BMC Med Inform Decis Mak - Has information technology finally been adopted in Flemish intensive care units?

Tópicos

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Resumo

CKGROUND: Information technology (IT) may improve the quality, safety and efficiency of medicine, and is especially useful in intensive Care Units (ICUs) as these are extremely data-rich environments with round-the-clock changing parameters. However, data regarding the implementation rates of IT in ICUs are scarce, and restricted to non-European countries. The current paper aims to provide relevant information regarding implementation of IT in Flemish ICU's (Flanders, Belgium).METHODS: The current study is based on two separate but complementary surveys conducted in the region of Flanders (Belgium): a written questionnaire in 2005 followed by a telephone survey in October 2008. We have evaluated the actual health IT adoption rate, as well as its evolution over a 3-year time frame. In addition, we documented the main benefits and obstacles for taking the decision to implement an Intensive Care Information System (ICIS).RESULTS: Currently, the computerized display of laboratory and radiology results is almost omnipresent in Flemish ICUs, (100% and 93.5%, respectively), but the computerized physician order entry (CPOE) of these examinations is rarely used. Sixty-five % of Flemish ICUs use an electronic patient record, 41.3% use CPOE for medication prescriptions, and 27% use computerized medication administration recording. The implementation rate of a dedicated ICIS has doubled over the last 3 years from 9.3% to 19%, and another 31.7% have plans to implement an ICIS within the next 3 years. Half of the tertiary non-academic hospitals and all university hospitals have implemented an ICIS, general hospitals are lagging behind with 8% implementation, however. The main reasons for postponing ICIS implementation are: (i) the substantial initial investment costs, (ii) integration problems with the hospital information system, (iii) concerns about user-friendly interfaces, (iv) the need for dedicated personnel and (v) the questionable cost-benefit ratio.CONCLUSIONS: Most ICUs in Flanders use hospital IT systems such as computerized laboratory and radiology displays. The adoption rate of ICISs has doubled over the last 3 years but is still surprisingly low, especially in general hospitals. The major reason for not implementing an ICIS is the substantial financial cost, together with the lack of arguments to ensure the cost/benefit.

Resumo Limpo

ckground inform technolog may improv qualiti safeti effici medicin especi use intens care unit icus extrem datarich environ roundtheclock chang paramet howev data regard implement rate icus scarc restrict noneuropean countri current paper aim provid relev inform regard implement flemish icus flander belgiummethod current studi base two separ complementari survey conduct region flander belgium written questionnair follow telephon survey octob evalu actual health adopt rate well evolut year time frame addit document main benefit obstacl take decis implement intens care inform system icisresult current computer display laboratori radiolog result almost omnipres flemish icus respect computer physician order entri cpoe examin rare use sixtyf flemish icus use electron patient record use cpoe medic prescript use computer medic administr record implement rate dedic ici doubl last year anoth plan implement ici within next year half tertiari nonacadem hospit univers hospit implement ici general hospit lag behind implement howev main reason postpon ici implement substanti initi invest cost ii integr problem hospit inform system iii concern userfriend interfac iv need dedic personnel v question costbenefit ratioconclus icus flander use hospit system computer laboratori radiolog display adopt rate iciss doubl last year still surpris low especi general hospit major reason implement ici substanti financi cost togeth lack argument ensur costbenefit

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