The Impact of Health Information Technology on the Quality of Medical and Health Care: A Systematic Review

2009 ◽  
Vol 38 (3) ◽  
pp. 26-37 ◽  
Author(s):  
Aziz Jamal ◽  
Kirsten McKenzie ◽  
Michele Clark
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Patient Outcomes ◽  
Evidence Based ◽  
Specific Patient ◽  
Evidence Based Guidelines ◽  
The Impact

The aim of this study was to systematically review the published evidence of the impact of health information technology (HIT) or health information systems (HIS) on the quality of healthcare, focusing on clinicians' adherence to evidence-based guidelines and the corresponding impact this had on patient clinical outcomes. The review covered the use of health information technologies and systems in both medical care (i.e. clinical and surgical) and other areas such as allied health and preventive services. Studies were included in the review if they examined the impact of Electronic Health Record (EHR), Computerised Provider Order-Entry (CPOE), or Decision Support System (DS); and if the primary outcomes of the studies were focused on the level of compliance with evidence-based guidelines among clinicians. Measurements considered relevant to the review were either of changes in clinical processes resulting from a change of the providers' behaviour, or of specific patient outcomes that demonstrated the effectiveness of a particular treatment given by providers. Of 23 studies included in the current review, 17 assessed the impact of HIT/HIS on health care practitioners' performance. A positive improvement, in relation to their compliance with evidence-based guidelines, was seen in 14 studies. Studies that included an assessment of patient outcomes, however, showed insufficient evidence of either clinically or statistically important improvements. Although the number of studies reviewed was relatively small, the findings demonstrated consistency with similar previous reviews of this nature in that wide scale use of HIT has been shown to increase clinician's adherence to guidelines.

Health Information Technology and Quality Management

2016 ◽  
Vol 8 (4) ◽  
pp. 56-72
Author(s):  
T. Ray Ruffin
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Quality Management ◽  
Health Information Technology ◽  
Health Information ◽  
Services Research ◽  
The Public ◽  
Creative Thought ◽  
Management Quality

Even in healthcare and health information technology change will not vanish or disperse. Technology, civilization, and creative thought will drive this force increasingly forward. Health care managers will continue being judged on their ability to efficiently and effectively manage (Patton & James, 2000). The arena of Health Services Research (HSR) is trusted on by judgment deciders and the public is the principal basis of data on how thriving health systems are meeting this task (Steinwachs & Hughes, 2008). The goal of HSR is to deliver material that will ultimately lead to advances in the health of the community. HSR evaluation of quality of care has demonstrated it is an unspecified science and multifaceted, even though its description is comparatively simple (Steinwachs & Hughes, 2008). This article is to investigate the background, controversies, and problems surrounding Health Information Technology (HIT) Change and Quality Management including an overview of current changes and benefits of implementation. This will be coupled with solutions and recommendations, further research, and conclusion. This will enhance the field of research in leadership, change management, quality management, and health care.

Health Information Technology and Quality Management

2016 ◽  
pp. 354-371
Author(s):  
T. Ray Ruffin
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Quality Management ◽  
Health Information Technology ◽  
Health Information ◽  
Services Research ◽  
The Public ◽  
Creative Thought ◽  
Management Quality

Even in healthcare and health information technology change will not vanish or disperse. Technology, civilization, and creative thought will drive this force increasingly forward. Health care managers will continue being judged on their ability to efficiently and effectively manage (Patton & James, 2000). The arena of Health Services Research (HSR) is trusted on by judgment deciders and the public is the principal basis of data on how thriving health systems are meeting this task (Steinwachs & Hughes, 2008). The goal of HSR is to deliver material that will ultimately lead to advances in the health of the community. HSR evaluation of quality of care has demonstrated it is an unspecified science and multifaceted, even though its description is comparatively simple (Steinwachs & Hughes, 2008). This article is to investigate the background, controversies, and problems surrounding Health Information Technology (HIT) Change and Quality Management including an overview of current changes and benefits of implementation. This will be coupled with solutions and recommendations, further research, and conclusion. This will enhance the field of research in leadership, change management, quality management, and health care.

scholarly journals An Evidence-Based Tool for Safe Configuration of Electronic Health Records: The eSafety Checklist

2018 ◽  
Vol 09 (04) ◽  
pp. 817-830 ◽  
Author(s):  
Pritma Dhillon-Chattha ◽  
Ruth McCorkle ◽  
Elizabeth Borycki
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Electronic Health Records ◽  
Health Information Technology ◽  
Health Information ◽  
Expert Panel ◽  
Clinical Informatics ◽  
Evidence Based ◽  
Health Records ◽  
Electronic Health

Background Electronic health records (EHRs) are transforming the way health care is delivered. They are central to improving the quality of patient care and have been attributed to making health care more accessible, reliable, and safe. However, in recent years, evidence suggests that specific features and functions of EHRs can introduce new, unanticipated patient safety concerns that can be mitigated by safe configuration practices. Objective This article outlines the development of a detailed and comprehensive evidence-based checklist of safe configuration practices for use by clinical informatics professionals when configuring hospital-based EHRs. Methods A literature review was conducted to synthesize evidence on safe configuration practices; data were analyzed to elicit themes of common EHR system capabilities. Two rounds of testing were completed with end users to inform checklist design and usability. This was followed by a four-member expert panel review, where each item was rated for clarity (clear, not clear), and importance (high, medium, low). Results An expert panel consisting of three clinical informatics professionals and one health information technology expert reviewed the checklist for clarity and importance. Medium and high importance ratings were considered affirmative responses. Of the 870 items contained in the original checklist, 535 (61.4%) received 100% affirmative agreement among all four panelists. Clinical panelists had a higher affirmative agreement rate of 75.5% (656 items). Upon detailed analysis, items with 100% clinician agreement were retained in the checklist with the exception of 47 items and the addition of 33 items, resulting in a total of 642 items in the final checklist. Conclusion Safe implementation of EHRs requires consideration of both technical and sociotechnical factors through close collaboration of health information technology and clinical informatics professionals. The recommended practices described in this checklist provide systems implementation guidance that should be considered when EHRs are being configured, implemented, audited, or updated, to improve system safety and usability.

scholarly journals Building Linkages between Nursing Care and Improved Patient Outcomes: The Role of Health Information Technology

2013 ◽  
Vol 18 (3) ◽  
Author(s):  
Patricia Dykes ◽  
Sarah Collins
Keyword(s):  
Information Technology ◽  
Quality Of Care ◽  
Health Information Technology ◽  
Health Information ◽  
Patient Outcomes ◽  
Nursing Care ◽  
Routine Data ◽  
Health It

Health information technology (health IT or HIT) holds the potential to transform the quality of care and to establish linkages between nursing care and patient outcomes. This article defines eMeasurement and describes Quality of Care Definitions and Metrics for Evaluation. The authors explore the role of health IT to improve quality, barriers to eMeasurement, and health IT interventions by considering linkages between nursing care and patient outcomes for a select set of nursing sensitive indicators including patient falls, pressure ulcers, and the patient experience. We discuss specific challenges, such as barriers for routine data capture to populate nursing sensitive indicators and the use of health IT to promote positive outcomes. The conclusion addresses the implications of the current state of health IT and identifies areas for further nursing research.

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