Marianne Kolbasuk McGee, InformationWeek Healthcare
“The Leapfrog Group has named the nation’s top hospitals for 2011, and the list shines a spotlight on how health IT can help improve patient care–even preventing medical errors that can lead to adverse drug reactions and deaths.
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Cocosila M, Archer N. Electronic Markets, 2010
This research is an unbiased empirical evaluation of user reasons to accept or resist a mobile information and communication technology (ICT) application for health promotion. This innovative use of mobile ICT consists of developing services that educate people to stay healthy, with clear benefits for both individuals and society. Receiving customized health advice through mobile devices may be an attractive service. However, despite their ability to support users, mobile services may sometimes irritate by being too intrusive.
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Brian Dolan, mobihealthnews
“Without actually trying it out, an early critic may have faulted the first automobile for not having a horse to pull it. After all, how else would a vehicle of the day transport a person from one location to another? Horses were a necessary part of the equation back then; the rubric of the day made their participation mandatory.
Such may be the state of mobile health efficacy studies.
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The Bellagio eHealth Evaluation Group
“Addressing global health challenges requires a sound understanding of the different social, political, economic and environmental factors influencing complex health systems, and exploring appropriate and innovative means to treat disease and promote individual and public health. eHealthcan help realize health gains and contribute toward transformational health system changewhenpolicies and implementationsare informed by rigorous and focused evaluation.
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Jill of All Trades, KevinMD
“During my transition from public to private health, I have indeed noticed some interesting differences that have forced me to practice medicine a perhaps a tad differently. One big surprise: in private health, I have to admit that I have been pretty astounded to see that my patients quite heavily rely on the Internet before they even come to see me for their given ailments.
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Bakhshi-Raiez F et al, International Journal of Medical Informatics, 2011
Objective
To evaluate the usability of a large compositional interface terminology based on SNOMED CT and the terminology application for registration of the reasons for intensive care admission in a Patient Data Management System.
Design
Observational study with user-based usability evaluations before and 3 months after the system was implemented and routinely used.
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Sheikh A et al, BMJ, 343
Objectives
To evaluate the implementation and adoption of the NHS detailed care records service in “early adopter” hospitals in England.
Design
Theoretically informed, longitudinal qualitative evaluation based on case studies.
Setting
12 “early adopter” NHS acute hospitals and specialist care settings studied over two and a half years.
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Stevenson D. electronic Journal of Health Informatics, 6(2)
When developing a “smart healthcare” application that takes the participants beyond their experience of the conventional analogue of that application, a challenge is to gather the requirements for the application and to map those requirements onto a successful design. Some requirements will come from the conventional way of delivering the healthcare service. Some will come from the domains of the technologies that have been used to create the smart healthcare application. Some requirements, however, particularly for point-of-care applications, will emerge from the interplay of the actual clinical situation and the novelty of the smart healthcare application.
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McMullen CK et al, Methods of Information in Medicine, 50(4)
Objective:
Recent legislation in the United States provides strong incentives for implementation of electronic health records (EHRs). The ensuing transformation in U.S. health care will increase demand for new methods to evaluate clinical informatics interventions. Timeline constraints and a rapidly changing environment will make traditional evaluation techniques burdensome. This paper describes an anthropological approach that provides a fast and flexible way to evaluate clinical information systems.
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Classen DC, Bates DW. N Engl J Med, 365(9)
Health care has long lagged behind all other major industries in the adoption of information technology, but it is beginning to catch up. Because of the belief that electronic health records (EHRs) will be a key foundational tool for improving safety and quality of care and for reducing costs, the federal government has implemented substantial incentives for providers to adopt EHRs through the Health Information Technology for Economic and Clinical Health (HITECH) Act.
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Ancker JS et al, J Am Med Inform Assoc, 2011
With the proliferation of relatively mature health information technology (IT) systems with large numbers of users, it becomes increasingly important to evaluate the effect of these systems on the quality and safety of healthcare. Previous research on the effectiveness of health IT has had mixed results, which may be in part attributable to the evaluation frameworks used. The authors propose a model for evaluation, the Triangle Model, developed for designing studies of quality and safety outcomes of health IT.
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Kasiri N et al, Simulation, 2011
Implementing electronic health record (EHR) systems in the next few years is on the agenda for many healthcare organizations. Before investing in an EHR system, however, decision makers need to identify and measure the benefits of such systems. We propose using a system dynamics (SD) approach to measuring the benefits of EHR systems. Using an SD approach, it is possible to map complex relationships among clinical processes in hospitals into a model by which one can dynamically measure the effect of any changes in the parameters over time.
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Viitanen J et al, International Journal of Medical Informatics, 2011
Objective
In the health informatics field, usability studies typically focus on evaluating a single information system and involve a rather small group of end-users. However, little is known about the usability of clinical information and communication technology (ICT) environment in which healthcare professionals work daily. This paper aims at contributing to usability research and user-oriented development of healthcare technologies with three objectives: inform researchers and practitioners about the current state of usability of clinical ICT systems, increase the understanding of usability aspects specific for clinical context, and encourage a more holistic approach on studying usability issues in health informatics field.
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Niazkhani Z et al, International Journal of Medical Informatics, 2011
Objective
To evaluate the problems experienced after implementing a computerized physician order entry (CPOE) system, their possible root causes, and the responses of providers in order to incorporate the system into daily workflow.
Methods
A qualitative study in the medication-use process after implementation of a CPOE system in an academic hospital in The Netherlands. Data included 21 interviews with clinical end-users, paper-based and system-generated documents used daily in the process, and educational materials used to train users.
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Madison LG, Phillip WR. Perspectives in Health Information Management, 8(Spring)
The federal government, through the Office of the National Coordinator for Health Information Technology, has moved vigorously to promote widespread and meaningful use of interoperable electronic health records (EHRs) by 2014. The Kentucky Department of Corrections implemented its EHR system in 2006 and in 2010 the department assessed user satisfaction and perception of usability based on criteria that reflect meaningful use.
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Nelson Hsu, HISTalk
“Playing with the percentages is risky for the many healthcare organizations on the electronic healthcare record (EHR) adoption curve. The percentages in question are EHR systems’ uptime – how often the applications are available and working at sufficient performance to meet healthcare providers’ needs. Industry standards, vendor claims, and assorted misconceptions about uptime conspire to make this critical area of EHR implementation a footnote where it needs to be near the top of the priority list.
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CMIO
“The Center for Health Information and Decision Systems (CHIDS) at the University of Maryland’s Robert H. Smith School of Business has developed an evaluation framework to help states and the District of Columbia create self-sustaining and effective networks for the exchange of EHRs.
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Webster PC, Kondro W. CMAJ, 183(5)
“Canada Health Infoway’s plans for highly-centralized electronic health records (EHR) systems within each province containing patient records that can be shared nationwide may not be feasible, a chorus of experts say.
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Flores Zuniga AE et al, International Journal of Technology Assessment in Health Care, 26(4)
Objectives:
The aim of this study was to examine open-source electronic health record (EHR) software to determine their level of functionalities according to the International Organization for Standardization (ISO) standards.
Methods:
ISO standards were used as a guideline to determine and describe the reference architecture and functionalities of a standard electronic health record system as well the environmental context for which the software has been built. Twelve open-source EHR systems were selected and evaluated according to two-dimensional criteria based on ISO/TS 18308:2004 functional requirements and ISO/TR 20514:2005 context of the EHR system.
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Murray E et al, BMC Medical Informatics and Decision Making, 10
Background
The use of Information and Communication Technology (ICT) or e-Health is seen as essential for a modern, cost-effective health service. However, there are well documented problems with implementation of e-Health initiatives, despite the existence of a great deal of research into how best to implement e-Health (an example of the gap between research and practice). This paper reports on the development and formative evaluation of an e-Health Implementation Toolkit (e-HIT) which aims to summarise and synthesise new and existing research on implementation of e-Health initiatives, and present it to senior managers in a user-friendly format.
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