be useful to examine the positive and potentially problematic aspects of this new nursing information system.

show abstract

Effect of a nursing information system on the quality of information processing in nursing: An evaluation study using the HIS-monitor instrument

Cited by 76 publications

References 16 publications

Electronic Prescribing Usability: Reduction of Mental Workload and Prescribing Errors Among Community Physicians

Electronic Prescribing Usability: Reduction of Mental Workload and Prescribing Errors Among Community Physicians

Description and comparison of quality of electronic versus paper-based resident admission forms in Australian aged care facilities

An Examination of the Mediating Role for a Nursing Information System

Contact Info

Product

Resources

About