Barriers integrating dedicated software for quality management in pain centres.
SourceStudies in Health Technology and Informatics, 124, (2006), pp. 257-262
Article / Letter to editor
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Studies in Health Technology and Informatics
SubjectEBP 2: Effective Hospital Care; UMCN 5.2: Endocrinology and reproduction
OBJECTIVES: Explore the feasibility of integrating a dedicated pain centre information system as part of a quality management network with a number of different Hospital Information Systems. MATERIAL & METHODS: A systematic approach integrating and implementing the system in 15 selected hospital organisations (a nationwide 15% non-random sample). RESULTS: Hospitals have widely varying policies on integration and implementation of additional clinically required 3rd party software. Financial and organisational constraints are considerable. Partial data integration could be realised in one third of the hospital organisations within the project timeframe. Linking with various types of Hospital Information Systems from the same or different vendors caused no technical difficulties. The total effort required, however, varies considerably; different versions of a HIS of the same vendor require substantial additional effort. IT departments hardly use standard rules to accept this type of systems, causing substantial increases in completion time for installation. CONCLUSIONs: Although it is feasible to integrate a local departmental system as required (download of general patient, provider and referrer data basically, and also upload of certain data) the workload of scaling to the national level is considered far beyond what is reasonable for a national quality management network for pain. Alternatives for recording and capturing data (which comply with the requirements of the national system) are currently being explored.
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