Adoption Factors Associated with Patient Safety-Related Information Technology

Menachemi, Nir; Burke, Darrell; Brooks, Robert G.

doi:10.1111/j.1945-1474.2004.tb00535.x

Cited by 35 publications

(20 citation statements)

References 25 publications

(11 reference statements)

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“…The electronic health record adoption rate was similar to that in a 2003 survey of general acute-care hospitals but was significantly greater than the ϳ13% rate of computer-based practitioner order entry system use in that setting. 26 It is unclear whether the differences in adoption reflect true differences or normal diffusion of a highly publicized 37,38 technology over time.…”

Section: Discussionmentioning

confidence: 99%

“…To our knowledge, this is the first study of its kind to document the use of HIT in a national sample of pediatric hospitals. [25][26][27] The original survey questions were carefully developed and extensively pilot-tested with a group of hospital IT experts. With the help of pediatric HIT specialists, the current survey was tailored to the specific HIT environment unique to CHs.…”

mentioning

confidence: 99%

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Use of Health Information Technology by Children's Hospitals in the United States

Menachemi¹,

Brooks²,

Schwalenstocker³

et al. 2009

Pediatrics

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OBJECTIVE. The purpose of this study was to examine the adoption of health information technology by children's hospitals and to document barriers and priorities as they relate to health information technology adoption.METHODS. Primary data of interest were obtained through the use of a survey instrument distributed to the chief information officers of 199 children's hospitals in the United States. Data were collected on current and future use of a variety of clinical health information technology and telemedicine applications, organizational priorities, barriers to use of health information technology, and hospital and chief information officer characteristics.RESULTS. Among the 109 responding hospitals (55%), common clinical applications included clinical scheduling (86.2%), transcription (85.3%), and pharmacy (81.9%) and laboratory (80.7%) information. Electronic health records (48.6%), computerized order entry (40.4%), and clinical decision support systems (35.8%) were less common. The most common barriers to health information technology adoption were vendors' inability to deliver products or services to satisfaction (85.4%), lack of staffing resources (82.3%), and difficulty in achieving end-user acceptance (80.2%). The most frequent priority for hospitals was to implement technology to reduce medical errors or to promote safety (72.5%).CONCLUSION. This first national look at health information technology use by children's hospitals demonstrates the progress in health information technology adoption, current barriers, and priorities for these institutions. In addition, the findings can serve as important benchmarks for future study in this area. Pediatrics 2009;123: S80-S84 T HE USE OF health information technology (HIT) by hospitals has increased significantly over the past decade. 1 The increase in use has corresponded to mounting evidence 2-4 suggesting the diverse benefits that can be realized when hospitals implement information systems. These benefits include improved clinical, 5,6 operational, 7 and financial 8,9 performance. Studies have highlighted the specific benefits, 10-12 as well as the risks, 13 of HIT for pediatric patients, who are more susceptible to potential harm from medical errors. 14 For example, the use of electronic order entry by physicians in a pediatric critical care unit was associated with almost-complete elimination of medication prescribing errors. 15 The use of electronic tools was associated with error reduction in pediatric chemotherapy. 16 Given the frequency with which patient safety events, 17 including adverse drug events 12 and medication errors, 18,19 affect pediatric care, many experts have advocated the increased use of HIT by pediatric providers. 18-21 However, some researchers have identified adverse outcomes related to the implementation of HIT. 13 Most children who require hospital care are seen at either acute-care community facilities or specially designated children's hospitals (CHs). CHs, which are devoted exclusively to the care of children, inclu...

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Use of Health Information Technology by Children's Hospitals in the United States

Menachemi¹,

Brooks²,

Schwalenstocker³

et al. 2009

Pediatrics

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“…Researchers usually include physicians' demographics like gender and age to predict their EMR adoption [35].Yet NAMCS data do not provide such information about individual physicians (as many clinics have multiple physicians). Rather there is demographic information about each patient.…”

Section: Patient Variablesmentioning

confidence: 99%

Ambulatory EMR Adoption in the USA: A Longitudinal Study

Sun¹,

García²,

Wang³

2018

Proceedings of the 51st Hawaii International Conference on System Sciences

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“…17 There is a growing body of evidence regarding barriers and facilitators to health IT implementation. While the majority of this research is focused in single hospitals or clinics, or projects in a subset of a larger health system [7][8][9][10] , some common themes have emerged. Of note, organizational and cultural facilitators often offset perceived technology-based barriers.…”

Section: Background Health It Implementation In the United Statesmentioning

confidence: 99%

“…While there are now examples in the health information technology (IT) literature of successful implementations, most describe health IT endeavors at a single hospital or clinic setting and not in a large, integrated network. [7][8][9][10] In the Veterans Affairs (VA) hospital system, we have developed an EMR for cardiac catheterization procedures called the Cardiovascular Assessment, Reporting and Tracking (CART) system. Here, we describe the implementation of CART-from planning to adoption-at the 77 VA hospitals which perform cardiac catheterization procedures.…”

Section: Introductionmentioning

confidence: 99%

Strategies from a Nationwide Health Information Technology Implementation: The VA CART STORY

et al. 2010

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The VA Cardiovascular Assessment, Reporting, and Tracking (CART) system is a customized electronic medical record system which provides standardized report generation for cardiac catheterization procedures, serves as a national data repository, and is the centerpiece of a national quality improvement program. Like many health information technology projects, CART implementation did not proceed without some barriers and resistance. We describe the nationwide implementation of CART at the 77 VA hospitals which perform cardiac catheterizations in three phases: (1) strategic collaborations; (2) installation; and (3) adoption. Throughout implementation, success required a careful balance of technical, clinical, and organizational factors. We offer strategies developed through CART implementation which are broadly applicable to technology projects aimed at improving the quality, reliability, and efficiency of health care.

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Adoption Factors Associated with Patient Safety-Related Information Technology

Cited by 35 publications

References 25 publications

Use of Health Information Technology by Children's Hospitals in the United States

Use of Health Information Technology by Children's Hospitals in the United States

Ambulatory EMR Adoption in the USA: A Longitudinal Study

Strategies from a Nationwide Health Information Technology Implementation: The VA CART STORY

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