The Impact of a Clinical Information System in an Intensive Care Unit

Abstract

The implementation of a CIS was associated with a reduced time spent for daily activity and a positive medical and nursing staff perception.

An evaluation model for the implementation of hospital information system in public hospitals using multi-criteria-decision-making (MCDM) approaches

“…Our study uncovers some requirements to make the training program to the IS staff in hospital's environment [32], [68], [91]. In this case, government agency and in particular, Iranian ministry and hospital administrators should look at this result and prepare their strategy and policy at fostering the uptake of HIS.…”

“…Vendors should fully give support to applications they developed as all hospitals met supplementary challenges and shortcomings on the vendors' part. Selecting the same vendor for more than one hospital may give a better result in solving those issues [32], [68], [91], [148][149][150][151][152].…”

“…As an example, HIS systems used by nurses are able to control and track carefully the patient's care in an electronic manner. Additionally, nursing documentation as a chief clinical activity, stand to obtain a benefit from HIS [5], [24], [32][33][34][35][36]. Thus, it is imperative that HIS is designed to address the needs of main users in optimally coordinating user activities.…”

Internal medicine progress note writing attitudes and practices in an electronic health record

“…In the setting of more limited duty hours and demands for increased clinical productivity, EHRs have functions that may improve the quality and efficiency of clinical documentation. [1][2][3][4][5] The process of note writing and the use of notes for clinical care have changed substantially with EHR implementation. Use of "efficiency tools" (ie, copy forward functions and autopopulation of data) may increase the speed of documentation.…”

Contribuições dos registros eletrônicos para a segurança do paciente em terapia intensiva: uma revisão integrativa

“…24 Several studies support this perspectives and add new possibilities, such as: improvement of practice environments, direct care, patient results and satisfaction; reduction in the time spent on documentation and clinical record keeping; development and improvement of clinical reasoning skills and judgment; inclusion of nurses in intensive care processes; promotion of clinical discussions among colleagues and the multidisciplinary team; support of the continuous search for information aimed at generating evidence-based care; and guarantee of the continuity of nursing care. 17,19,21,[25][26][27][28][29][30][31][32][33][34] However, in order to provide nurses with the ability to carry out the documentation of rendered care processes, studies point to the need to standardize data entries included in the electronic health record, as well as recover and analyze information by means of a vocabulary that standardizes the clinical terms of the care practice. The standardization of these clinical terms must meet specified criteria such as validity, specificity, data recovery and ease of communication, and must be presented in a way that supports the understanding, knowledge and intuition of the professionals.…”