Why are administrative systems more evolved than clinical systems?
The main reason administrative systems are more evolved than clincal ones is because administrative operations were the initial automated information systems that most healthcare organizations implemented. Even today, most healthcare applications serve financial and administrative purposes than those which revolve around clinical applications. Enterprise resource planning (ERP) systems are bundled applications that integrate operational information into a single database to achieve business management objectives. Some of the common adminitrative applications in an ERP are: financial information systems, human resources information systems, resource utilization and scheduling systems, materials management systems, facilities and project management systems and office automation systems (Glandon, Slovensky & Smatlz, 2013, p. 211-212). Clinial information systems are designed to support activities related to a specific function (such as electronic order entry) or an entire section of a healthcare facility (such as the Lab/Pharmacy/Radiology, etc.). The applications that support these systems are constantly changing as new technological advances are created, which has made it difficult to increase their complexitiy (Glandon, et al., 2013, p. 205). Working as a nurse in a hospital, I have seen many clinical systems over the years, however, many of those new systems do not last more than a couple of years because new systems are often created. An example of this is the infusion pump used to give patients IV fluids/antbiotics/pain medications/etc. Over the past 5 years, I have used 3 different pumps. Each time a new pump is brought to the hospital for use, it is wonderful, but within a year or two a new one is created that is even better. Administrative systems, on the other hand, have had a longer chance to evolve into much more complex systems over the years.
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