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Related Experiment Videos

Computerized databases for emergency care: what impact on patient care?

G E Pugh1, J K Tan

  • 1Department of Emergency Medicine, Mount St. Joseph Hospital, Vancouver, BC, Canada.

Methods of Information in Medicine
|December 1, 1994
PubMed
Summary

Emergency physicians found the Clinical Computerized Information System (CCIS) easy to use and access during shifts. However, high costs and lack of integration were noted drawbacks.

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Area of Science:

  • Medical Informatics
  • Emergency Medicine
  • Health Information Systems

Background:

  • Clinical Computerized Information Systems (CCIS) are increasingly adopted in healthcare settings.
  • Evaluating the real-world usability and physician satisfaction with CCIS is crucial for effective implementation.
  • Emergency departments present unique challenges for information system integration and use.

Purpose of the Study:

  • To evaluate the field-based performance and user satisfaction of a Clinical Computerized Information System (CCIS) among emergency physicians.
  • To assess the frequency, duration, and perceived ease of use of CCIS database searching in an urban emergency department setting.

Main Methods:

  • A one-year field-based evaluation of a CCIS involving thirteen full-time emergency physicians in two university-associated teaching hospital emergency departments.

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  • Utilization data (frequency and duration of use) were automatically logged.
  • User satisfaction was assessed using a validated questionnaire and verbal reports.

    • Main Results:

    • Physicians found CCIS database searching easy to learn and accessible during emergency shifts.
    • Individual physicians averaged 3.5 searches per month, with a mean search time of 8 minutes.
    • Positive feedback included ease of use, data accuracy, accessibility, and output value; negative feedback cited lack of integration, system completeness, and high subscription costs.

    Conclusions:

    • The CCIS demonstrated ease of use and accessibility for emergency physicians, suggesting potential benefits for clinical practice.
    • Addressing system integration, completeness, and cost are key considerations for broader adoption.
    • A less costly telephone link to a high-volume center was suggested for system implementation.