Toward an Effective Strategy for the Diffusion and Use of Clinical Information Systems

Davidson, Stephen M.; Heineke, Janelle

doi:10.1197/jamia.m2254

Cited by 32 publications

(31 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Practice management systems comprise tools to help medical practices set appointments, track patients, identify charges, track payments, and manage accounts receivable. 4 A CIS, on the other hand, is a collection of tools that contain patient-carespecific data, such as outpatient services, inpatient physician orders and treatment, nursing interventions, and laboratory and radiology results. Although the terms electronic health record and electronic medical record are used interchangeably in the literature, the term electronic medical record will be used because the focus of this article describes how measurement of computer literacy for CIS users is an imperative strategy for the ultimate adoption of the (local) EMR.…”

Section: Introductionmentioning

confidence: 99%

Stratifying Computer Literacy

Turner¹

2010

CIN: Computers, Informatics, Nursing

View full text Add to dashboard Cite

Institutions using a clinical information system which feeds an electronic medical record system must consider evaluation programs that measure the nurse's ability to use and understand the clinical data in the clinical information system. By measuring and tracking the nurse's level of computer literacy, training programs and system enhancements can be better designed. A well-designed system will lead to improved system acceptance and higher adoption rates. There is a need for a defined system implementation strategy that includes nursing staff assessment and system training formulated to fit the specific literacy levels of the majority users of the clinical information system, the nursing staff. Computer literacy in relation to the use of clinical information systems and electronic medical record adoption is the focus of this article. If a strategy based on Benner's novice to expert theory is implemented, computer literacy among frontline users could be assessed, and appropriate education and training programs can be developed. Ultimately, these programs would promote positive perception of the clinical information system, which would result in a better adoption rate of the electronic medical record.

show abstract

Section: Introductionmentioning

confidence: 99%

Stratifying Computer Literacy

Turner¹

2010

CIN: Computers, Informatics, Nursing

View full text Add to dashboard Cite

show abstract

“…The full impact of IT resources in healthcare has not yet been fully realized because of the failure to recognize the importance of cooperative alliances in the healthcare industry. It is critical for small healthcare centers to develop and implement a truly effective strategy to achieve the benefits of IT resources throughout the healthcare system via cooperative alliance (Davidson and Heineke, 2007). Therefore, efficiency in the use of existing IT resources among alliance members is of great importance for the survival of these small healthcare centers.…”

Section: Limitations Conclusion and Future Directionsmentioning

confidence: 99%

“…Whatever the benefits for the healthcare industry as a whole, investments in IT resources do not always result in more patients or higher payments for adopters and thus do not always reward them with higher revenues (Davidson and Heineke, 2007). Investments in IT resources are a long term process.…”

Section: Limitations Conclusion and Future Directionsmentioning

confidence: 99%

“…The application of IT within the healthcare industry is commonly referred to as health informatics and it deals with the resources, tools, and methods that enable the sharing and adoption of information to deliver healthcare and promote health (UKHiS, 2004). The healthcare industry, which accounts for an important part of the economy, provides particularly complex contexts for IT competency and innovations (Davidson and Heineke, 2007;Wilson and Lankton, 2004). The healthcare industry finds its patients demanding ever-increasing convenience and quality of service (Klein, 2007) as well as faces increasing challenges to fight new infectious diseases and to serve the special needs of aging populations (Wilson and Sloane, 2007).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Improving Alliance Satisfaction: The Resource Alignment of IT Competency in Small Healthcare Centers

Lin¹,

Huang²,

Jalleh³

2008

ITMR

View full text Add to dashboard Cite

Category of paper: Research paperPurpose of the research/paper: The objective of this research is to establish whether greater deployment of resource alignments leads to more satisfactory alliance. Two research questions are proposed: (1) do organizations which use supplementarity alignment more likely to be satisfied with their alliance activities compared with those which have adopted asymmetric supplementarity alignment? and (2) do organizations which use complementarity alignment more likely to be satisfied with their alliance activities compared with those which have adopted asymmetric complementarity alignment? Methodology: Case Study Interviews.Findings: IT competency can be built into four types of IT resource alignment for cooperative alliance and different types of IT resource alignment can affect alliance performance differently. Moreover, we found that the contribution of symmetric complementary and supplementary IT competency by both the focal and partner firms had a significant positive impact on the degree of satisfaction of the focal firms.

show abstract

“…1,2 Repeated measurement of the change prior to, during, and after implementation has been reported as a strong method to obtain an overall review of this complex technology adoption process. 3,4 Evaluation of an information technology can be based on different indicators, [5][6][7][8] and a multimethod evaluation combining both quantitative and qualitative approaches has been suggested as a means of obtaining different perspectives to provide a deeper understanding of technology use. 9 The purpose of this study was to assess the overall impact of technology by using different approaches to evaluate the responses of nurses who have used a nursing information system (NIS) for 2 years.…”

mentioning

confidence: 99%

The Multimethod Evaluation of a Nursing Information System in Taiwan

Lee

Mills

2009

CIN: Computers, Informatics, Nursing

View full text Add to dashboard Cite

The purpose of this study was to evaluate the impact of a nursing information system on nurses' daily practice. A multimethod evaluation was used that combined both quantitative and qualitative approaches to explore the influence of this technology from different perspectives. The data collection methods included the following: an evaluation scale of the system function, focus group interviews about the users' experiences, and work sampling observation of their work pattern. The data were collected from October to December 2006. The data analysis contained 623 valid questionnaires, 24 nurses' interview content, and 22830 observed nursing activities. Overall, the results indicated that nurses gave a positive evaluation of the technology in their work routine. However, they were concerned about the inadequacy of the hardware devices and response time, training and workflow change, and personal interactions with physicians and patients. Nurses on the night shift spent more time on documentation than on any other nursing activities during the three shifts. The users' technology adoption could be attributed to device sufficiency and function, content design, and workflow efficiency. It is recommended that organizations provide sufficient computer devices, ensure the content design for nursing documentation, and implement expectations for interdisciplinary cooperation.

show abstract

Toward an Effective Strategy for the Diffusion and Use of Clinical Information Systems

Cited by 32 publications

References 15 publications

Stratifying Computer Literacy

Stratifying Computer Literacy

Improving Alliance Satisfaction: The Resource Alignment of IT Competency in Small Healthcare Centers

The Multimethod Evaluation of a Nursing Information System in Taiwan

Contact Info

Product

Resources

About