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The organizational and clinical impact of integrating bedside equipment to an information system: a systematic literature review of patient data management systems (PDMS).

Author information

Affiliations

  • 1. Department of Information, Communication and Medical Technology (ICMT), Catharina Hospital, PO Box 1350, 5602ZA Eindhoven, The Netherlands.
      Authors
    • Cheung A 1
    • Lagerburg V 1
    (2 authors)
  • 2. Department of Information, Communication and Medical Technology (ICMT), Catharina Hospital, PO Box 1350, 5602ZA Eindhoven, The Netherlands; Department of Radiology & Nuclear Medicine, VU University Medical Center, PO Box 7057, 1007MB Amsterdam, The Netherlands.
      Authors
    • van Velden FH 2
    (1 author)
  • 3. Department of, Medical Spectrum Twente, PO Box 50000, 7500 KA, Enschede, The Netherlands.
      Authors
    • Minderman N 3
    (1 author)

ORCIDs linked to this article

International Journal of Medical Informatics, 03 Jan 2015, 84(3):155-165
DOI: 10.1016/j.ijmedinf.2014.12.002 PMID: 25601332 

Review

Abstract 

Objective

The introduction of an information system integrated to bedside equipment requires significant financial and resource investment; therefore understanding the potential impact is beneficial for decision-makers. However, no systematic literature reviews (SLRs) focus on this topic. This SLR aims to gather evidence on the impact of the aforementioned system, also known as a patient data management system (PDMS) on both organizational and clinical outcomes.

Materials and methods

A literature search was performed using the databases Medline/PubMed and CINHAL for English articles published between January 2000 and December 2012. A quality assessment was performed on articles deemed relevant for the SLR.

Results

Eighteen articles were included in the SLR. Sixteen articles investigated the impact of a PDMS on the organizational outcomes, comprising descriptive, quantitative and qualitative studies. A PDMS was found to reduce the charting time, increase the time spent on direct patient care and reduce the occurrence of errors. Only two articles investigated the clinical impact of a PDMS. Both reported an improvement in clinical outcomes when a PDMS was integrated with a clinical decision support system (CDSS).

Conclusions

A PDMS has shown to offer many advantages in both the efficiency and the quality of care delivered to the patient. In addition, a PDMS integrated to a CDSS may improve clinical outcomes, although further studies are required for validation.

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Read article at publisher's site (DOI): 10.1016/j.ijmedinf.2014.12.002

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