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History and Trends in Clinical Information Systems in the United States
Author(s) -
Staggers Nancy,
Thompson Cheryl Bagley,
SnyderHalpern Rita
Publication year - 2001
Publication title -
journal of nursing scholarship
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.009
H-Index - 80
eISSN - 1547-5069
pISSN - 1527-6546
DOI - 10.1111/j.1547-5069.2001.00075.x
Subject(s) - standardization , health informatics , information system , informatics , clinical decision support system , health care , decision support system , health informatics tools , information technology , computer science , medicine , data science , nursing , engineering , data mining , political science , public health , law , electrical engineering , operating system
Purpose: To provide a synopsis of issues about clinical information systems for nurses not schooled in nursing informatics. Organizing construct: The past, present, and future of clinical computing, including major factors resulting in the early hospital information systems (HIS) and decision support systems (DSS) in the United States, current advances and issues in managing clinical information, and future trends and issues. Methods: Literature review and analysis. Findings and Conclusions: The first HIS and DSS were used in the late 1960s and were focused on applications for acute care. The change from fee‐for‐service to managed care required a change in the design of clinical information systems toward more patient‐centered systems that span the care continuum, such as the computer‐based patient record (CPR). Current difficulties with CPR systems include lack of systems integration, data standardization, and implementation. Increased advances in information and technology integration and increased use of the Internet for health information will shape the future of clinical information systems.