Health information technology: fallacies and sober realities

Karsh, Ben Tzion; Weinger, Matthew B.; Abbott, Patricia; Wears, Robert L.

doi:10.1136/jamia.2010.005637

Cited by 318 publications

(238 citation statements)

References 87 publications

(27 reference statements)

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“…Stavri and Ash [13] suggested that success is often preceded by failure. Indeed, all the information collected and analyzed during this survey was useful for re-implementation of the CPOE system at RUH and helped to prevent HIT fallacies [35]. As a consequence, the budget of the information systems department has been substantially raised to allow for complete reorganization, better documentation and purchase of new servers.…”

Section: Cpoe Was Never Perceived As Superior To Pboe Qualitative Anmentioning

confidence: 99%

Physician satisfaction with transition from CPOE to paper-based prescription

Griffon

Schuers

Joulakian

et al. 2017

International Journal of Medical Informatics

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Highlights Users reported poor satisfaction with the computerized provider order entry system.  Reliability and user interface design are highly important in health information technology.  The switch from computerized provider order entry towards paper based order entry was well accepted.  Even in an emergency setting, the switch is possible with no perceptible impact on patient safety.  Issues identified by a satisfaction survey eased the redeployment of computerized provider order entry. AbstractIntroduction: In January 2015, Rouen University Hospital's information system experienced serious

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Section: Cpoe Was Never Perceived As Superior To Pboe Qualitative Anmentioning

confidence: 99%

Physician satisfaction with transition from CPOE to paper-based prescription

Griffon

Schuers

Joulakian

et al. 2017

International Journal of Medical Informatics

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“…Furthermore, the information generated and retrieved from inadequately conceptualized eHealth is often not helpful for health care management decision-making (Kaye et al, 2010), because information is not applicably clustered; it is frequently disparate with predefined indicators, while modalities and jurisdiction on management and transaction of information can be ambiguous and unrelated to priority tasks and functions of health care professionals (Heeks, 2006;Ibrahim et al, 2013). In other words, poorly defined and unstructured eHealth projects have a tendency to be data and information driven, instead of action driven (Karsh et al, 2010). In order to avoid these threats, the entire eHealth project, including its long-term and wide-ranging implications, must be well thought out, while its contextual role and functions within the health care system must be clearly defined (Haux et al, 2008;Kanjo, 2011), yet flexible and adaptable to requirements and continuous changes in health care ecosystem and broader social environment.…”

Section: Ehealth Implicationsmentioning

confidence: 99%

Development of eHealth in Slovenia - Critical Issues and Future Directions

Stanimirović¹

2014

CEPAR

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Although the basic informatization of the health care system was established relatively early, Slovenia still does not have an interoperable and comprehensive health information system (HIS). Fragmentation of information systems (IS) and their limited interoperability significantly compromise further development of the health care system and adversely affect the quality of health care services. Overcoming the aforementioned challenges requires the progressive implementation of eHealth project, which is one of the key long-term goals of the Slovenian public sector. The main objective of eHealth is the comprehensive integration of distributed IS and connection of a widespread network of stakeholders within the health care system. The paper presents the review of eHealth projects in Slovenia, Austria and Denmark, and provides a comparative analysis of the eHealth development in designated countries. Focusing on the Slovenian experience, the paper summarizes the main deficiencies in the current eHealth settings, and finally outlines a set of applicable guidelines for an effective development and implementation of highly intricate and complex eHealth project.

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“…Notwithstanding the potential of HISs, in practice, the collection, compilation, analysis, and reporting of health data are riddled with major problems [5,26,27]. Furthermore, the data received are often not helpful for healthcare management decision-making because they are incomplete, untimely, and unrelated to the priority tasks of healthcare professionals [28][29][30].…”

Section: Introductionmentioning

confidence: 99%

Modelling the Health Information System in Slovenia — Operative, Construction and Implementation Aspects

Stanimirović

2015

International Journal of Engineering Business Management

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Fragmented and non-interoperable information systems (ISs) generate poor quality information and adversely affect the provision of healthcare services and the management of the Slovenian healthcare system. Advanced implementation of the eHealth project, encompassing the construction of a national health information system (HIS), could play a pivotal role in overcoming these challenges, which significantly compromise further development of the Slovenian healthcare system. This paper initially presents a review of the recent developments concerning HIS and identifies its main operative deficiencies. Subsequently, the paper outlines the construction of a 3LGM 2 -based conceptual HIS model and provides generally applicable recommendations and guidelines for effective implementation of HISs. This research employs a single explanatory/exploratory case study design, while the validation of the hypothesized constructs was undertaken through structured interviews with 15 prominent experts from the Slovenian healthcare system. The findings provide valuable insight into the operative, construction, and implementation aspects of HIS, which can, subject to proficient coordination with other ecosystem factors and pending structural reforms, ensure better utilization of public healthcare resources and provide tangible public health benefits.

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Health information technology: fallacies and sober realities

Cited by 318 publications

References 87 publications

Physician satisfaction with transition from CPOE to paper-based prescription

Physician satisfaction with transition from CPOE to paper-based prescription

Development of eHealth in Slovenia - Critical Issues and Future Directions

Modelling the Health Information System in Slovenia — Operative, Construction and Implementation Aspects

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