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Developing and testing a clinical information system evaluation tool: prioritizing modifications through end-user
Janis B Smith1, Susan R Lacey, Arthur R Williams
1Patient Care Services Clinical Information Systems, Children's Mercy Hospitals and Clinics, Kansas City, Missouri 64108, USA.
Objective:
The objectives were to develop and validate the Information System Evaluation Tool (ISET), use feedback to modify the institution's clinical information system (CIS), and determine the modifications' success.
Background:
The ability of a CIS to increase patient safety and care quality is dependent on its systems and processes. A survey was needed to provide the specificity necessary to make meaningful system improvements.
Methods:
The ISET was pilot tested and revised before being administered before implementation of the CIS. It was administered at 2 times after implementation. The ISET was revised after analysis of the results, and comparisons were made between the times.
Results:
The ISET is a valid and reliable instrument. Perceptions of the CIS initially decreased, but had significantly improved by 16 months after implementation.
Conclusions:
End-users must be convinced that the CIS supports their practice and improves care for adoption to be successful. The ISET measures these perceptions and highlights areas for improvement.
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