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首页> 外文期刊>BMC Medical Informatics and Decision Making >Has information technology finally been adopted in Flemish intensive care units?
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Has information technology finally been adopted in Flemish intensive care units?

机译：佛兰芒重症监护室最终采用了信息技术吗？

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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.
机译：背景技术信息技术（IT）可以提高药物的质量，安全性和效率，并且在重症监护病房（ICU）中特别有用，因为它们是数据非常丰富的环境，其参数全天候变化。但是，有关ICU中IT实施率的数据很少，并且仅限于非欧洲国家。本白皮书旨在提供有关在佛兰德ICU（比利时佛兰德斯）实施IT的相关信息。方法：本研究基于在法兰德斯地区（比利时）进行的两项单独但互补的调查：2005年的书面问卷调查，接着是2008年10月的电话调查。我们评估了实际的医疗卫生IT采纳率及其3年时间框架内的演变。此外，我们记录了决定实施重症监护信息系统（ICIS）的主要好处和障碍。结果目前，佛兰德重症监护病房几乎无处不在实验室和放射学结果的计算机化显示（分别为100％和93.5％），但是很少使用这些检查的计算机医师订单输入（CPOE）。 65％的佛兰德ICU使用电子病历，41.3％使用CPOE进行药物处方，27％使用计算机化药物管理记录。在过去三年中，专用ICIS的实施率已从9.3％翻了一番，达到19％，另有31.7％的计划在未来3年内实施ICIS。三级非学术医院和所有大学医院都实施了ICIS，而综合医院则落后了8％。推迟实施ICIS的主要原因是：（i）大量的初始投资成本;（ii）与医院信息系统的集成问题;（iii）对用户友好界面的担忧;（iv）需要专门人员和（v） ）可疑的成本效益比。结论法兰德斯的大多数ICU使用医院IT系统，例如计算机化实验室和放射学显示器。在过去的三年中，ICIS的采用率翻了一番，但仍然令人惊讶地低，尤其是在综合医院中。不执行ICIS的主要原因是巨大的财务成本，以及缺乏确保成本/收益的理由。

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