title: Developing and testing a clinical information system evaluation tool: prioritizing modifications through end-user input.
abstract: OBJECTIVE
  The objectives were to develop and validate the Information System Evaluation Tool (ISET), use feedback to modify the institution's clinical information system (CIS), and determine the modifications' success.
  
  
  BACKGROUND
  The ability of a CIS to increase patient safety and care quality is dependent on its systems and processes. A survey was needed to provide the specificity necessary to make meaningful system improvements.
  
  
  METHODS
  The ISET was pilot tested and revised before being administered before implementation of the CIS. It was administered at 2 times after implementation. The ISET was revised after analysis of the results, and comparisons were made between the times.
  
  
  RESULTS
  The ISET is a valid and reliable instrument. Perceptions of the CIS initially decreased, but had significantly improved by 16 months after implementation.
  
  
  CONCLUSIONS
  End-users must be convinced that the CIS supports their practice and improves care for adoption to be successful. The ISET measures these perceptions and highlights areas for improvement.
authors: Patient Care Services Clinical Information Systems, Children's Mercy Hospitals and Clinics, Kansas City, Missouri 64108, USA.
authors: Janis B
authors: JB
authors: Smith
authors: Susan R
authors: SR
authors: Lacey
authors: Arthur R
authors: AR
authors: Williams
authors: Susan L
authors: SL
authors: Teasley
authors: Adrienne
authors: A
authors: Olney
authors: Cheri
authors: C
authors: Hunt
authors: Karen S
authors: KS
authors: Cox
authors: Carol
authors: C
authors: Kemper