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are a good forum for reviewing, , and risks.It is also helpful to track and document which risks actually occurred and the impact of those risks. This information is an excellent source of lessons learned for managing risks on future projects.Real World Project ManagementRisks When Implementing a Clinical Information SystemClinicians treating patients in an intensive care unit generate a number of data elements. Some of the elements are collected manually and others are collected by systems attached to a clinical information system (CIS). Entries into the CIS could include data elements such as vital signs, admission information, diagnosis, treatment prescription, progress notes, equipment outputs, or test results. Health care professionals would use this data to make decisions about the patient. Others, such as the financial systems, would use this data for billing purposes. Interaction with the CIS might occur through the use of computers, smartphones, tablets, or other portable devices.The input data into a CIS could be manipulated through a variety of processing capabilities. Testing for abnormal values or performing simple calculations could provide information to the health care professional. Outputs from the CIS could populate medical records systems, be shared with other clinicians, or inform researchers who are analyzing larger numbers of patients’ data. More capable systems have the ability to integrate and interpret data to support clinical decisions.Intensive care units using CIS have experienced a number of benefits such as increased efficiency, improved quality of care, increased data availability, reduction of errors, and increased data security. Although there have been many benefits to the adoption and integration of CIS in intensive care units, there have been disadvantages related to errors in the design and functionality that have caused decreased efficiency.Projects for the selection, design, and implementation of a CIS in an intensive care unit must evaluate the risksassociated with the adoption of the system for patient care support.
Lack of a project champion—The project champion for a CIS could act as a liaison between the project team and the clinical colleagues who would use the CIS. The lack of a champion increases the likelihood of implementation hurdles and lack of information about useful features and design decisions.Lack of commitment from management—Management provides resources and support for the CIS. Without management commitment, the progress of the project has a greater probability of schedule and cost overruns.Poor perceived system usefulness—The users of the CIS should perceive the system to add value to their work. If the system is hard to use, causes errors, or makes completing tasks inefficient, the adoption of the CIS would be limited.