Stepwise Evaluation of Information Systems in an University Hospital

T. Bürkle; R. Kuch; H.-U. Prokosch; J. Dudeck

doi:10.1055/s-0038-1634150

Methods of Information in Medicine, Table of Contents

Methods Inf Med 1999; 38(01): 09-15
DOI: 10.1055/s-0038-1634150

Original article

Schattauer GmbH

Stepwise Evaluation of Information Systems in an University Hospital

T. Bürkle

¹Institute of Medical Informatics, University of Giessen, Germany

,

R. Kuch

¹Institute of Medical Informatics, University of Giessen, Germany

,

H.-U. Prokosch

¹Institute of Medical Informatics, University of Giessen, Germany

,

J. Dudeck

¹Institute of Medical Informatics, University of Giessen, Germany

› Author Affiliations

Abstract

Abstract:

A prospective intervention study with historical control has been performed at Giessen University Hospital, Germany, to investigate the influence of electronic data processing systems on nurses’ working environment. Two wards of the medical department were selected for this study, using the combined approach of work-sampling methods and questionnaires. In the first intervention a central information system with restricted functions was introduced. For the second intervention an additional nursing information system was installed. The distribution of nurses’ worktime into the fields of general nursing care, specific nursing care and administrative activities was not influenced by electronic data processing. No time saving could be measured. Results of the questionnaires did, however, indicate a positive influence of the hospital information system on nurses’ working environment.

Keywords:

Evaluation - Nursing Information System - Hospital Information System

Full Text

References

REFERENCES
1 Petrucci K, Petrucci P, Canfield K, McCormick KA, Kjerulff K, Parks P. Evaluation of UNIS: Urological Nursing Information System. In: Proceedings Fifteenth Annual Symposium on Computer Applications in Healthcare SCAMC . New York: McGraw-Hill Inc; 1992: 43-7.
2 Bradshaw KE, Sittig DF, Gardner RM, Pryor A, Budd M. Computer-Based Data Entry for Nurses in the ICU. MD Computing 1989; 5: 274-80.
3 Hinson DK, Huether SE, Blaufuss JA, Neiswanger M, Tinker A, Meyer KJ, Jensen R. Measuring the Impact of a Clinical Nursing Information System on One Nursing Unit. In: Proceedings Seventeenth Annual Symposium on Computer Applications in Health-care SCAMC . New York: Mc Graw-Hill Inc; 1994: 203-10.
4 Spranzo Keller L, McDermott S, Alt-White A. Effects of Computerized Nurse Careplanning on Selected Health Care Effectiveness Measures. In: Proceedings Fifteenth Annual Symposium on Computer Applications in Healthcare SCAMC . New York: McGraw-Hill Inc; 1992: 38-42.
5 Van Gennip EMSJ, Kramer H, Enning CJ, Klaassen-Leil CC, Stokman RAM, Van Valkenburg RKJ. VISTA: Study of effects of an Integrated Nursing Information System in three Dutch Hospitals Set-up and intermediate results. In: Proceedings 12th Medical Informatics Europe . 1994: 333-8.
6 John J, Wohlmannstetter V, Lanig J. Entwicklungsstand und -perspektiven rechnergestützter Informations- und Kommunikationssysteme in der stationären Krankenpflege. In: Bohn S. ed. Auf dem Weg aus der Pflegekrise?. Neue Ideen und Lösungsansätze in der Krankenpflege . Berlin: Prognos AG; 1992: 89-125.
7 Arbeitskreis »Einsatzmöglichkeiten der EDV in der Krankenpflege« an der Fachhochschule Osnabrück. Einsatzmöglichkeiten der EDV in der Krankenpflege. Deutsche Krankenpflegezeitschrift 1988; 5 Suppl 2-17.
8 Dahlgaard K, Lorenz-Krause R. EDV in der Krankenpflege – Anwendungsfelder und Probleme. Deutsche Krankenpflegezeitschrift 1988; 5: 324-9.
9 Höfert R. Pflegeorientierte EDV – Erwartungen und Forderungen aus der Sicht des Pflegedienstes. Krankenpflege 1990; 1: 8-10.
10 Stahl K. Überlegungen zur sozialen Verträglichkeit des EDV-Einsatzes auf der Krankenstation. Deutsche Krankenpflegezeitschrift 1988; 5: 330-1.
11 Jakobi R. Die praktische Umsetzung der Pflegepersonalregelung im Kreiskrankenhaus Frankenberg. f&w 1993; 1: 68-72.
12 Mohr FW. Umsetzung der Pflege-Personal-regelung in die Praxis des Krankenhauses. Das Krankenhaus 1992; 12: 564-9.
13 Van de Velde R. (ed). Hospital Information Systems – The Next Generation . Berlin, Heidelberg, New York: Springer; 1992
14 Prokosch HU, Dudeck J, Junghans G, Marquardt K, Sebald P, Michel A. WING – Entering a New Phase of Electronic Data Processing at the Gießen University Hospital. Meth Inform Med 1991; 30: 289-98.
15 Prokosch HU, Puhle B, Dudeck J. One-Stop-Information-Shopping – Do we meet the information needs of the hospital staff?. In: Proceedings 12th Medical Informatics Europe . 1994: 362-5.
16 Prokosch HU, Puhle B, Müller M, Wagner R, Junghans G, Marquardt K, Dudeck J. From HIS to IAIMS: Expanding the Scope of Information Processing Applications in a German University Hospital. In: Proceedings Eighteenth Annual Symposium on Computer Applications in Healthcare SCAMC . Philadelphia: Hanley and Belfus Inc; 1994: 115-9.
17 Frandji B, Schot J, Joubert M, Soady I, Kilsdonk A. The RICHE Reference Architecture. Med Inform 1994; 19 (Suppl. 01) 1-11.
18 Dudeck J, Blobel B, Lordieck W, Bürkle T. (Eds). New Technologies inHospital Information Systems. Studies in Health Technology and Informatics 45. Amsterdam: IOS Press; 1997
19 Tippett LHC. A snap reading method of making time studies of machines and operations in factories: A Survey. J Textile Inst 1935; 26: 51-70.
20 Sittig DF. Work-Sampling: A Statistical Approach to Evaluation of the Effect of Computers on Work Patterns in Healthcare. Meth Inform Med 1993; 32: 167-74.
21 Bürkle T, Schmitz M, Prokosch HU, Dudeck J. A Systematic Approach for Evaluation of Nursing Work in an University Hospital. In: Proceedings 12th Medical Informatics Europe . 1994: 328-32.
22 Mohr FW. Pflege-Personalverordnung – Pflege-PV – (Referentenentwurf). Das Krankenhaus 1992; 6: 282-93.
23 Clarke K, O’Moore R, Smeets R, Talmon J, Brender J, McNair P, Nykanen P, Grimson J, Barber B. A methodology for evaluation of knowledge-based systems. In: Proceedings 10th Medical Informatics Europe . Berlin: Springer; 1991: 361-5.
24 Ohmann C, Belenky G. Leitfaden zur Evaluierung von wissensbasierten Systemen. In: Trampisch HJ, Lange S. Medizinische Forschung – ärztliches Handeln . Medizinische Informatik, Biometrie und Epidemiologie 1995; 80: 417-20.
25 Ohmann C, Boy O, Eich HP. Arbeitskreis Evaluation im MEDWIS-Programm. Leitfaden zur Evaluierung von wissensbasierten Systemen. Informatik, Biometrie und Epidemiologie in Medizin und Biologie 1998; 29 (Suppl. 01) 77-83.
26 Rind DM, Davis R, Safran C. Designing Studies of Computer-Based Alerts and Reminders. MD Computing 1995; 12 (Suppl. 02) 122-6.
27 Donabedian A. The Criteria and Standards of Quality . Health Administration Press; Ann Arbor, MI: 1982
28 Bürkle T, Michel A, Horch W, Dudeck J, Schleifenbaum L. Does TISS pave a way towards the nurses care documentation?. In: Medical Informatics Europe ’97 . Studies in Health Technology and Informatics 43. Amsterdam: IOS Press; 1997: 152-6.
29 Hofmann K, Gräber S, Flaig M. Evaluation von Stationssystemen. In GMDS 1996 abstract band (Ed: GMDS) 1996 p. 326.
30 Kjerulff KH. The Integration of Hospital Information Systems into Nursing Practice: A Literature Review,. In: Ball MJ, Hannah KJ, Gerdin Jelger U, Peterson H. (Eds). Nursing Informatics . New York: Springer; 1988: 243-9.
31 Pabst MK, Scherubel JC, Minnick AF. The Impact of Computerized Documentation on Nurse’s Use of Time;. Comp Nurs 1996; 1: 25-30.
32 Evans RS, Pestotnik SL, Gardner RM. Evaluating the Impact of Computer-based Drug Monitoring on the Quality and Cost of Drug Therapy. In: Prokosch HU, Dudeck J. Hospital Information Systems: Design and Development Characteristics; Impact and Future Architecture . Elsevier Science; 1995: 201-20.
33 Prokosch HU, McDonald CJ. The Effect of Computer Reminders on the Quality of Care and Resource Use. In: Prokosch HU, Dudeck J. Hospital Information Systems: Design and Development Characteristics; Impact and Future Architecture. Elsevier Science. 1995: 221-40.
34 Haug PJ, Gardner RM, Tate KE, Scott RE, East TD, Kuperman G, Pryor TA, Huff SM, Warner HR. Decision Support in Medicine: Examples from the HELP System;. Comp Biomed Res 1994; 27: 396-418.