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Determinants of Success of Inpatient Clinical Information Systems: A Literature Review

Affiliations of the authors: Department of Medical Informatics, Maastricht University, the Netherlands (MJvdM, HJT, AH); Department of Neurology, Maastricht University Hospital, the Netherlands (JT).

Correspondence and reprints: M. J. van der Meijden, Department of Medical Informatics, Maastricht University, P.O.Box 616, 6200 MD Maastricht, The Netherlands; e-mail: <secretariaat-mi{at}mi.unimaas.nl>.

Received for publication: 02/12/02; accepted for publication: 01/07/03.

We reviewed the English and Dutch literature on evaluations of patient care information systems that require data entry by health care professionals published from 1991 to 2001. Our objectives were to identify attributes that were used to assess the success of such systems and to test the ability of a framework developed by Delone and McLean for management information systems¹ to categorize these attributes correctly. The framework includes six dimensions or success factors: system quality, information quality, usage, user satisfaction, individual impact, and organizational impact. Thirty-three papers were selected for complete review. Types of study design included descriptive, correlational, comparative, and case studies. A variety of relevant attributes could be assigned to the six dimensions in the Delone and McLean framework, but some attributes, predominantly in cases of failure, did not fit any of the categories. They related to contingent factors, such as organizational culture. Our review points out the need for more thorough evaluations of patient care information systems that look at a wide range of factors that can affect the relative success or failure of these systems.

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