NURS 8210 Week 11 Information System Evaluation

With the increased implementation and integration of information technology (IT) within health care systems it is important to continually assess and evaluate the outcomes of these various systems. Evaluating information technology applications allows for decision makers to gain knowledge regarding the functioning of the IT-based system within the organization (Rahimi & Vimarlund, 2007). Within the literature, it is apparent that various methods to IT system assessment are present and vary according to the application in use. For example, in assessment of clinical decision support systems (CDSS) it is recommended to utilize randomized controlled clinical trials (RCCT) to gain further insight regarding effectiveness (Rahimi & Vimarlund, 2007). Further discussion regarding computer-based patient record systems, such as electronic medical records (EMRs), recommend utilizing a systematic survey to assess the impact on medical practice, quality of care, and user as well as patient satisfaction (Rahimi & Vimarlund, 2007). It is important to involve all stakeholders within evaluation to ensure outcomes are being met and that strategies are effective (American Nurses Association, 2008).

In comparison to other methods of assessment within healthcare, IT assessment involves the inclusion of all stakeholders including patients, staff, and administration. During assessment, various methods of evaluation can be utilized as previously discussed. With regards to evaluation, this should be conducted in a systematic and ongoing matter (American Nurses Association, 2008). As health information technology is continually evolving, evaluation should continue as well to ensure that implementation and technology is effective. Effective technology should include user acceptance, as well as satisfaction of patients which refers to increased or improved quality of care. Furthermore, financial effects should be within budget and not include additional costs (Nahm et al. 2007; Rahimi & Vimarlund, 2007). A barrier to designing a successful evaluation for IT is that a variety of applications may be required dependent upon the technology. Nahm et al. (2007) found that randomized control led trials, pre and post test studies, time and motion studies, surveys and user testing were frequently utilized in outcome assessment.

References

American Nurses Association. (2008). Nursing informatics: Scope and standards of practice.

Silver Spring, MD: Author.

Nahm, E., Vaydia, V., Ho, D., Scharf, B., & Seagull, J. (2007). Outcomes assessment of clinical

information system implementation: A practical guide, Nursing Outlook, 55 (6), 282-288.

https://doi.org/10.1016/j.outlook.2007.09.003.

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