TY - JOUR KW - Critical care KW - Information system KW - Functional requirements AU - Falk von Dincklage AU - Klaudiusz Suchodolski AU - Gregor Lichtner AU - Wolfgang Friesdorf AU - Beatrice Podtschaske AU - Maximilian Ragaller AB -

Introduction: Critical care information systems (CCIS) are computer software systems specialized for supporting the data processing tasks of clinical staff in intensive care units (ICUs). Reports on the impact of CCIS vary strongly from large benefits to harmful impact. One factor causing these inconsistent results is a large functional heterogeneity of the currently available systems, as no standards exist. Therefore, the aim of this study was to derive recommendations for a minimum range of functions that CCIS should incorporate from the perspective of clinical users.
Materials and Methods: We performed a web-based survey targeting clinical ICU staff in Germany. Participants rated the usefulness of pre-defined CCIS functions (36 for physicians / 31 for nurses) between 0-5. To capture confounders that might influence the ratings, we recorded 18 individual and workplace characteristics.
Results: The 912 participants rated all but three of the investigated functions as useful with median scores of 4-5. A multivariable analysis showed that the ratings were influenced by whether CCIS were used on the participants’ wards, by the rating of the function quality of the used CCIS, the years of work experience and whether the participant was a physician or a nurse.
Conclusions: Clinical ICU staff considers all but three of the here investigated CCIS functions as useful. Even though we identified a variety of factors influencing the usefulness ratings, their influence is rather small and thus does not limit the validity of our findings. Accordingly, we commend the functions identified as useful to be incorporated in CCIS.

BT - International Journal of Medical Informatics CY - Shannon, Co. Clare, Ireland DA - 12/2018 DO - https://doi.org/10.1016/j.ijmedinf.2018.09.018 M3 - Original Research N2 -

Introduction: Critical care information systems (CCIS) are computer software systems specialized for supporting the data processing tasks of clinical staff in intensive care units (ICUs). Reports on the impact of CCIS vary strongly from large benefits to harmful impact. One factor causing these inconsistent results is a large functional heterogeneity of the currently available systems, as no standards exist. Therefore, the aim of this study was to derive recommendations for a minimum range of functions that CCIS should incorporate from the perspective of clinical users.
Materials and Methods: We performed a web-based survey targeting clinical ICU staff in Germany. Participants rated the usefulness of pre-defined CCIS functions (36 for physicians / 31 for nurses) between 0-5. To capture confounders that might influence the ratings, we recorded 18 individual and workplace characteristics.
Results: The 912 participants rated all but three of the investigated functions as useful with median scores of 4-5. A multivariable analysis showed that the ratings were influenced by whether CCIS were used on the participants’ wards, by the rating of the function quality of the used CCIS, the years of work experience and whether the participant was a physician or a nurse.
Conclusions: Clinical ICU staff considers all but three of the here investigated CCIS functions as useful. Even though we identified a variety of factors influencing the usefulness ratings, their influence is rather small and thus does not limit the validity of our findings. Accordingly, we commend the functions identified as useful to be incorporated in CCIS.

PB - Elsevier Science PP - Shannon, Co. Clare, Ireland PY - 2018 SP - 8 EP - 13 T2 - International Journal of Medical Informatics TI - Functional Requirements of Critical Care Information Systems (CCIS) from the Users’ Perspective UR - https://www.sciencedirect.com/science/article/pii/S1386505618304453 VL - 120 SN - 1386-5056 ER -