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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.

Apparently not so well. See Doctor's terrified of electronic record adoption.

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.