Recent Advancement of Clinical Information Systems: Opportunities and Challenges

Abstract

We selected 23 papers out of 1,026 unique abstracts for full-text review using our selection criteria, and 20 out of these 23 studies met all of our inclusion criteria. We focused on three major areas: 1) Ambulatory and inpatients clinical information systems; 2) Specialty information systems; and 3) Ancillary information systems. As CIS can support evidence-based practices that, in turn, improve patient's safety, quality and efficacy of care, advancement, acceptability, and adaptability of CIS have increased worldwide. Although, the demand for CIS functionality is rising fast, current CISs still have data integration challenges and lack of functionality to exchange patient information from all or some parts of the healthcare system. These limitations can be attributed to technical, human, and organizational factors Conclusion: Clinical information systems provide tremendous opportunities to reduce clinical errors such as medication errors and diagnostic errors and to support healthcare professionals by offering up-to-date patient information. They promise to improve workflow and efficiency of care, thus boosting the overall quality of healthcare.

Tecnologia Da Informação E Comunicação: Impactos Na Gestão De Enfermagem

“…Destacou-se, todavia, que há um longo caminho de aprimoramento do sistema para se chegar à perfeição, relatando as necessidades de mudanças no gerenciamento e integração de dados, bem como a falta de algumas funcionalidades do sistema. 16 Entende-se que a seleção de um software organizacional adequado às necessidades da organização é um grande desafio para os gerentes e a literatura sugere seguir três etapas para essa escolha: identificar e avaliar o que é indispensável para a instituição; selecionar entre três opções o melhor método relacionado à produção interna, compra e pedido de software especial para o uso nativo e, por último, avaliar, comparar e classificar o software alternativo. 17 Verifica-se, desse modo, que vários são os fatores envolvidos na aceitação e utilização dos recursos da TIC pelos profissionais, destacando-se, aqui, os treinamentos (capacitações) como fundamentais ao aprimoramento das habilidades dos usuários, assim como assimilar a utilidade e a simplicidade no manuseio do sistema.…”

Healthcare Organizations and Enterprise Architecture: A Case Study in Canada

“…However, managing IS involves many constraints that often lead to failure of implementing IS, hence producing important consequences. Islam, Poly, and Li (2018); Lagsten and Andersson (2018); Neto et al (2017); and See et al (2018) published articles which addressed challenges related to IS in organization, and more precisely in healthcare organizations. Among the challenges, they revealed the end-user's resistance to change, the complexity of the environment, the poor managerial practice because of lack of training, and lack of a robust analysis.…”

Robotic Systems in Operating Theaters: New Forms of Team–Machine Interaction in Health Care

“…How HOISs can at best provide adequate services, in particular for health care professionals, is an ongoing challenge. 63 One of the pioneers of medical informatics, François Grémy, summarized the situation as follows: "Any technology sets a relationship between human beings and their environment, ... This is especially relevant when dealing with large automatic information systems, developed to contribute to the management and integration of large organizations, such as hospitals.…”