Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
Department of Surgery, Medical University of South Carolina, Charleston, South Carolina.
Surg Infect (Larchmt). 2019 Oct;20(7):566-570. doi: 10.1089/sur.2019.151. Epub 2019 Aug 20.
The implementation of health information technology interventions is at the forefront of most hospital institutional policy agendas. Despite the availability of numerous apps and mobile platforms focusing on specific areas in healthcare the widespread integration into clinical practice can be a complex process. Here we present guidelines and methodology that we have learned in the implementation process of new technology and an overview of some of the current barriers and enablers specific to implementation of post-surgical site surveillance technology. Analysis of the experience of successful information technology (IT) implementation in different healthcare systems reveals that, despite differences among patient groups, care providers, and hospitals, there are common barriers and enablers to implementation of health IT. The process of implementation in organizations and among individuals can be most successful by identifying barriers and enablers within three key stakeholder groups: (1) patients; (2) care providers/clinicians; and (3) manager/administration within healthcare systems. This can be achieved by specific engagement and co-design processes establishing clear benefits, sufficient incentives, and adequate support for clinicians as well as payer-provider relationships, marketplace competition and privacy legislation. The successful implementation of such programs requires appropriate strategic planning to address the needs of three specific components: patients, care provider, and policymakers/healthcare management understanding and acceptance.
健康信息技术干预措施的实施处于大多数医院机构政策议程的前沿。尽管有许多专注于医疗保健特定领域的应用程序和移动平台,但将其广泛整合到临床实践中可能是一个复杂的过程。在这里,我们介绍了在新技术实施过程中我们所学到的指南和方法,并概述了一些与术后部位监测技术实施相关的当前障碍和促进因素。对不同医疗保健系统中成功的信息技术(IT)实施经验的分析表明,尽管患者群体、护理提供者和医院之间存在差异,但实施医疗保健 IT 存在共同的障碍和促进因素。通过在三个关键利益相关者群体(1)患者、(2)护理提供者/临床医生和(3)医疗保健系统中的管理人员/行政人员中识别障碍和促进因素,可以使组织和个人的实施过程最成功。这可以通过具体的参与和共同设计流程来实现,为临床医生以及支付方-提供者关系、市场竞争和隐私立法确立明确的利益、足够的激励措施和充分的支持。此类计划的成功实施需要进行适当的战略规划,以满足三个特定组件的需求:患者、护理提供者和政策制定者/医疗保健管理人员的理解和接受。