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Has information technology finally been adopted in Flemish intensive care units?

Colpaert K, Vanbelleghem S, Danneels C, Benoit D, Steurbaut K, Van Hoecke S, De Turck F, Decruyenaere J - BMC Med Inform Decis Mak (2010)

Bottom Line: In addition, we documented the main benefits and obstacles for taking the decision to implement an Intensive Care Information System (ICIS).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.The major reason for not implementing an ICIS is the substantial financial cost, together with the lack of arguments to ensure the cost/benefit.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Intensive Care, Ghent University Hospital, Ghent, Belgium. kirsten.colpaert@ugent.be

ABSTRACT

Background: Information 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).

Methods: The 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).

Results: Currently, 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.

Conclusions: Most 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.

Show MeSH
Implementation and usage rate of general IT components within the ICU. Medication CPOE = medication prescription by computerized physician order entry; Medication administr. recording = computerized recording of medication administration; Laboratory CPOE = computerized physician order entry of laboratory tests; Laboratory display = computerized display of laboratory results; Radiology CPOE = computerized physician order entry of radiology requests; Radiology display = computerized display of radiology images and/or protocol.
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Figure 1: Implementation and usage rate of general IT components within the ICU. Medication CPOE = medication prescription by computerized physician order entry; Medication administr. recording = computerized recording of medication administration; Laboratory CPOE = computerized physician order entry of laboratory tests; Laboratory display = computerized display of laboratory results; Radiology CPOE = computerized physician order entry of radiology requests; Radiology display = computerized display of radiology images and/or protocol.

Mentions: For the 2008 telephone survey, a 100% response rate was obtained (63/63). It must be stressed that both the 2008 telephone survey and the 2005 questionnaire probed into the use of hospital information system components and the availability of ICIS. For this reason, the results concerning the IT adoption rate, and its evolution over time, are highly accurate. The results regarding the benefits of and obstacles for implementing an ICIS have mainly been derived from the 2005 written questionnaire.


Has information technology finally been adopted in Flemish intensive care units?

Colpaert K, Vanbelleghem S, Danneels C, Benoit D, Steurbaut K, Van Hoecke S, De Turck F, Decruyenaere J - BMC Med Inform Decis Mak (2010)

Implementation and usage rate of general IT components within the ICU. Medication CPOE = medication prescription by computerized physician order entry; Medication administr. recording = computerized recording of medication administration; Laboratory CPOE = computerized physician order entry of laboratory tests; Laboratory display = computerized display of laboratory results; Radiology CPOE = computerized physician order entry of radiology requests; Radiology display = computerized display of radiology images and/or protocol.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2967500&req=5

Figure 1: Implementation and usage rate of general IT components within the ICU. Medication CPOE = medication prescription by computerized physician order entry; Medication administr. recording = computerized recording of medication administration; Laboratory CPOE = computerized physician order entry of laboratory tests; Laboratory display = computerized display of laboratory results; Radiology CPOE = computerized physician order entry of radiology requests; Radiology display = computerized display of radiology images and/or protocol.
Mentions: For the 2008 telephone survey, a 100% response rate was obtained (63/63). It must be stressed that both the 2008 telephone survey and the 2005 questionnaire probed into the use of hospital information system components and the availability of ICIS. For this reason, the results concerning the IT adoption rate, and its evolution over time, are highly accurate. The results regarding the benefits of and obstacles for implementing an ICIS have mainly been derived from the 2005 written questionnaire.

Bottom Line: In addition, we documented the main benefits and obstacles for taking the decision to implement an Intensive Care Information System (ICIS).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.The major reason for not implementing an ICIS is the substantial financial cost, together with the lack of arguments to ensure the cost/benefit.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Intensive Care, Ghent University Hospital, Ghent, Belgium. kirsten.colpaert@ugent.be

ABSTRACT

Background: Information 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).

Methods: The 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).

Results: Currently, 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.

Conclusions: Most 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.

Show MeSH