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Related Experiment Videos

Computers and productivity: is it time for a reality check?

M E Frisse1

  • 1School of Medicine Library and Biomedical Communications Center, Washington University School of Medicine, St. Louis, Missouri 63110, USA. frisse@medicine.wustl.edu

Academic Medicine : Journal of the Association of American Medical Colleges
|February 3, 1998
PubMed
Summary

Implementing comprehensive computer-based patient record (CPR) systems carries risks. Careful consideration of potential failures and cost-benefit analyses are crucial before widespread adoption in academic medical centers.

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Area of Science:

  • Health Informatics
  • Medical Administration
  • Health Economics

Background:

  • Academic medical centers are increasingly adopting comprehensive computer-based patient record (CPR) systems.
  • There is a widespread belief that CPR systems enhance productivity, efficiency, patient outcomes, and reduce costs.

Purpose of the Study:

  • To critically evaluate the potential risks and challenges associated with CPR implementation.
  • To examine evidence that questions the guaranteed benefits of CPR systems regarding productivity and efficiency.
  • To advocate for a cautious approach and thorough cost-benefit analysis before CPR deployment.

Main Methods:

  • Review of potential worst-case scenarios in CPR deployment.
  • Analysis of industry and government data on CPR implementation outcomes.

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  • Comparative cost-benefit assessment of CPR versus paper-based systems.

    • Main Results:

    • CPR implementation carries significant risks, including poor execution, organizational issues, and unforeseen expenses.
    • Evidence suggests that CPR systems do not invariably lead to greater productivity or efficiency.
    • The projected benefits of CPR systems may not materialize in all settings.

    Conclusions:

    • Academic medical centers should proceed with caution regarding CPR implementation.
    • A thorough evaluation of cost-benefit ratios for both CPR and paper-based systems is essential.
    • Institutions should establish clear guidelines or a "bill of rights" prior to adopting CPR systems.