Evaluation of health information systems—problems and challenges

Ammenwerth, Elske; Gräber, Stefan; Herrmann, Gabriele; Bürkle, Thomas; König, J.

doi:10.1016/s1386-5056(03)00131-x

Cited by 300 publications

(179 citation statements)

References 41 publications

Supporting

Mentioning

173

Contrasting

Unclassified

Order By: Relevance

“…The complexity of IT evaluation research and the recommendations made from previous studies, such as the importance of taking into account context variables and the use of multiple methods for a wider approach [4,6,7,8], make realistic evaluation a promising approach to IT evaluation research [9]. Grounded on theory-based evaluation research, realistic evaluation understands causality in terms of generative mechanisms; causal relationships are not straightforward, as context factors can modify outcomes: mechanisms should be in the right context to produce the expected outcomes [10].…”

Section: Introductionmentioning

confidence: 99%

A quantitative analysis of the impact of a computerised information system on nurses’ clinical practice using a realistic evaluation framework

Oroviogoicoechea

Watson

2009

International Journal of Medical Informatics

View full text Add to dashboard Cite

Measurements.A questionnaire was distributed to all nurses working in in-patient units of a university hospital in Spain (n= 227). Quantitative data were analysed using SPSS 13.0. Descriptive statistics were used for an overall overview of nurses' perception. Inferential analysis, including both bivariate and multivariate methods (path analysis), were used for cross-tabulation of variables searching for CMO relationships. Conclusion.Results from the study looking at subtle variations in users and units provide insight into how important professional culture and working practices could be in IT (information technology) implementation. The socio-technical approach on IT systems evaluation suggested in the recent literature appears to be an adequate 3 theoretical underpinning for IT evaluation research. Realistic evaluation has proven to be an adequate method for IT evaluation.

show abstract

Section: Introductionmentioning

confidence: 99%

A quantitative analysis of the impact of a computerised information system on nurses’ clinical practice using a realistic evaluation framework

Oroviogoicoechea

Watson

2009

International Journal of Medical Informatics

View full text Add to dashboard Cite

show abstract

“…Some of the most common general difficulties are: threats to confidentiality and privacy (Khoumbati et al, 2010) of ICT infrastructure, legal and administrative barriers, costs of system implementation and maintenance (Haigh, 2004;Cripps et al, 2011), the cost of updating (Haux, 2006), costly modern systems (Ammenwerth et al, 2003), sufficient investment, delays in implementation and providing electronic devices and software (Lucas, 2008). Also the most important challenges in specific aspects are: poor design and implementation, lack of system interoperability with electronic health records and other IT tools (Lawler et al, 2011), system compatibility with personal tasks (Viitanen et al, 2011), decrease in face to face communication between doctor and patient (Lluch, 2011), omission of human relationship and the negative effects of technology on relationships between individuals and social processes (Gustafsson et al, 2003), designing of E-Health services content (Hardiker et al, 2011), failure to meet targets (Lucas, 2008), problem in responsibility (Rigby, 1999), virtual information control (While et al, 2011), ill-functioning of system that leads to medical errors and negative effects on care outcomes, patients and personnel (Ammenwerth et al, 2003;Nykanen et al, 2011), mistakes in documentation (Lawler et al, 2011) e.g. data manipulation and re-writing, misrepresentation, and violation of patients' legal rights.…”

Section: It Challenges In Cancer Registrationmentioning

confidence: 99%

Positive and Negative Effects of IT on Cancer Registries

Mohammadzadeh

Safdari²,

Rahimi³

2013

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

In the new millennium people are facing serious challenges in health care, especially with increasing noncommunicable diseases (NCD). One of the most common NCDs is cancer which is the leading cause of death in developed countries and in developing countries is the second cause of death after heart diseases. Cancer registry can make possible the analysis, comparison and development of national and international cancer strategies and planning. Information technology has a vital role in quality improvement and facility of cancer registries. With the use of IT, in addition to gaining general benefits such as monitoring rates of cancer incidence and identifying planning priorities we can also gain specific advantages such as collecting information for a lifetime, creating tele medical records, possibility of access to information by patient, patient empowerment, and decreasing medical errors. In spite of the powerful role of IT, we confront various challenges such as general problems, like privacy of the patient, and specific problems, including possibility of violating patients rights through misrepresentation, omission of human relationships, and decrease in face to face communication between doctors and patients. By implementing appropriate strategies, such as identifying authentication levels, controlling approaches, coding data, and considering technical and content standards, we can optimize the use of IT. The aim of this paper is to emphasize the need for identifying positive and negative effects of modern IT on cancer registry in general and specific aspects as an approach to cancer care management.

show abstract

“…22 We should evaluate these types of applications in practice. 15,23,24 However, identified barriers to the evaluation of such devices include: insufficiently available evaluation guidelines and support, inadequate collaboration, cost and innate organisational resistance. 4,25 The barriers for clinicians include motivation and the complexity of the evaluation object.…”

Section: Comparison With the Literaturementioning

confidence: 99%

“…4,25 The barriers for clinicians include motivation and the complexity of the evaluation object. 24 The emphasis on raising awareness among clinicians should be reinforced by suggesting that evaluation of health informatics systems should have the same role in medical informatics as evidence and audit have in clinical practice. 15 …”

Section: Comparison With the Literaturementioning

confidence: 99%

Clinicians were oblivious to incorrect logging of test dates and the associated risks in an online pathology application: a case study

Appleton¹,

Sadek²,

Dawson³

et al. 2013

Journal of Innovation in Health Informatics

View full text Add to dashboard Cite

IntroductionComputerised medical records (CMR) and computerised physician order entry systems (CPOE) ABSTRACTBackground UK primary care physicians receive their laboratory test results electronically. This study reports a computerised physician order entry (CPOE) system error in the pathology test request date that went unnoticed in family practices. Method We conducted a case study using a causation of risk theoretical framework; comprising interviews with clinicians and the manufacturer to explore the identification of and reaction to the error. The primary outcome was the evolution and recognition of and response to the problem. The secondary outcome was to identify other issues with this system noted by users. Results The problem was defined as the incorrect logging of test dates ordered through a CPOE system. The system assigned the test request date to the results, hence a blood test taken after a therapeutic intervention (e.g. an increase in cholesterol-lowering therapy) would appear in the computerised medical record as though it had been

show abstract

Evaluation of health information systems—problems and challenges

Cited by 300 publications

References 41 publications

A quantitative analysis of the impact of a computerised information system on nurses’ clinical practice using a realistic evaluation framework

A quantitative analysis of the impact of a computerised information system on nurses’ clinical practice using a realistic evaluation framework

Positive and Negative Effects of IT on Cancer Registries

Clinicians were oblivious to incorrect logging of test dates and the associated risks in an online pathology application: a case study

Contact Info

Product

Resources

About