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BMC Medical Informatics and Decision Making

, 10:62

First Online: 19 October 2010Received: 25 November 2009Accepted: 19 October 2010

Abstract

BackgroundInformation technology IT may improve the quality, safety and efficiency of medicine, and is especially useful in intensive Care Units ICUs as these are extremely data-rich environments with round-the-clock changing parameters. However, data regarding the implementation rates of IT in ICUs are scarce, and restricted to non-European countries. The current paper aims to provide relevant information regarding implementation of IT in Flemish ICU-s Flanders, Belgium.

MethodsThe current study is based on two separate but complementary surveys conducted in the region of Flanders Belgium: a written questionnaire in 2005 followed by a telephone survey in October 2008. We have evaluated the actual health IT adoption rate, as well as its evolution over a 3-year time frame. In addition, we documented the main benefits and obstacles for taking the decision to implement an Intensive Care Information System ICIS.

ResultsCurrently, the computerized display of laboratory and radiology results is almost omnipresent in Flemish ICUs, 100% and 93.5%, respectively, but the computerized physician order entry CPOE of these examinations is rarely used. Sixty-five % of Flemish ICUs use an electronic patient record, 41.3% use CPOE for medication prescriptions, and 27% use computerized medication administration recording. The implementation rate of a dedicated ICIS has doubled over the last 3 years from 9.3% to 19%, and another 31.7% have plans to implement an ICIS within the next 3 years. Half of the tertiary non-academic hospitals and all university hospitals have implemented an ICIS, general hospitals are lagging behind with 8% implementation, however. The main reasons for postponing ICIS implementation are: i the substantial initial investment costs, ii integration problems with the hospital information system, iii concerns about user-friendly interfaces, iv the need for dedicated personnel and v the questionable cost-benefit ratio.

ConclusionsMost ICUs in Flanders use hospital IT systems such as computerized laboratory and radiology displays. The adoption rate of ICISs has doubled over the last 3 years but is still surprisingly low, especially in general hospitals. The major reason for not implementing an ICIS is the substantial financial cost, together with the lack of arguments to ensure the cost-benefit.

List of abbreviationsITInformation Technology

ICUIntensive Care Unit

PACSPicture Archiving and Communication System

CPOEComputerized Physician Order Entry

ICISIntensive Care Information System.

Electronic supplementary materialThe online version of this article doi:10.1186-1472-6947-10-62 contains supplementary material, which is available to authorized users.

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Author: Kirsten Colpaert - Sem Vanbelleghem - Christian Danneels - Dominique Benoit - Kristof Steurbaut - Sofie Van Hoecke - Filip 

Source: https://link.springer.com/







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