Integrated Health Information Technology and the Quality of Patient Care: A Natural Experiment

2017 ◽  
Vol 34 (2) ◽  
pp. 457-486 ◽  
Author(s):  
Alain Pinsonneault ◽  
Shamel Addas ◽  
Christina Qian ◽  
Vijay Dakshinamoorthy ◽  
Robyn Tamblyn
2017 ◽  
pp. 694-714
Author(s):  
Kijpokin Kasemsap

This chapter explains the perspectives on global health, the overview of health information technology (health IT), the applications of electronic health record (EHR), and the importance of health IT in global health care. Health IT is the area of IT involving the design, development, creation, utilization, and maintenance of information systems for the health care industry. Health IT makes it possible for health care providers to better manage patient care through the secure use and sharing of health information. Effective health IT can lower costs, improve efficiency, and reduce medical error, while providing better patient care and service. The chapter argues that utilizing health IT has the potential to enhance health care performance and reach strategic goals in global health care.


Author(s):  
Kijpokin Kasemsap

This chapter explains the perspectives on global health, the overview of health information technology (health IT), the applications of electronic health record (EHR), and the importance of health IT in global health care. Health IT is the area of IT involving the design, development, creation, utilization, and maintenance of information systems for the health care industry. Health IT makes it possible for health care providers to better manage patient care through the secure use and sharing of health information. Effective health IT can lower costs, improve efficiency, and reduce medical error, while providing better patient care and service. The chapter argues that utilizing health IT has the potential to enhance health care performance and reach strategic goals in global health care.


2016 ◽  
Vol 5 (2) ◽  
pp. 62 ◽  
Author(s):  
John Cantiello ◽  
Panagiota Kitsantas ◽  
Shirley Moncada ◽  
Sabiheen Abdul

Objective: Quality improvement in the healthcare industry has evolved over the past few decades. In recent years, an increased focus on coordination of care efforts and the introduction of health information technology has been of high importance in improving the quality of patient care.Methods: In this review, we present a history of quality improvement efforts, discuss quality improvement in the healthcare industry, and examine quality improvement strategies with a focus on patient-centered care and information technology applications via patient registries.Results: Evidence shows that the key to quality improvement efforts in the healthcare industry is the coordination of patient care efforts through better data evaluation processes. By utilizing patient registries that can be linked to electronic health records (EHRs) and the Patient-Centered Medical Home (PCMH) framework, the quality of care provided to patients can be improved.Conclusions: While many healthcare organizations have quality improvement departments or teams in place that may be able to handle these types of efforts, it is important for organizations to be familiar with processes and frameworks that employees at different levels of the organization can be involved in. In order to ensure successful outcomes from quality improvement initiatives, managers and clinicians should work together in identifying problems and developing solutions.


2015 ◽  
Vol 23 (5) ◽  
pp. 1016-1036 ◽  
Author(s):  
Samantha K Brenner ◽  
Rainu Kaushal ◽  
Zachary Grinspan ◽  
Christine Joyce ◽  
Inho Kim ◽  
...  

Abstract Objective To systematically review studies assessing the effects of health information technology (health IT) on patient safety outcomes. Materials and Methods The authors employed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement methods. MEDLINE, Cumulative Index to Nursing Allied Health (CINAHL), EMBASE, and Cochrane Library databases, from 2001 to June 2012, were searched. Descriptive and comparative studies were included that involved use of health IT in a clinical setting and measured effects on patient safety outcomes. Results Data on setting, subjects, information technology implemented, and type of patient safety outcomes were all abstracted. The quality of the studies was evaluated by 2 independent reviewers (scored from 0 to 10). A total of 69 studies met inclusion criteria. Quality scores ranged from 1 to 9. There were 25 (36%) studies that found benefit of health IT on direct patient safety outcomes for the primary outcome measured, 43 (62%) studies that either had non-significant or mixed findings, and 1 (1%) study for which health IT had a detrimental effect. Neither the quality of the studies nor the rate of randomized control trials performed changed over time. Most studies that demonstrated a positive benefit of health IT on direct patient safety outcomes were inpatient, single-center, and either cohort or observational trials studying clinical decision support or computerized provider order entry. Discussion and Conclusion Many areas of health IT application remain understudied and the majority of studies have non-significant or mixed findings. Our study suggests that larger, higher quality studies need to be conducted, particularly in the long-term care and ambulatory care settings.


2020 ◽  
Vol 8 (1) ◽  
pp. 47
Author(s):  
Pina Pudiyanti ◽  
Tuti Afriani

<p><em>People with diabetes mellitus must take responsibility for their own care to improve their quality of life. People with diabetes mellitus often need a set of services and support ranging from glucose monitoring, insulin and other treatment management, psychotherapy and social support, physical activity, nutritional counseling and others. Diabetes mellitus patients can play a more active role in treating their diabetes with health information technology. This literature review uses the PRISMA statement as a guide to search for research articles from two databases, Ebsco and Scopus. The results of the analysis of nine selected research articles indicate that information technology provides patient education and support for patients with diabetes mellitus. Information technology has been used to improve the quality of care for patients with diabetes mellitus, enable health workers to more effectively manage patients and to help patients manage their own illnesses so that research and related publications are needed to improve the care of patients with diabetes mellitus at home.</em></p><p><strong>BAHASA INDONESIA ABSTRAK: </strong>Penderita diabetes mellitus harus bertanggung jawab atas perawatan mereka sendiri untuk meningkatkan kualitas hidupnya. Penderita diabetes mellitus seringkali membutuhkan seperangkat layanan dan dukungan mulai dari pemantauan glukosa, insulin dan manajemen pengobatan lainnya, psikoterapi dan dukungan sosial, aktivitas fisik, konseling gizi dan lain-lain. Pasien diabetes mellitus bisa memainkan peran lebih aktif dalam perawatan diabetesnya dengan teknologi informasi kesehatan. Kajian pustaka ini menggunakan <em>PRISMA statement </em>sebagai panduan pencarian artikel penelitian dari dua database yaitu <em>Ebsco</em> dan <em>Scopus. </em>Hasil analisis sembilan artikel penelitian terpilih menunjukkan bahwa teknologi informasi memberikan pasien pendidikan dan dukungan pada pasien diabetes mellitus. Teknologi informasi telah digunakan untuk meningkatkan kualitas asuhan pasien diabetes mellitus,   memungkinkan tenaga kesehatan lebih efektif mengelola pasien dan untuk membantu pasien mengelola sendiri penyakitnya sehingga penelitian dan publikasi terkait diperlukan untuk meningkatkan perawatan pasien diabetes mellitus di rumah.</p>


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