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

KIRSTEN COLPAERT UGent, SEM VANBELLEGHEM UGent, CHRISTIAN DANNEELS UGent, Dominique Benoit UGent, Kristof Steurbaut UGent, Sofie Van Hoecke UGent, Filip De Turck UGent and Johan Decruyenaere UGent (2010) BMC MEDICAL INFORMATICS AND DECISION MAKING. 10.
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.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
PROFESSIONAL SOCIETIES, CRISIS, MEDICATION ERRORS, PHYSICIAN ORDER ENTRY, PREVENTION, EVENTS, STATES
journal title
BMC MEDICAL INFORMATICS AND DECISION MAKING
BMC Med. Inform. Decis. Mak.
volume
10
article_number
62
pages
7 pages
Web of Science type
Article
Web of Science id
000283667800001
JCR category
MEDICAL INFORMATICS
JCR impact factor
2.231 (2010)
JCR rank
6/22 (2010)
JCR quartile
2 (2010)
ISSN
1472-6947
DOI
10.1186/1472-6947-10-62
language
English
UGent publication?
yes
classification
A1
copyright statement
I have retained and own the full copyright for this publication
id
1265777
handle
http://hdl.handle.net/1854/LU-1265777
date created
2011-06-16 13:01:48
date last changed
2011-06-17 14:45:05
@article{1265777,
  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.},
  articleno    = {62},
  author       = {COLPAERT, KIRSTEN and VANBELLEGHEM, SEM and DANNEELS, CHRISTIAN and Benoit, Dominique and Steurbaut, Kristof and Van Hoecke, Sofie and De Turck, Filip and Decruyenaere, Johan},
  issn         = {1472-6947},
  journal      = {BMC MEDICAL INFORMATICS AND DECISION MAKING},
  keyword      = {PROFESSIONAL SOCIETIES,CRISIS,MEDICATION ERRORS,PHYSICIAN ORDER ENTRY,PREVENTION,EVENTS,STATES},
  language     = {eng},
  pages        = {7},
  title        = {Has information technology finally been adopted in Flemish intensive care units?},
  url          = {http://dx.doi.org/10.1186/1472-6947-10-62},
  volume       = {10},
  year         = {2010},
}

Chicago
COLPAERT, KIRSTEN, SEM VANBELLEGHEM, CHRISTIAN DANNEELS, Dominique Benoit, Kristof Steurbaut, Sofie Van Hoecke, Filip De Turck, and Johan Decruyenaere. 2010. “Has Information Technology Finally Been Adopted in Flemish Intensive Care Units?” Bmc Medical Informatics and Decision Making 10.
APA
COLPAERT, KIRSTEN, VANBELLEGHEM, S., DANNEELS, C., Benoit, D., Steurbaut, K., Van Hoecke, S., De Turck, F., et al. (2010). Has information technology finally been adopted in Flemish intensive care units? BMC MEDICAL INFORMATICS AND DECISION MAKING, 10.
Vancouver
1.
COLPAERT K, VANBELLEGHEM S, DANNEELS C, Benoit D, Steurbaut K, Van Hoecke S, et al. Has information technology finally been adopted in Flemish intensive care units? BMC MEDICAL INFORMATICS AND DECISION MAKING. 2010;10.
MLA
COLPAERT, KIRSTEN, SEM VANBELLEGHEM, CHRISTIAN DANNEELS, et al. “Has Information Technology Finally Been Adopted in Flemish Intensive Care Units?” BMC MEDICAL INFORMATICS AND DECISION MAKING 10 (2010): n. pag. Print.