Design and Evaluation of a Service Oriented Architecture for Paperless ICU Tarification

Steurbaut, Kristof; Colpaert, Kirsten; Hoecke, Sofie Van; Steurbaut, Sabrina; Danneels, Chris; Decruyenaere, Johan; Turck, Filip De

doi:10.1007/s10916-010-9602-0

Cited by 8 publications

(17 citation statements)

References 18 publications

(20 reference statements)

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“…A total of 22 articles, discussing Intensive care Information System, Critical Care Information System, and Patient Data Management System, met the eligibility criteria. The impacts were grouped into six groups by system outcomes: (1) Clinical outcomes, (2) Information management, (3) Saving tips, (4) Clinical decision support, (5) User outcomes, and (6) Improving researches. Some outcomes fall into more than one group; such as “clinical calculating”.…”

Section: Resultsmentioning

confidence: 99%

“…Of these, according to the outcomes order of priority, 14 articles reported the improving quality of care (2, 3, 4, 5-15), 10 articles discussed the improving ICU Performance (2, 5-7, 11-13, 15-18), and other clinical outcomes were as follows: eight articles on the reducing medical errors (2, 5, 7-9, 11, 15, 17), seven articles on the presenting clinical alerts (3, 5, 6, 8, 11, 15, 18), six articles on the evaluating quality of care (2, 8, 13, 15, 17, 19), five articles on the clinical calculating (5, 7, 16, 18, 20), five articles on the improving medication administration (7, 8, 11, 15, 21), four articles on the interfacing with clinical devices (3, 8, 9, 21), four articles on the patient tracking (2, 5, 11, 15), four articles on the predicting patient outcome (2, 8, 16, 20), four articles on the providing telecare (8, 13, 15, 19), four articles on the specifying patient needs (8, 13, 16, 17), three articles on the reducing clinical risk and improving patient safety (2, 8, 9), three articles on the antibiotic management (5, 15, 16), three articles on the overview patient old and new conditions (13, 16, 21), three articles on the improving (multidisciplinary) communication (9, 13, 22)”, three articles on the care planning (9, 13, 19), two articles on the car...…”

Section: Clinical Outcomesmentioning

confidence: 99%

“…Of these, according to the outcomes order of priority, 18 articles focused on the electronic documenting and automated reporting (2, 3, 5-11, 13, 15-22), 18 articles on the Managing patient data (1, 2, 3, 5-11, 13-16, 19-22), 12 articles on the increasing data quality (2, 3, 7, 8, 11, 13-17, 19, 21), nine articles on the electronic data interchange (2, 5-11, 16), seven articles on the patient’s data measure and transmit (2, 5, 6, 10, 11, 13, 20), six articles on the ICIS integration with other information systems (1, 6-9, 11), and, six articles on the building new knowledge from the gathered data (2, 5-8, 21). Analysis of the content showed that ICIS documented clinical data electronically, automated reporting and managed patient data in 82% of cases.…”

Section: Clinical Outcomesmentioning

confidence: 99%

“…Today, intensive care needs to be increased with a prospect of an aging population and socioeconomic factors influencing health intervention, and there are some problems in the ICUs, it is essential to resolve (1, 2, 3); Such as: Beds and skilled manpower shortcoming, Exorbitant cost of treatment, High rates of mortality, Severe Nosocomial infections, High LOS, Low compliace with standards, Low quality of care and improvements, Epidemic of medical and medication errors, Poor coordination of intensive care team, and the lack of information required for clinical and managerial decisions (4, 5, 6). Also, Some problems must be considered such as automatic scoring systems failure to predict disease severity and mortality, real time documentation of clinical data, Inefficiency of integrated clinical alerts, Significant clinical workflow interruptions, and Resource constraints (7, 8, 9).…”

Section: Introductionmentioning

confidence: 99%

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Intensive Care Information System Impacts

Ehteshami¹,

Sadoughi²,

Ahmadi³

et al. 2013

Acta Inform Med

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Introduction:Today, intensive care needs to be increased with a prospect of an aging population and socioeconomic factors influencing health intervention, but there are some problems in the intensive care environments, it is essential to resolve. The intensive Care information system has the potential to solve many of ICU problems. The objective of the review was to establish the impact of intensive care information systems on the practitioners practice, patient outcomes and ICU performance.Methods:Scientific databases and electronic journal citations was searched to identify articles that discussed the impacts of intensive care information system on the practices, patient outcomes and ICU performance. A total of 22 articles discussing ICIS outcomes was included in this study from 609 articles initially obtained from the searches.Results:Pooling data across studies, we found that the median impact of ICIS on information management was 48.7%. The median impact of ICIS on user’ outcomes was 36.4%, impact on saving tips by 24%, clinical decision support by a mean of 22.7%, clinical outcomes improved by a mean of 18.6%, and researches improved by 18%.Conclusion:The functionalities of ICIS are growing day by day and new functionalities are available with every major release. Better adoption of ICIS by the intensive care environments emphasizes the opportunity of better intensive care services through patient oriented intensive care clinical information systems. There is an immense need for developing guidelines for standardizing ICIS to to maximize the power of ICISs and to integrate with HISs. This will enable intensivists to use the systems in a more meaningful way for better patient care. This study provides a better understanding and greater insight into the effectiveness of ICIS in improving patient care and reducing health care expenses.

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Section: Resultsmentioning

confidence: 99%

Section: Clinical Outcomesmentioning

confidence: 99%

Section: Clinical Outcomesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Intensive Care Information System Impacts

Ehteshami¹,

Sadoughi²,

Ahmadi³

et al. 2013

Acta Inform Med

View full text Add to dashboard Cite

show abstract

“…The purpose of saving costs will also be achieved in the end of the IT project (Stav et al, 2013). In recent years, SOA has been widely applied in the medical field's information systems (Li, Wang, Lu, Lin, & Yen, 2012;Babamir & Arafard, 2012;Steurbaut et al, 2012;Chen et al, 2012;Hsieh, Hsieh, Cheng, & Lai, 2012;De Capua, Meduri, & Morello, 2010;Park & Nam, 2012). In addition to improving actual development efficiency, users perceive satisfaction from the system use.…”

Section: Related Workmentioning

confidence: 99%

Service-Oriented ArchitectureApplication in Long-Term Care Institution: A Case Study on an Information System Project Based on the Whole Person Concept in Taiwan

Chung

2017

IJCSR

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Purpose -The caring approach for long-term care is different with the general care because it emphasizes comprehensive health care. If the system establishment lacks integrated concepts, the system will then be unsuitable. This study aims to develop an innovative system project based on the whole person concept and provides the experience for applying the concept of Service-Oriented Architecture (SOA) to integrate different operations of the system which called U-care project.Method -This involves substituting the function module of the original system architecture with a service-based approach to provide a service interface. In addition, there must be a connection between the well-defined interface for the services and the formation of comprehensively integrated system architecture. Evaluations were 18 conducted both on the programmers of the U-care project and on end user experience form using the system.Results -The results describe our resulting functional design of the system. The implanted experience based on SOA was also presented and the services were success practice in a long term care institution.Conclusion -The contribution of this paper is the project functional design and practical feasibility. It also showed the SOA platform with a set of reusable domain function service is suitable for the long term care institution. It can support the actual improvement on the project development schedule and operational performance of personnel.Recommendations -Further work on emphasizing the establishment of domain knowledge by developers when developing long-term care related software to reduce difficulties in communication with users, refining the process applied to the SOA is recommended to improve the efficiency of the project.Research Implications -Service-oriented computing promotes the approach of assembling application components into a network of services that can be loosely coupled to create flexible, dynamic business processes and agile applications. Therefore, the architecture of service oriented uses services to support development teams can achieve rapid, low cost, interoperable, evolvable and massively distributed long term care system.

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The effect of nursing participation in the design of a critical care information system: a case study in a Chinese hospital

Qin¹,

Zhou²,

Wu³

et al. 2017

BMC Med Inform Decis Mak

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BackgroundIntensive care information systems (ICIS) are continuously evolving to meet the ever changing information needs of intensive care units (ICUs), providing the backbone for a safe, intelligent and efficient patient care environment. Although beneficial for the international advancement in building smart environments to transform ICU services, knowledge about the contemporary development of ICIS worldwide, their usage and impacts is limited. This study aimed to fill this knowledge gap by researching the development and implementation of an ICIS in a Chinese hospital, nurses’ use of the system, and the impact of system use on critical care nursing processes and outcomes.MethodsThis descriptive case study was conducted in a 14-bed Respiratory ICU in a tertiary hospital in Beijing. Participative design was the method used for ICU nurses, hospital IT department and a software company to collaboratively research and develop the ICIS. Focus group discussions were conducted to understand the subjective perceptions of the nurses toward the ICIS. Nursing documentation time and quality were compared before and after system implementation. ICU nursing performance was extracted from the annual nursing performance data collected by the hospital.ResultsA participative design process was followed by the nurses in the ICU, the hospital IT staff and the software engineers in the company to develop and implement a highly useful ICIS. Nursing documentation was fully digitized and was significantly improved in quality and efficiency. The wrong data, missing data items and calculation errors were significantly reduced. Nurses spent more time on direct patient care after the introduction of the ICIS. The accuracy and efficiency of medication administration was also improved. The outcome was improvement in ward nursing performance as measured by ward management, routine nursing practices, disinfection and isolation, infection rate and mortality rate.ConclusionsNurses in this ICU unit in China actively participated in the ICIS development and fully used the system to document care. Introduction of the ICIS led to significant improvement in quality and efficiency in nursing documentation, medication order transcription and administration. It allowed nurses to spend more time with patients to improve quality of care. These led to improvement in overall nursing performance. Further study should investigate how the ICIS system contributes to the improvement in decision making of ICU nurses and intensivists.

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Design and Evaluation of a Service Oriented Architecture for Paperless ICU Tarification

Cited by 8 publications

References 18 publications

Intensive Care Information System Impacts

Intensive Care Information System Impacts

Service-Oriented ArchitectureApplication in Long-Term Care Institution: A Case Study on an Information System Project Based on the Whole Person Concept in Taiwan

The effect of nursing participation in the design of a critical care information system: a case study in a Chinese hospital

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