Evaluating the Organizational Impact of Health Care Information Systems (Health Informatics)

Overview: Theoretical Perspectives And Methodologies For The Evaluation Of Healthcare Information Systems -- Qualitative Research Methods For Evaluating Computer Information Systems -- Multiple Perspectives: Evaluating Healthcare Information Systems In Collaborative Environments -- Survey Methods For Assessing Social Impacts Of Computers In Healthcare Organizations -- Using The Internet For Surveys And Research -- Cognitive Approaches To The Evaluation Of Healthcare Information Systems -- Work-sampling: A Statistical Approach To Evaluation Of The Effect Of Computers On Work Patterns In Health Care -- Evaluation Of Health Informatics: Social Network Analysis -- Evaluation In Health Informatics: Computer Simulation -- Computers In The Consulting Room: A Case Study Of Clinician And Patient Perspectives -- Introducing Physician Order Entry At A Major Academic Medical Center, A: Impact On Organizational Culture And Behavior, B: Impact On Medical Education -- Evaluating The Capability Of Information Technology To Prevent Adverse Drug Events: A Computer Simulation Approach -- Implementing Computers In Ambulatory Care: Implications Of Physician Practice Patterns For System Design -- Nursing Documentation Time During Implementation Of An Electronic Medical Record -- Computer Charting: An Evaluation Of A Respiratory Care Computer System -- Research And Evaluation: Future Directions. James G. Anderson, Carolyn Aydin. Previous Ed.: Thousand Oaks, Calif. Sage, 1994. Includes Bibliographical References And Index. **Evaluating the Organizational Impact of Health Care Information Systems**, Second Edition, is heavily updated and revised from its First Edition, which is entitled Evaluating Health Care Information Systems: Methods and Applications. The much-needed Second Edition is a guide for evaluating the organizational impacts of computer systems in health care institutions. It provides a practical guide for determining the appropriate questions to ask based on underlying models of change and the most effective methods available. An introduction to various methods is provided, as well as appendices containing survey instruments usable in research and evaluation, computer programs for data analyses, and other evaluation resources. The book provides a critical overview of current research and evaluation to date with numerous bibliographic references from health care and other fields. The methods and instruments described are applicable to a wide variety of other organizations that utilize information technology and they emphasize the importance of clearly specifying the purpose of the evaluation, recognizing assumptions about organizational change and using a multi-method approach to system evaluation. The material presented is drawn from a variety of social and health science disciplines in order to integrate the study of information system with social science theory and methods. Chapter highlights include Cognitive Approaches to Evaluation, Computer Simulation as an Evaluation Tool, and Research and Evaluation: Future Directions. **Evaluating the Organizational Impact of Health Care Information Systems**, Second Edition is timely since annual investment in information technology by health care organization in the U.S. now exceeds $15 billion. It will prove valuable to physicians, nurses, other health care providers, health care administrators, information systems personnel and consultants who are involved in planning, developing, implementing, utilizing and evaluating computer-based health care systems. Front Matter....Pages 1-4 Overview: Theoretical Perspectives and Methodologies for the Evaluation of Healthcare Information Systems....Pages 5-29 Qualitative Research Methods for Evaluating Computer Information Systems....Pages 30-55 Multiple Perspectives: Evaluating Healthcare Information Systems in Collaborative Environments....Pages 56-74 Survey Methods for Assessing Social Impacts of Computers in Healthcare Organizations....Pages 75-128 Using the Internet for Surveys and Research....Pages 129-143 Cognitive Approaches to the Evaluation of Healthcare Information Systems....Pages 144-173 Work-Sampling: A Statistical Approach to Evaluation of the Effect of Computers on Work Patterns in Health Care....Pages 174-188 Evaluation in Health Informatics: Social Network Analysis....Pages 189-204 Evaluation in Health Informatics: Computer Simulation....Pages 205-220 Front Matter....Pages 221-223 Computers in the Consulting Room: A Case Study of Clinician and Patient Perspectives....Pages 225-252 Introducing Physician Order Entry at a Major Academic Medical Center: Impact on Organizational Culture and Behavior....Pages 253-263 Introducing Physician Order Entry at a Major Academic Medical Center: Impact on Medical Education....Pages 264-274 Evaluating the Capability of Information Technology to Prevent Adverse Drug Events: A Computer Simulation Approach....Pages 275-294 Implementing Computers in Ambulatory Care: Implications of Physician Practice Patterns for System Design....Pages 295-303 Nursing Documentation Time During Implementation of an Electronic Medical Record....Pages 304-314 Computer Charting: An Evaluation of a Respiratory Care Computer System....Pages 315-333 Research and Evaluation: Future Directions....Pages 334-336 The book provides a practical guide for determining the appropriate questions to ask based on underlying models of change and the most effective methods available. An introduction to various methods is provided, as well as appendices containing survey instruments usable in research and evaluation, computer programs for data analyses, and other evaluation resources. The book provides a critical overview of current research and evaluation to date with numerous bibliographic references from health care and other fields. The methods and instruments described are applicable to a wide variety of other organizations that utilize information technology and they emphasize the importance of clearly specifying the purpose of the evaluation, recognizing assumptions about organizational change and using a multi-method approach to system evaluation. The material presented is drawn from a variety of social and health science disciplines in order to integrate the study of information system with social science theory and methods. Chapter highlights include Cognitive Approaches to Evaluation, Computer Simulation as an Evaluation Tool, and Research and Evaluation: Future Directions. Evaluating the Organizational Impact of Health Care Information Systems, Second Edition is timely since annual investment in information technology by health care organization in the U.S. now exceeds $15 billion. It will prove valuable to physicians, nurses, other health care providers, health care administrators, information systems personnel and consultants who are involved in planning, developing, implementing, utilizing and evaluating computer-based health care systems Innovative 2nd edition, heavily updated and revised from the 1st edition Introduction to various survey and evaluation methods involving IT systems in the healthcare setting Critical overview of current research in health and social sciences Emphasizes multi-method approach to system evaluation Includes instruments suitable for research and evaluation Discusses computer programs for data analysis and evaluation resources Essential reference for anyone involved in planning, developing, implementing, utilizing, evaluating, or studying computer-based health care systems