The Experts below are selected from a list of 2896971 Experts worldwide ranked by ideXlab platform
David L. Hald - One of the best experts on this subject based on the ideXlab platform.
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Cost justification of a laboratory Information System
Journal of Medical Systems, 1992Co-Authors: Rodney S. Markin, David L. HaldAbstract:A pre- and postimplementation comparison of tangible and intangible benefits of the laboratory Information System are presented. The key activities projected to save costs through work reduction were evaluated as a basis for procuring a laboratory Information System. Following implementation and four years of LIS operation the individual activities used for justification were resurveyed. The tangible benefits which were measured prior to LIS justification totaled $153,471.84 per year based upon fiscal year 1985–86 dollars. The objective re-evaluation of these activities four years after implementation and operation resulted in a measured $115,326.93 per year savings. The loss of projected savings is directly related to over estimates in the original justification evaluation and personnel behavior. The intangible benefits projected were all realized including a number of intangible benefits which made a significant impact on several departmental and clinical services at our institution.
Peter Daley - One of the best experts on this subject based on the ideXlab platform.
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quality benefits of an intensive care clinical Information System
Critical Care Medicine, 2003Co-Authors: David J Fraenkel, Melleesa Cowie, Peter DaleyAbstract:Objective This study was performed to quantify the quality benefits and staff perceptions of a computerized clinical Information System implementation in an intensive care unit. Although clinical Information Systems have been available and implemented in many intensive care units for more than a decade, there is little objective evidence of their impact on the quality of care and staff perceptions. Design A longitudinal observational study before and after clinical Information System implementation. Setting A 12-bed adult general intensive care unit in a large Australian tertiary referral teaching hospital. Intervention Implementation of a fully featured clinical Information System to replace paper-based charts of patient observations, clinical records, results reporting, and drug prescribing. Measurements and main results The frequency of clinical adverse events over a 4-yr period using an established reporting System was examined. Pre- and postimplementation staff questionnaires were distributed and analyzed. There were significant reductions in the rates of medication, intravenous therapy, and ventilator incidents. There was a trend toward a reduction in pressure sores. The survey, utilizing a validated questionnaire, demonstrated a positive perception of the clinical Information System by nursing staff, with less time spent in documentation and more time in patient care. Nursing staff recruitment and retention improved after clinical Information System implementation. Conclusions Implementation of a fully featured clinical Information System was associated with significant improvements in key quality indicators, positive nursing staff perceptions, and some positive resource implications.
Lilianne Kihn - One of the best experts on this subject based on the ideXlab platform.
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Information System integration enabling control and performance
Social Science Research Network, 2008Co-Authors: Christopher S Chapman, Lilianne KihnAbstract:The literature has demonstrated the complex relationship between Information System Integration approaches, such as Enterprise Resource Planning Systems, and management control. In this paper we begin our analysis by focussing on just one aspect of Information System Integration, namely in terms of data architecture, commonly referred to as the single database concept. We argue that whilst this particular aspect of integration should be related to perceived System success, the variety of ways in which Information might be drawn on in practice means it provides no strong basis for predicting a link to business unit performance. Instead, building on Adler & Borys [Adler, P., & Borys, B. (1996) Two types of bureaucracy: Enabling and coercive. Administrative Science Quarterly, 41(1), 61-90] we argue that the level of Information System integration fosters the four design characteristics that make up an enabling approach to management control. Each of these in turn is related to both perceived System success and business unit performance. We present PLS analysis of survey data collected from 169 managers that broadly supports these expectations.
Rodney S. Markin - One of the best experts on this subject based on the ideXlab platform.
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Cost justification of a laboratory Information System
Journal of Medical Systems, 1992Co-Authors: Rodney S. Markin, David L. HaldAbstract:A pre- and postimplementation comparison of tangible and intangible benefits of the laboratory Information System are presented. The key activities projected to save costs through work reduction were evaluated as a basis for procuring a laboratory Information System. Following implementation and four years of LIS operation the individual activities used for justification were resurveyed. The tangible benefits which were measured prior to LIS justification totaled $153,471.84 per year based upon fiscal year 1985–86 dollars. The objective re-evaluation of these activities four years after implementation and operation resulted in a measured $115,326.93 per year savings. The loss of projected savings is directly related to over estimates in the original justification evaluation and personnel behavior. The intangible benefits projected were all realized including a number of intangible benefits which made a significant impact on several departmental and clinical services at our institution.
David J Fraenkel - One of the best experts on this subject based on the ideXlab platform.
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quality benefits of an intensive care clinical Information System
Critical Care Medicine, 2003Co-Authors: David J Fraenkel, Melleesa Cowie, Peter DaleyAbstract:Objective This study was performed to quantify the quality benefits and staff perceptions of a computerized clinical Information System implementation in an intensive care unit. Although clinical Information Systems have been available and implemented in many intensive care units for more than a decade, there is little objective evidence of their impact on the quality of care and staff perceptions. Design A longitudinal observational study before and after clinical Information System implementation. Setting A 12-bed adult general intensive care unit in a large Australian tertiary referral teaching hospital. Intervention Implementation of a fully featured clinical Information System to replace paper-based charts of patient observations, clinical records, results reporting, and drug prescribing. Measurements and main results The frequency of clinical adverse events over a 4-yr period using an established reporting System was examined. Pre- and postimplementation staff questionnaires were distributed and analyzed. There were significant reductions in the rates of medication, intravenous therapy, and ventilator incidents. There was a trend toward a reduction in pressure sores. The survey, utilizing a validated questionnaire, demonstrated a positive perception of the clinical Information System by nursing staff, with less time spent in documentation and more time in patient care. Nursing staff recruitment and retention improved after clinical Information System implementation. Conclusions Implementation of a fully featured clinical Information System was associated with significant improvements in key quality indicators, positive nursing staff perceptions, and some positive resource implications.
