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Developing and Testing a Clinical Information System Evaluation Tool: Prioritizing Modifications Through End-User Input

Smith, Janis B. DNP, RN; Lacey, Susan R. PhD, RN, FAAN; Williams, Arthur R. PhD; Teasley, Susan L. RN, CCRC; Olney, Adrienne MS; Hunt, Cheri MHA, RN, NEA-BC; Cox, Karen S. PhD, RN, FAAN; Kemper, Carol PhD, RN, CPHQ

Journal of Nursing Administration: June 2011 - Volume 41 - Issue 6 - p 252-258
doi: 10.1097/NNA.0b013e31821c4634

Objective: 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.

Background: 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.

Methods: 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.

Results: The ISET is a valid and reliable instrument. Perceptions of the CIS initially decreased, but had significantly improved by 16 months after implementation.

Conclusions: 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 (

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© 2011 Lippincott Williams & Wilkins, Inc.