The objectives were to develop and validate the Information System Evaluation Tool (ISET), use feedback to modify the institution's clinical information system (CIS), and determine the modifications' success.
The ability of a CIS to increase patient safety and care quality is dependent on its systems and processes. A survey was needed to provide the specificity necessary to make meaningful system improvements.
The ISET was pilot tested and revised before being administered before implementation of the CIS. It was administered at 2 times after implementation. The ISET was revised after analysis of the results, and comparisons were made between the times.
The ISET is a valid and reliable instrument. Perceptions of the CIS initially decreased, but had significantly improved by 16 months after implementation.
End-users must be convinced that the CIS supports their practice and improves care for adoption to be successful. The ISET measures these perceptions and highlights areas for improvement.
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Author Affiliations: Director, Patient Care Services Clinical Information Systems (Dr Smith), Director, Nursing Innovation Center (Dr Lacey), Advanced Clinical Research Coordinator (Ms Teasley), Clinical Trials Coordinator (Ms Olney), Vice President/Chief Nursing Officer (Ms Hunt), Executive Vice President and Co-Chief Operating Officer (Dr Cox), Senior Director, Quality Management (Dr Kemper), Children's Mercy Hospitals and Clinics, Kansas City, Missouri; Chair, Department of Health Policy and Management (Dr Williams), College of Public Health, University of South Florida, Tampa.
Correspondence: Dr Lacey, Children's Mercy Hospitals and Clinics, 2401 Gillham Rd, Kansas City, MO 64108 (email@example.com).
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