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First published January 28, 2003 as JAMIA PrePrint; doi:10.1197/jamia.M1094
Journal of the American Medical Informatics Association 2003;10(3):235-243
© 2003 American Medical Informatics Association


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Submitted on February 12, 2002
Accepted on January 7, 2003

Determinants of success of inpatient clinical information systems: A literature review

M.J. van der Meijden1*, H.J. Tange1, J. Troost2, and A. Hasman1

Affiliation of the authors: 1 Department of Medical Informatics, Maastricht University, The Netherlands; 2 Department of Neurology, Maastricht University Hospital, The Netherlands

* To whom correspondence should be addressed.

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 MacLean for management information systems (1) 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 MacLean framework, but some attributes, predominantly in cases of failure, did not fit any of the categories. They related to contingent factors, like 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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