低估重症监护病房实施计算机化患者记录相关人员需求所产生的财务影响。

The financial impact of underestimating personnel needs associated with implementing a computerized patient record in the intensive care unit.

作者信息

Randolph Adrienne G, Ogawa Scott

机构信息

Department of Anesthesia, Children's Hospital, Boston, Boston, MA 02115, USA.

出版信息

J Crit Care. 2007 Mar;22(1):34-9. doi: 10.1016/j.jcrc.2006.12.004.

DOI:10.1016/j.jcrc.2006.12.004

PMID:17371743

Abstract

PURPOSE

We tracked the cost of implementing a computerized patient record across 3 intensive care units at a large pediatric hospital.

MATERIALS AND METHODS

This is a descriptive case study. We compared our initial budget estimates at the time of purchase with the actual expenditures during phase 1 implementation.

RESULTS

The total estimated phase 1 implementation cost was $2,945,339, and the actual cost was $3,973,235, a difference of more than $1 million and 35% higher than anticipated. The initial budget breakdown was 51% software, 28% hardware, and 21% personnel. Our actual cost breakdown was 41% software, 23% hardware, and 37% personnel. Software costs were 7% more than budgeted. Hardware costs were 8% more than budgeted. Personnel costs were 139% higher than anticipated and accounted for 83% of our underestimation of costs.

CONCLUSIONS

Personnel costs are a significant portion of the costs of implementing a computerized patient record. Underestimation of these costs could have a negative fiscal impact on a hospital.

摘要

目的

我们追踪了一家大型儿科医院3个重症监护病房实施电子病历的成本。

材料与方法

这是一项描述性案例研究。我们将购买时的初始预算估计与第1阶段实施期间的实际支出进行了比较。

结果

第1阶段实施的总估计成本为2945339美元，实际成本为3973235美元，相差超过100万美元，比预期高出35%。初始预算明细为软件51%、硬件28%、人员21%。我们的实际成本明细为软件41%、硬件23%、人员37%。软件成本比预算高出7%。硬件成本比预算高出8%。人员成本比预期高出139%，占我们成本低估的83%。