Evaluation of the suitability of a patient data management system for ICUs on a general ward

• Published in: International journal of medical informatics (Shannon, Ireland) Vol. 64; no. 1; pp. 57 - 66
• Main Authors: Junger, Axel, Michel, Achim, Benson, Matthias, Quinzio, Lorenzo A, Hafer, Johannes, Hartmann, Bernd, Brandenstein, Patrick, Marquardt, Kurt, Hempelmann, Gunter
• Format: Journal Article
• Language: English
• Published: Shannon Elsevier Ireland Ltd 01.11.2001; Elsevier
• Subjects: Attitude of Health Personnel; Biological and medical sciences; Computer program listings; Computer software; Computer user training; Computerized, statistical medical data processing and models in biomedicine; Computerized-digital patient file; Database systems; Decision Support Systems, Clinical; Hospital information system; Hospital Information Systems; Humans; Intensive Care Units; Medical management aid. Diagnosis aid; Medical record systems; Medical Records Systems, Computerized; Medical sciences; Software; User-Computer Interface; Computer user training; Hospital information system; Medical record systems; User-computer interface; Computerized-digital patient file; Performance evaluation; Human; Intensive care; Decision support system; Information system; Relational database; Design; Biomedical data processing; User interface; Medical record; Hospital; Occupational training; Biomedical engineering
• ISSN: 1386-5056; 1872-8243
• DOI: 10.1016/S1386-5056(01)00202-7

The development of the ICUData patient data management system (PDMS) for intensive care units (ICU), by IMESO GmbH, Hüttenberg, Germany, was based on the assumption that processes and therapies at ICU are the most complex with the highest data density compared with those in other wards. Based on experience with the system and on a survey conducted among users at our pain clinic, we evaluated whether the concept of the present software architecture, which sufficiently reproduces processes and data at an ICU, is suitable as a PDMS for general wards. The highly modular and client-centric approach of the PDMS is founded on a message-based communications architecture (HL7). In the beginning of the year 2000, the system was implemented at the pain management clinic (12 beds) of our hospital. To assess its user friendliness, we conducted a survey of medical staff ( n=14). From April 1st 2000 to August 31st 2000, all clinical and administrative data of 658 patients at the pain management clinic were recorded with the PDMS. From the start, all users had access to data and information of other connected data management systems of the hospital (e.g. patient administrative data, patient clinical data). Staff members found the system mostly useful, clearly presented, practical, and easy to learn and use. Users were relatively satisfied with stability and performance of the program but mentioned having only limited knowledge of the program's features. The need for external support during a computer crash was rated negatively. Despite the need for further usage training and improved program performance, the software architecture described seems to be a promising starting point for the construction of a PDMS for general wards.