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Related Concept Videos

Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Nursing Clinical Information System01:27

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
Purpose of Health Records I01:11

Purpose of Health Records I

The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:

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Related Experiment Video

Updated: Jul 2, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Evaluating implementation fidelity in health information technology interventions.

Eric L Eisenstein1, David F Lobach, Paul Montgomery

  • 1Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA.

AMIA ... Annual Symposium Proceedings. AMIA Symposium
|August 13, 2008
PubMed
Summary

Evaluating health information technology requires distinguishing efficacy in trials from real-world effectiveness. This study proposes a framework using implementation fidelity and causal models to assess complex interventions in practice.

Related Experiment Videos

Last Updated: Jul 2, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Area of Science:

  • Health Services Research
  • Health Informatics
  • Implementation Science

Background:

  • Distinguishing intervention efficacy (ideal settings) from effectiveness (real-world practice) is crucial for health information technology (HIT) evaluation.
  • Current study designs often fail to make this critical distinction, limiting the applicability of trial findings.
  • HIT are complex interventions whose implementation fidelity significantly impacts outcomes.

Purpose of the Study:

  • To propose a novel framework for evaluating the implementation fidelity of HIT.
  • To differentiate between the efficacy of HIT in clinical trials and their effectiveness in real-world settings.
  • To provide statistical methods for evaluating HIT at both system and component levels.

Main Methods:

  • Developed a framework for evaluating implementation fidelity of HIT as complex interventions.
  • Utilized common intervention components from the Oxford Implementation Index.
  • Proposed statistical methods based on the Rubin Causal Model for system and component-level evaluation.
  • Applied the framework to an ongoing clinical trial of three HIT interventions in a community-based health network.

Main Results:

  • The proposed framework allows for a clear distinction between efficacy and effectiveness in HIT evaluation.
  • The framework incorporates implementation fidelity as a key factor in assessing real-world performance.
  • Statistical methods enable robust evaluation of HIT interventions at multiple levels.

Conclusions:

  • The developed framework enhances the evaluation of HIT by considering implementation fidelity and real-world context.
  • This approach provides a more accurate assessment of HIT effectiveness for diverse patient populations.
  • The study offers a methodological advancement for implementation science in health informatics.