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HCIT Effectiveness

The blog post The Gold Standard - Randomized Controlled Trials - NOT piqued my curiosity to see how effective computer-mediated clinical support systems have been.

HCIT failures are common but what about effective HCIT?  Here are some references.

There are other systematic reviews emerging - several in e-prescribing.  Stay tuned as this page is worked on.

Related News

In the November 2010 report Back to the Future: Healthcare Rebooted, Marlin & Associates say "Now, with the healthcare IT mandates in the federal healthcare reform bill, coupled with a stream of superior technologies, we are finally in a position for technology to have a measurable impact on the costs and the quality of care delivery."  They also point to consolidation and these players setting standards - not the government. 


Damiani, G, Pinnarelli, L, Colosimo, S, Almiento, R, Sicuro, L, Galasso, R, Sommella, L & Ricciardi, W 2010, 'The Effectiveness of Computerized Clinical Guidelines in the Process of Care: A Systematic Review', BMC Health Services Research, Vol. 10, no. 1, p. 2.

Furukawa, MF, Raghu, TS & Shao, BBM 2010, 'Electronic Medical Records, Nurse Staffing, and Nurse-Sensitive Patient Outcomes: Evidence from California Hospitals, 1998-2007', Health Services Research, Vol. 45, no. 4, pp. 941-62.

Heselmans, A, Van de Velde, S, Donceel, P, Aertgeerts, B & Ramaekers, D 2009, 'Effectiveness of Electronic Guideline-Based Implementation Systems in Ambulatory Care Settings - a Systematic Review', Implementation Science, Vol. 4, no. 1, p. 82.

Jamal, A, McKenzie, K & Clark, MJ 2009, 'The Impact of Health Information Technology on the Quality of Medical and Health Care: A Systematic Review', Health Information Management Journal, Vol. 38, no. 3, pp. 26-37.

Kutney-Lee, A. & Kelly, D. (2011) 'The Effect of Hospital Electronic Health Record Adoption on Nurse-Assessed Quality of Care and Patient Safety', Journal of Nursing Administration, Vol. 41, No. 11, pp. 466-472.

Mollon, B, Chong, J, Holbrook, A, Sung, M, Thabane, L & Foster, G 2009, 'Features Predicting the Success of Computerized Decision Support for Prescribing: A Systematic Review of Randomized Controlled Trials', BMC Medical Informatics and Decision Making, Vol. 9, no. 11, p. needs page #.

Pearson, S-A, Moxey, A, Robertson, J, Hains, I, Williamson, M, Reeve, J & Newby, D 2009, 'Do Computerised Clinical Decision Support Systems for Prescribing Change Practice? A Systematic Review of the Literature (1990-2007)', BMC Health Services Research, Vol. 9, no. 1, p. 154.


Fontaine, P., Zink, T., Boyle, R.G. & Kralewski, J. (2010) 'Health Information Exchange: Participation by Minnesota Primary Care Practices', Archives of Internal Medicine, Vol. 170, No. 7, pp. 622-629.

Grossman, J.M., Kushner, K.L., and November, E.A. 2008. "Creating Sustainable Local Health Information Exchanges: Can Barriers to Stakeholder Participation Be Overcome?," Center for Studying Health System Change.