scholarly journals The negative impact of interface design, customizability, inefficiency, malfunctions, and information retrieval on user experience: a national usability survey of ICU clinical information systems in Finland

Author(s):  
Jansson Miia ◽  
Liisantti Janne ◽  
Ala-Kokko Tero ◽  
Reponen Jarmo
Author(s):  
Suhas Nazare ◽  
Calvin Or ◽  
Kang Li ◽  
Jing Xu

Attention has been given to the implementation failure of clinical information systems (CIS); however, the majority of previous investigations have been conducted in hospitals and clinics, rather than with a systems engineering perspective in long-term care and nursing home environments. In this present study, we examined the reasons behind a nursing home’s abandonment of a CIS. Data were collected through field observations (n=12) and individual interviews (n=18) of CIS stakeholders in a nursing home in Hong Kong. Data were analyzed using the immersion/crystallization approach. A sociotechnical model (Sittig and Singh, 2010) was used to guide data extraction and analysis. Our findings showed that the observed implementation challenges were related to the eight dimensions of the sociotechnical model. Specific implementation challenges identified included system speed, accessibility, and stability; technical support; clinical content adequacy and availability; system usefulness and user interface design; computer literacy; familiarity with the system; experience in the health care profession; fit between the system, workflow and communication; inconsistency between workflow, work policy, and procedures; lack of financial support; conflict between government regulations and the functional needs of users; and lack of measurement and monitoring of system effectiveness.. The knowledge gained regarding these challenges improves prior understanding of CIS failure in nursing home settings. The results offer a knowledge base for possible solutions and strategies for further initiatives in CIS implementation.


2017 ◽  
Vol 5 (1) ◽  
pp. 122
Author(s):  
Assist. Prof. Dr. Demokaan DEMİREL

The distinctive quality of the new social structure is that information becomes the only factor of production. In today's organizations, public administrators are directly responsible for applying information to administrative processes. In addition to his managerial responsibilities, a knowledge based organization requires every employee to take responsibility for achieving efficiency. This has increased the importance of information systems in the decision-making process. Information systems consist of computer and communication technology, data base management and model management and include activity processing system, management information system, decision support systems, senior management information system, expert systems and office automation systems. Information systems in the health sector aim at the management and provision of preventive and curative health services. The use of information systems in healthcare has the benefits of increasing service quality, shortening treatment processes, maximizing efficiency of the time, labour and medical devices. The use of information systems for clinical decision making and reducing medical errors in the healthcare industry dates back to the 1960s. Clinical information systems involve processing, storing and re-accessing information that supports patient care in a hospital. Clinical information systems are systems that are directly or indirectly related to patient care. These systems include electronic health/patient records, clinical decision support systems, nurse information systems, patient tracking systems, tele-medicine, case mix and smart card applications. Diagnosis-treatment systems are information-based systems used in the diagnosis and treatment of diseases. It consists of laboratory information systems, picture archiving and communication system, pharmacy information system, radiology information system, nuclear medicine information system. This study aims to evaluate the effectiveness of health information system applications in Turkey. The first part of the study focuses on the concept of information systems and the types of information systems in organization structures. In the second part, clinical information systems and applications for diagnosis-treatment systems in Turkey are examined. Finally, the study evaluates applications in the health sector qualitatively from the new organizational structure, which is formed by information systems.


2001 ◽  
Vol 33 (1) ◽  
pp. 75-81 ◽  
Author(s):  
Nancy Staggers ◽  
Cheryl Bagley Thompson ◽  
Rita Snyder-Halpern

2020 ◽  
Vol 29 (01) ◽  
pp. 104-114
Author(s):  
Ursula H. Hübner ◽  
Nicole Egbert ◽  
Georg Schulte

Objective: The more people there are who use clinical information systems (CIS) beyond their traditional intramural confines, the more promising the benefits are, and the more daunting the risks will be. This review thus explores the areas of ethical debates prompted by CIS conceptualized as smart systems reaching out to patients and citizens. Furthermore, it investigates the ethical competencies and education needed to use these systems appropriately. Methods: A literature review covering ethics topics in combination with clinical and health information systems, clinical decision support, health information exchange, and various mobile devices and media was performed searching the MEDLINE database for articles from 2016 to 2019 with a focus on 2018 and 2019. A second search combined these keywords with education. Results: By far, most of the discourses were dominated by privacy, confidentiality, and informed consent issues. Intertwined with confidentiality and clear boundaries, the provider-patient relationship has gained much attention. The opacity of algorithms and the lack of explicability of the results pose a further challenge. The necessity of sociotechnical ethics education was underpinned in many studies including advocating education for providers and patients alike. However, only a few publications expanded on ethical competencies. In the publications found, empirical research designs were employed to capture the stakeholders’ attitudes, but not to evaluate specific implementations. Conclusion: Despite the broad discourses, ethical values have not yet found their firm place in empirically rigorous health technology evaluation studies. Similarly, sociotechnical ethics competencies obviously need detailed specifications. These two gaps set the stage for further research at the junction of clinical information systems and ethics.


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