scholarly journals The Key Determinant Factors of Clinical Information Systems User Satisfaction: Lessons Learnt From an Australian Case Study

2018 ◽  
Author(s):  
Peter Haddad ◽  
Nilmini Wickramasinghe
Keyword(s):  
Information Systems ◽  
User Satisfaction ◽  
Clinical Information ◽  
Clinical Information Systems ◽  
Determinant Factors ◽  
Lessons Learnt ◽  
Australian Case

scholarly journals Current Challenges and Opportunities for Better Integration of Human Factors Research with Development of Clinical Information Systems

2009 ◽  
Vol 18 (01) ◽  
pp. 48-58 ◽  
Author(s):  
J. J. Saleem ◽  
A. L. Russ ◽  
P. Sanderson ◽  
T. R. Johnson ◽  
J. Zhang ◽  
...  
Keyword(s):  
Information Systems ◽  
Human Factors ◽  
User Satisfaction ◽  
Clinical Decision Making ◽  
Clinical Information System ◽  
Healthcare Delivery ◽  
Clinical Information ◽  
Lessons Learned ◽  
Clinical Information Systems ◽  
Human Factors Research

Summary Objectives Clinical information system (CIS) developers and implementers have begun to look to other scientific disciplines for new methods, tools, and techniques to help them better understand clinicians and their organizational structures, clinical work environments, capabilities of clinical information and communications technology, and the way these structures and processes interact. The goal of this article is to help CIS researchers, developers, implementers, and evaluators better understand the methods, tools, techniques, and literature of the field of human factors. Methods We developed a framework that explains how six key human factors topics relate to the design, implementation, and evaluation of CISs. Results Using this framework we discuss the following six topics: 1) informatics and patient safety; 2) user interface design and evaluation; 3) workflow and task analysis; 4) clinical decision making and decision support; 5) distributed cognition; and 6) mental workload and situation awareness. Conclusions Integrating the methods, tools, and lessons learned from each of these six areas of human factors research early in CIS design and incorporating them iteratively during development can improve user performance, user satisfaction, and integration into clinical workflow. Ultimately, this approach will improve clinical information systems and healthcare delivery.

Implementing clinical information systems: a multiple-case study within a US hospital

2002 ◽  
Vol 15 (2) ◽  
pp. 71-92 ◽  
Author(s):  
Guy Paré
Keyword(s):  
Health Care ◽  
Information Systems ◽  
Tertiary Care ◽  
Implementation Process ◽  
Clinical Information ◽  
Clinical Information Systems ◽  
Dynamic Nature ◽  
Systems Implementation ◽  
Information Systems Implementation

The rapid movement of information technologies into health care organizations has raised managerial concern regarding the capability of today's institutions to satisfactorily manage their introduction. Indeed, several health care institutions have consumed huge amounts of money and frustrated countless people in wasted information systems implementation efforts. Unfortunately, there are no easy answers as to why so many health informatics projects are not more successful. The aim of this study is to provide a deeper understanding of clinical information systems implementation. The research reported in this paper focuses on building a theory of the dynamic nature of the implementation process, that is, the how and why of what happened. The general approach taken was inspired by the work of Eisenhardt (1989) on building theories from case study research. We examined the implementation process, use and consequences of three distinct clinical information systems at a large tertiary care teaching hospital. A series of four research propositions reflecting the dynamic nature of the implementation process are offered as each of the three cases are analyzed. Findings add a number of new perspectives and empirical insights to the existing body of knowledge in the fields of IT implementation and medical informatics.

scholarly journals The Virtuous Circles of Clinical Information Systems: a Modern Utopia

2016 ◽  
Vol 25 (01) ◽  
pp. 256-263 ◽  
Author(s):  
P. Degoulet
Keyword(s):  
Quality Of Care ◽  
Information Systems ◽  
User Satisfaction ◽  
Structural Equation Models ◽  
Clinical Information ◽  
University Hospital ◽  
Clinical Information Systems ◽  
Frontier Analysis ◽  
System Use

Summary Context: Clinical information systems (CIS) are developed with the aim of improving both the efficiency and the quality of care. Objective: This position paper is based on the hypothesis that such vision is partly a utopian view of the emerging eSociety. Methods: Examples are drawn from 15 years of experience with the fully integrated Georges Pompidou University Hospital (HEGP) CIS and temporal data series extracted from the data warehouses of Assistance Publique - Hôpitaux de Paris (AP-HP) acute care hospitals which share the same administrative organization as HEGP. Three main virtuous circles are considered: user satisfaction vs. system use, system use vs. cost efficiency, and system use vs quality of care. Results: In structural equation models (SEM), the positive bidirectional relationship between user satisfaction and use was only observed in the early HEGP CIS deployment phase (first four years) but disappeared in late post-adoption (≥8 years). From 2009 to 2013, financial efficiency of 20 AP-HP hospitals evaluated with stochastic frontier analysis (SFA) models diminished by 0.5% per year. The lower decrease of efficiency observed between the three hospitals equipped with a more mature CIS and the 17 other hospitals was of the same order of magnitude than the difference observed between pediatric and non-pediatric hospitals. Outcome quality benefits that would bring evidence to the system use vs. quality loop are unlikely to be obtained in a near future since they require integration with population-based outcome measures including mortality, morbidity, and quality of life that may not be easily available. Conclusion: Barriers to making the transformation of the utopian part of the CIS virtuous circles happen should be overcome to actually benefit the emerging eSociety.

The Importance of Medical and Nursing Sub-cultures in the Implementation of Clinical Information Systems

2009 ◽  
Vol 48 (02) ◽  
pp. 196-202 ◽  
Author(s):  
J. Braithwaite ◽  
J. I. Westbrook ◽  
J. L. Callen
Keyword(s):  
Information Systems ◽  
User Satisfaction ◽  
Clinical Information ◽  
Organisational Culture ◽  
Clinical Information Systems ◽  
Satisfaction Survey ◽  
Successful Implementation ◽  
Percentile Score ◽  
The Impact ◽  
Doctors And Nurses

Summary Objective: To measure doctors’ and nurses’ perceptions of organisational culture and relate this to their attitudes to, and satisfaction with, a hospital-wide mandatory computerised provider order entry (CPOE) system in order to illuminate cultural compositions in CPOE use. Methods: A cross-sectional survey design was employed. Data were collected by administering an organisational culture survey (Organisational Culture Inventory, OCI) along with a user-satisfaction survey to a population of 103 doctors and nurses from two clinical units in an Australian metropolitan teaching hospital. Clinicians from the hospital had used the CPOE system since 1991 to order and view clinical laboratory and radiology tests electronically for all patients. The OCI provides a measure of culture in terms of three general styles which distinguish between: constructive; passive/defensive, and aggressive/defensive cultures. The cluster which best describes the overall culture is the one that has the highest percentile score when the percentile scores of the four cultural norms included in the cluster are averaged. The user satisfaction survey asked questions relating to satisfaction with, and attitudes to, the system. Results: We found identifiable sub-cultures based on professional divisions where doctors perceived an aggressive-defensive culture (mean percentile score = 43.8) while nurses perceived a constructive culture (mean percentile score = 61.5). There were significant differences between doctors and nurses on three of the attitude variables with nurses expressing more positive views towards CPOE than doctors. Conclusion: The manifestation of sub-cultures within hospitals and the impact this has on attitudes towards clinical information systems should be recognized and addressed when planning for system implementation. Identification and management of the cultural characteristics of different groups of health professionals may facilitate the successful implementation and use of clinical information systems.

User-centred, multidimensional assessment method of Clinical Information Systems: a case-study in anaesthesiology

2005 ◽  
Vol 74 (2-4) ◽  
pp. 179-189 ◽  
Author(s):  
Marie-Catherine Beuscart-Zéphir ◽  
Françoise Anceaux ◽  
Hervé Menu ◽  
Sandra Guerlinger ◽  
Ludivine Watbled ◽  
...  
Keyword(s):  
Information Systems ◽  
Clinical Information ◽  
Assessment Method ◽  
Clinical Information Systems ◽  
Multidimensional Assessment
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