Nahm Eun-Shim, Vaydia Vinay, Ho Danny, Scharf Barbara, Seagull Jake
University of Maryland School of Nursing, 655 W. Lombard St, Suite 455C, Baltimore, MD, USA.
Nurs Outlook. 2007 Nov-Dec;55(6):282-288. doi: 10.1016/j.outlook.2007.09.003.
Healthcare information systems (HIS) play a vital role in quality of care and the organization's daily operations. Consequently, increasing numbers of clinicians have been involved in HIS implementation, particularly for clinical information systems (CIS). Implementation of these systems is a major organizational investment, and its outcomes must be assessed. The purpose of this article is to provide clinicians and frontline informaticians with a practical guide to assess these outcomes, focusing on outcome variables, assessment methods, and timing of assessment. Based on in-depth literature reviews and their empirical experiences, the authors identified 3 frequently used outcomes: user satisfaction, clinical outcomes, and financial impact. These outcomes have been assessed employing various methods, including randomized controlled trials, pre- and post-test studies, time and motion studies, surveys, and user testing. The timing for outcomes assessments varied depending on several factors, such as learning curves or patients conditions. In conclusion, outcomes assessment is essential for the success of healthcare information technology, and the CIS implementation team members must be prepared to conduct and/or facilitate these studies.
医疗保健信息系统（HIS）在医疗质量和组织日常运营中发挥着至关重要的作用。因此，越来越多的临床医生参与到HIS的实施中，尤其是临床信息系统（CIS）。这些系统的实施是一项重大的组织投资，其结果必须进行评估。本文的目的是为临床医生和一线信息专家提供一份评估这些结果的实用指南，重点关注结果变量、评估方法和评估时机。基于深入的文献综述及其实证经验，作者确定了3个常用的结果：用户满意度、临床结果和财务影响。这些结果已通过各种方法进行评估，包括随机对照试验、前后测试研究、时间与动作研究、调查和用户测试。结果评估的时机因多种因素而异，如学习曲线或患者状况。总之，结果评估对于医疗信息技术的成功至关重要，CIS实施团队成员必须准备好进行和/或推动这些研究。
