History and trends in clinical information systems in the United States

Nancy Staggers, Cheryl Bagley Thompson, Rita Snyder-Halpern

Research output: Contribution to journalArticlepeer-review

35 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)75-81
Number of pages7
JournalJournal of Nursing Scholarship
Issue number1
StatePublished - 2001
Externally publishedYes


  • Computer-based patient records
  • DSS
  • HIS
  • Information systems
  • Nursing informatics

ASJC Scopus subject areas

  • General Nursing


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