Magrabi F, Ammenwerth E, Hyppönen H, de Keizer N, Nykänen P, Rigby M, Scott P, Talmon J, Georgiou A
Associate Prof. Farah Magrabi, Centre for Health Informatics, Australian Institute of Health Innovation, Macquarie University, Sydney, NSW 2109, Phone: +61 2 9850 2429, Fax: +61 2 8088 6234, E-mail:
Yearb Med Inform. 2016 Nov 10(1):61-69. doi: 10.15265/IY-2016-013.
With growing use of IT by healthcare professionals and patients, the opportunity for any unintended effects of technology to disrupt care health processes and outcomes is intensified. The objectives of this position paper by the IMIA Working Group (WG) on Technology Assessment and Quality Development are to highlight how our ongoing initiatives to enhance evaluation are also addressing the unintended consequences of health IT.
Review of WG initiatives Results: We argue that an evidence-based approach underpinned by rigorous evaluation is fundamental to the safe and effective use of IT, and for detecting and addressing its unintended consequences in a timely manner. We provide an overview of our ongoing initiatives to strengthen study design, execution and reporting by using evaluation frameworks and guidelines which can enable better characterization and monitoring of unintended consequences, including the Good Evaluation Practice Guideline in Health Informatics (GEP-HI) and the Statement on Reporting of Evaluation Studies in Health Informatics (STARE-HI). Indicators to benchmark the adoption and impact of IT can similarly be used to monitor unintended effects on healthcare structures, processes and outcome. We have also developed EvalDB, a web-based database of evaluation studies to promulgate evidence about unintended effects and are developing the content for courses to improve training in health IT evaluation.
Evaluation is an essential ingredient for the effective use of IT to improve healthcare quality and patient safety. WG resources and skills development initiatives can facilitate a proactive and evidence-based approach to detecting and addressing the unintended effects of health IT.
随着医疗保健专业人员和患者对信息技术（IT）的使用日益增加，技术产生任何意外影响从而扰乱医疗保健流程及结果的可能性也随之增大。国际医学信息学协会（IMIA）技术评估与质量发展工作组（WG）撰写本立场文件的目的，是强调我们目前为加强评估所开展的举措如何也在应对健康信息技术的意外后果。
审查工作组的举措 结果：我们认为，以严格评估为基础的循证方法对于安全有效地使用信息技术以及及时发现和应对其意外后果至关重要。我们概述了目前正在开展的各项举措，即通过使用评估框架和指南来加强研究设计、实施和报告，这些框架和指南能够更好地描述和监测意外后果，包括《健康信息学良好评估实践指南》（GEP-HI）和《健康信息学评估研究报告声明》（STARE-HI）。用于衡量信息技术采用情况和影响的指标同样可用于监测对医疗保健结构、流程和结果的意外影响。我们还开发了EvalDB，这是一个基于网络的评估研究数据库，用于传播有关意外影响的证据，并且正在开发课程内容，以改进健康信息技术评估方面的培训。
评估是有效利用信息技术以提高医疗质量和患者安全的关键要素。工作组的资源和技能发展举措有助于采取积极主动且基于证据的方法来发现和应对健康信息技术的意外影响。
