Objective: Two research projects were analyzed in order to identify key factors of success and/or failure in introducing patient card-based systems in clinical routine. Methods: In DIABCARD an evaluation study focussing on user friendliness and user acceptance was conducted...
Keywords: atient data card, health professional card, Electronic health record, success factors, Internet
01/2006 | Methods of Information in Medicine, SchattauerObjective: The failure of a promising system is described with the aim of identifying the errors and the unfavourable conditions that led to such a result. Methods: The system, based on the AHCPR guideline for pressure ulcers prevention and integrated into the already existing clinical information system, is aimed at supporting nurses activities for: the risk assessment of the inpatient at the beginning of the hospitalization; the prevention plan, customized to each specific patient; the work plan for each day for all the patients; the report of the non-compliances to the GL and of the workload of the nurses. Results: The system was abandoned after a short period...
Keywords: Applied medical informatics, success factors, Guidelines, Evaluation, political factors
01/2006 | Methods of Information in Medicine, SchattauerObjectives: The paper uses the example of PACS (Picture Archiving and Communication System) in Austria (where some of the earliest large PACS projects were realised and led to a high penetration with state-wide networked PACS installations) to discuss success criteria and success factors of medical information systems. Methods: The paper describes the development of digital imaging in medicine and classifies the impact of systems according to their first or second order effects on patient care...
Keywords: PACS, success criteria, success factors, technology assessment
01/2006 | Methods of Information in Medicine, SchattauerObjectives: GTDS is a documentation system used by more than 40 German hospital cancer registries. This paper discusses the factors that contributed to its success concerning design, development, and routine use. Methods: Success is measured in terms of the systems financial independence of public grants and its successful use by the registries...
Keywords: Cancer, tumor, registries, documentation, success factors, systems integration
01/2006 | Methods of Information in Medicine, Schattauer