Andrew Georgiou

Summary

Affiliation: University of New South Wales
Country: Australia

Publications

  1. ncbi Multiple perspectives on the impact of electronic ordering on hospital organisational and communication processes
    Andrew Georgiou
    Centre for Health Informatics, University of New South Wales, Sydney, NSW 2052, Australia
    HIM J 34:130-5. 2006
  2. doi Gaps, disconnections, and discontinuities--the role of information exchange in the delivery of quality long-term care
    Andrew Georgiou
    Address correspondence to Andrew Georgiou, Centre for Health Systems and Safety Research, University of New South Wales, Australian Institute of Health Innovation, Level 1, AGSM Building, Sydney, New South Wales 2052, Australia E mail
    Gerontologist 53:770-9. 2013
  3. doi The effect of computerized provider order entry systems on clinical care and work processes in emergency departments: a systematic review of the quantitative literature
    Andrew Georgiou
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    Ann Emerg Med 61:644-653.e16. 2013
  4. pmc An empirically-derived approach for investigating Health Information Technology: the Elementally Entangled Organisational Communication (EEOC) framework
    Andrew Georgiou
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Sydney, Australia
    BMC Med Inform Decis Mak 12:68. 2012
  5. doi Troponin testing in the emergency department: a longitudinal study to assess the impact and sustainability of decision support strategies
    Andrew Georgiou
    Centre for Health Systems and Safety Research, University of New South Wales, Sydney, New South Wales, Australia
    J Clin Pathol 65:546-50. 2012
  6. doi Time matters--a theoretical and empirical examination of the temporal landscape of a hospital pathology service and the impact of e-health
    Andrew Georgiou
    University of New South Wales, Kensington, NSW, Australia
    Soc Sci Med 72:1603-10. 2011
  7. doi What do physicians tell laboratories when requesting tests? A multi-method examination of information supplied to the microbiology laboratory before and after the introduction of electronic ordering
    Andrew Georgiou
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney 2052, Australia
    Int J Med Inform 80:646-54. 2011
  8. pmc The impact of computerized provider order entry systems on medical-imaging services: a systematic review
    Andrew Georgiou
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia
    J Am Med Inform Assoc 18:335-40. 2011
  9. ncbi The impact of computerised physician order entry systems on pathology services: a systematic review
    Andrew Georgiou
    Centre for Health Informatics, University of New South Wales, UNSW, Sydney 2052, Australia
    Int J Med Inform 76:514-29. 2007
  10. ncbi When requests become orders--a formative investigation into the impact of a computerized physician order entry system on a pathology laboratory service
    Andrew Georgiou
    Centre for Health Informatics, University of New South Wales, NSW 2052, Australia
    Int J Med Inform 76:583-91. 2007

Detail Information

Publications50

  1. ncbi Multiple perspectives on the impact of electronic ordering on hospital organisational and communication processes
    Andrew Georgiou
    Centre for Health Informatics, University of New South Wales, Sydney, NSW 2052, Australia
    HIM J 34:130-5. 2006
    ..This study revealed that the new electronic ordering system involved major alterations to the information management processes within the hospital, which in turn affected communication processes and work relations...
  2. doi Gaps, disconnections, and discontinuities--the role of information exchange in the delivery of quality long-term care
    Andrew Georgiou
    Address correspondence to Andrew Georgiou, Centre for Health Systems and Safety Research, University of New South Wales, Australian Institute of Health Innovation, Level 1, AGSM Building, Sydney, New South Wales 2052, Australia E mail
    Gerontologist 53:770-9. 2013
    ..The aim of this qualitative study was to identify the layers of information exchange and communication and produce a conceptual model that can help to inform decisions related to the design, implementation, and sustainability of ICT...
  3. doi The effect of computerized provider order entry systems on clinical care and work processes in emergency departments: a systematic review of the quantitative literature
    Andrew Georgiou
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    Ann Emerg Med 61:644-653.e16. 2013
    ..We undertake a systematic review of the quantitative literature related to the effect of computerized provider order entry systems in the emergency department (ED)...
  4. pmc An empirically-derived approach for investigating Health Information Technology: the Elementally Entangled Organisational Communication (EEOC) framework
    Andrew Georgiou
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Sydney, Australia
    BMC Med Inform Decis Mak 12:68. 2012
    ..The EEOC framework was empirically developed as a tool to tackle organisational communication challenges in the implementation and evaluation of health information systems...
  5. doi Troponin testing in the emergency department: a longitudinal study to assess the impact and sustainability of decision support strategies
    Andrew Georgiou
    Centre for Health Systems and Safety Research, University of New South Wales, Sydney, New South Wales, Australia
    J Clin Pathol 65:546-50. 2012
    ..To evaluate the impact of decision support on the proportion of troponin I (cTnI) tests and associated costs over the period 2000-7 for patients presenting with chest pain in an emergency department (ED) setting...
  6. doi Time matters--a theoretical and empirical examination of the temporal landscape of a hospital pathology service and the impact of e-health
    Andrew Georgiou
    University of New South Wales, Kensington, NSW, Australia
    Soc Sci Med 72:1603-10. 2011
    ..The use of qualitative methods longitudinally provided key insights into the way that temporal factors operate within pathology laboratories and their interrelationship with the performance, distribution and allocation of work...
  7. doi What do physicians tell laboratories when requesting tests? A multi-method examination of information supplied to the microbiology laboratory before and after the introduction of electronic ordering
    Andrew Georgiou
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney 2052, Australia
    Int J Med Inform 80:646-54. 2011
    ..The provision of relevant clinical information on pathology requests is an important part of facilitating appropriate laboratory utilization and accurate results interpretation and reporting...
  8. pmc The impact of computerized provider order entry systems on medical-imaging services: a systematic review
    Andrew Georgiou
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia
    J Am Med Inform Assoc 18:335-40. 2011
    ..Computerized provider order entry (CPOE) systems have been strongly promoted as a means to improve the quality and efficiency of healthcare...
  9. ncbi The impact of computerised physician order entry systems on pathology services: a systematic review
    Andrew Georgiou
    Centre for Health Informatics, University of New South Wales, UNSW, Sydney 2052, Australia
    Int J Med Inform 76:514-29. 2007
    ..The implementation of such systems is costly and complex. The purpose of this paper is to review current evidence of the impact of CPOE on hospital pathology services...
  10. ncbi When requests become orders--a formative investigation into the impact of a computerized physician order entry system on a pathology laboratory service
    Andrew Georgiou
    Centre for Health Informatics, University of New South Wales, NSW 2052, Australia
    Int J Med Inform 76:583-91. 2007
    ..The purpose of this study was to identify the key implications of the implementation of a computerized physician order entry (CPOE) system on pathology laboratory services...
  11. pmc How and why are communities of practice established in the healthcare sector? A systematic review of the literature
    Geetha Ranmuthugala
    Australian Institute of Health Innovation, University of New South Wales, Sydney, NSW 2052, Australia
    BMC Health Serv Res 11:273. 2011
    ..To this end, a systematic review of the literature on CoPs was conducted, to examine how and why CoPs have been established and whether they have been shown to improve healthcare practice...
  12. pmc The role of ICT in supporting disruptive innovation: a multi-site qualitative study of nurse practitioners in emergency departments
    Julie Li
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, NSW 2052, Australia
    BMC Med Inform Decis Mak 12:27. 2012
    ..This study aimed to investigate ways in which Nurse Practitioners (NP) have incorporated the use of ICT as a mechanism to support their new clinical role within Emergency Departments...
  13. doi Perceptions of the effect of information and communication technology on the quality of care delivered in emergency departments: a cross-site qualitative study
    Joanne Callen
    UNSW Medicine, Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    Ann Emerg Med 61:131-44. 2013
    ..We identify and describe emergency physicians' and nurses' perceptions of the effect of an integrated emergency department (ED) information system on the quality of care delivered in the ED...
  14. doi Medication errors in residential aged care facilities: a distributed cognition analysis of the information exchange process
    Amina Tariq
    Centre for Health Systems and Safety Research, University of New South Wales, Sydney, Australia
    Int J Med Inform 82:299-312. 2013
    ..The aim of this research was to explicate the cognitive distribution that underlies RACF medication ordering and delivery to identify gaps in medication-related information exchange which lead to medication errors in RACFs...
  15. pmc Health professional networks as a vector for improving healthcare quality and safety: a systematic review
    Frances C Cunningham
    Centre for Clinical Governance Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    BMJ Qual Saf 21:239-49. 2012
    ..While there is a considerable corpus of theoretical and empirical literature on networks within and outside of the health sector, multiple research questions are yet to be answered...
  16. pmc The impact of mobile handheld technology on hospital physicians' work practices and patient care: a systematic review
    Mirela Prgomet
    Health Informatics Research and Evaluation Unit, Level 3, Building M, Faculty of Health Sciences, University of Sydney, PO Box 170, Lidcombe, Sydney, NSW 1825, Australia
    J Am Med Inform Assoc 16:792-801. 2009
    ..The paucity of evidence calls for much needed future research that asks explicit questions about the impact the mobility of devices has on work practices and outcomes...
  17. ncbi Examination of changes in pathology tests ordered by Diagnosis-Related Group (DRGs) following CPOE introduction
    Elia Vecellio
    Centre for Health Systems and Safety Research, UNSW, Sydney, Australia
    Stud Health Technol Inform 188:114-20. 2013
    ..There was little change in testing rates between EDs or between time periods pre- and post-EMR. This is a valuable method for monitoring the impact of EMR and clinical decision support on test order rates. ..
  18. ncbi The effect of electronic pathology ordering in emergency departments on one aspect of test turn around time: a failure time analysis
    Ling Li
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    Stud Health Technol Inform 188:79-85. 2013
    ..Investigation of the impact of electronic ordering on efficiency of pathology services must take into account specific aspects of turnaround time measurement. ..
  19. pmc A realist evaluation of the role of communities of practice in changing healthcare practice
    Geetha Ranmuthugala
    Centre for Clinical Governance Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, NSW 2052, Australia
    Implement Sci 6:49. 2011
    ..this study will explore the following questions: What outcomes do CoPs achieve in healthcare? Do these outcomes translate into improved practice in healthcare? What are the contexts and mechanisms by which CoPs improve healthcare?..
  20. pmc Multimethod evaluation of information and communication technologies in health in the context of wicked problems and sociotechnical theory
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, University of Sydney, Sydney, Australia
    J Am Med Inform Assoc 14:746-55. 2007
    ..We report the design and implementation of a multimethod evaluation model to assess the impact of computerized order entry systems on both the technical and social systems within a health care organization...
  21. ncbi What do radiology incident reports reveal about in-hospital communication processes and the use of health information technology?
    Michael J Stewart
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    Stud Health Technol Inform 178:213-8. 2012
    ..Incident reporting systems provide a portal for staff to catalogue adverse events which occur within a hospital or department. Analysing incident reports can reveal trends and provide guidance for quality improvement efforts...
  22. pmc Impact of an electronic medication management system on hospital doctors' and nurses' work: a controlled pre-post, time and motion study
    Johanna I Westbrook
    Faculty of Medicine, Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    J Am Med Inform Assoc 20:1150-8. 2013
    ..To quantify and compare the time doctors and nurses spent on direct patient care, medication-related tasks, and interactions before and after electronic medication management system (eMMS) introduction...
  23. pmc The impact of nurse practitioners on care delivery in the emergency department: a multiple perspectives qualitative study
    Julie Li
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Kensington, NSW 2052, Australia
    BMC Health Serv Res 13:356. 2013
    ..This study aimed to investigate the perceived impact of the NP on the delivery of care in the ED by senior doctors, nurses, and NPs. Results will facilitate adoption and best use of this human resource innovation...
  24. pmc Medication incident reporting in residential aged care facilities: limitations and risks to residents' safety
    Amina Tariq
    Centre for Health Systems and Safety Research, University of New South Wales, Kensington, Sydney, Australia
    BMC Geriatr 12:67. 2012
    ..The aim of this study was to undertake an in-depth exploration of the information exchange process involved in MIR and identify factors that inhibit the collection of meaningful information in RACFs...
  25. doi Non-emergency patient transport: what are the quality and safety issues? A systematic review
    Isla M Hains
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, The University of New South Wales, Sydney, NSW, Australia
    Int J Qual Health Care 23:68-75. 2011
    ..This systematic review examines the factors associated with the quality and safety of non-emergency transport services...
  26. doi Comprehensive medical assessments for monitoring and improving the health of residents in aged care facilities: existing comprehensive medical assessments coverage and trial of a new service model
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, University of Sydney, Sydney, New South Wales, Australia
    Australas J Ageing 30:5-10. 2011
    ..To measure comprehensive medical assessment (CMA) completions among aged care residents in Australia; and to report the outcomes of a CMA service trial...
  27. pmc The impact of PACS on clinician work practices in the intensive care unit: a systematic review of the literature
    Isla M Hains
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, The University of New South Wales, Sydney, Australia
    J Am Med Inform Assoc 19:506-13. 2012
    ..To assess evidence of the impact of Picture Archiving and Communication Systems (PACS) on clinicians' work practices in the intensive care unit (ICU)...
  28. ncbi Does computerised provider order entry reduce test turnaround times? A before-and-after study at four hospitals
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, Lidcombe 1825, NSW, Australia
    Stud Health Technol Inform 150:527-31. 2009
    ..These results add weight to the hypothesis that the introduction of CPOE may positively impact upon patient outcomes...
  29. doi Challenges associated with electronic ordering in the emergency department: a study of doctors' experiences
    Sanj Fernando
    Department of Emergency Medicine Liverpool Hospital, Sydney, New South Wales, Australia
    Emerg Med Australas 21:373-8. 2009
    ..The objective of the present study was to identify and report on the key challenges confronted by emergency doctors following the introduction of Computerised Provider Order Entry system in a major metropolitan hospital in Sydney...
  30. pmc The safety implications of missed test results for hospitalised patients: a systematic review
    Joanne Callen
    Centre for Health Systems and Safety Research, The University of New South Wales, Sydney NSW 2052, Australia
    BMJ Qual Saf 20:194-9. 2011
    ..Failure to follow-up test results is a critical safety issue. The objective was to systematically review evidence quantifying the extent of failure to follow-up test results and the impact on patient outcomes...
  31. pmc Examining the role of information exchange in residential aged care work practices--a survey of residential aged care facilities
    Sarah Gaskin
    Centre for Health Systems and Safety Research, University of New South Wales, Kensington, Sydney, Australia
    BMC Geriatr 12:40. 2012
    ..The aim of this study was to explicate and quantify the volume and method by which information is collected, exchanged within facilities and with external providers, and retrieved from facility information systems and hospitals...
  32. ncbi Monitoring the impact of the electronic medical record on the quality of laboratory test ordering practices
    Andrew Georgiou
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    Stud Health Technol Inform 188:33-8. 2013
    ....
  33. pmc Failure to follow-up test results for ambulatory patients: a systematic review
    Joanne L Callen
    Centre for Health Systems and Safety Research, Faculty of Medicine, The University of New South Wales, Sydney, NSW, 2052, Australia
    J Gen Intern Med 27:1334-48. 2012
    ..Serious lapses in patient care result from failure to follow-up test results...
  34. ncbi Consumer e-health: an overview of research evidence and implications for future policy
    Antonia Hordern
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, NSW, Australia
    HIM J 40:6-14. 2011
    ..It is imperative that policy initiatives address these issues to ensure that consumer e-health services can be effectively, efficiently, and safely accessed...
  35. doi Volume, rates, source and types of add-on pathology test requests across five hospitals
    Elia Vecellio
    Centre for Health Systems and Safety Research, University of New South Wales, Sydney, NSW, Australia
    Clin Chem Lab Med 50:1041-8. 2012
    ..However, little research has quantified the volume, rates, source or types of add-on tests. This study provides a descriptive analysis of add-on testing within a pathology service serving five hospitals...
  36. doi The use of computerized provider order entry to improve the effectiveness and efficiency of coagulation testing
    Andrew Georgiou
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia
    Arch Pathol Lab Med 135:495-8. 2011
    ..001) and from 34 to 23 minutes for the aPTT test results (P < .001). The results show that CPOE and decision-support systems can enhance laboratory efficiency and improve its contribution to effective patient care...
  37. ncbi Understanding the information dynamics of medication administration in residential aged care facilities (RACFs): a prerequisite for design of effective ICT systems
    Amina Tariq
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    Stud Health Technol Inform 194:188-94. 2013
    ..However these interventions need to be designed to align with the collaborative team based processes they intend to support. ..
  38. ncbi The temporal landscape of residential aged care facilities--implications for context-sensitive health technology
    Andrew Georgiou
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    Stud Health Technol Inform 194:69-74. 2013
    ....
  39. pmc Successfully integrating aged care services: a review of the evidence and tools emerging from a long-term care program
    Michael J Stewart
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    Int J Integr Care 13:e003. 2013
    ..The PRISMA research program has run since 1988, yet there has been no independent systematic review of this work to draw out the lessons learnt...
  40. pmc Changes, disruption and innovation: An investigation of the introduction of new health information technology in a microbiology laboratory
    George Toouli
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Faculty of Medicine, Level 1, AGSM Building, University of New South Wales, NSW 2052, Australia
    J Pathol Inform 3:16. 2012
    ....
  41. pmc Strengthening organizational performance through accreditation research-a framework for twelve interrelated studies: the ACCREDIT project study protocol
    Jeffrey Braithwaite
    University of New South Wales, Kensington, NSW 2052, Australia
    BMC Res Notes 4:390. 2011
    ..abstract:..
  42. ncbi Maladministrations in nuclear medicine: revelations from the Australian Radiation Incident Register
    George S Larcos
    Nuclear Medicine and Ultrasound, Westmead Hospital, Sydney, NSW, Australia
    Med J Aust 200:37-40. 2014
    ..To describe the incidence, type, causes and consequences of nuclear medicine maladministrations...
  43. pmc The development, design, testing, refinement, simulation and application of an evaluation framework for communities of practice and social-professional networks
    Jeffrey Braithwaite
    Centre for Clinical Governance Research, Faculty of Medicine, University of New South Wales, Sydney, NSW 2052, Australia
    BMC Health Serv Res 9:162. 2009
    ..Given the prevalence and importance of communities of practice and social networks, and the extent of investments in them, this project represents a scientific innovation of national and international significance...
  44. ncbi GP claims for completing diabetes 'cycle of care'
    Andrew Georgiou
    Centre for Health Informatics, University of New South Wales
    Aust Fam Physician 33:755-7. 2004
    ..There is a wide variability in the level of claims for diabetes. Service Incentive Payments (SIP) by general practitioners...
  45. ncbi Cardiovascular risk levels in general practice patients with type 2 diabetes in rural and urban areas
    Qing Wan
    Centre for Primary Health Care and Equity, School of Public Health and Community Medicine, University of New South Wales, Sydney, New South Wales, Australia
    Aust J Rural Health 15:327-33. 2007
    ....
  46. ncbi Information and communication processes in the microbiology laboratory--implications for computerised provider order entry
    Andrew Georgiou
    Health Informatics Research Evaluation Unit, Faculty of Health Sciences, University of Sydney, and South Western Area Pathology Services, Liverpool, Australia
    Stud Health Technol Inform 129:943-7. 2007
    ..The introduction of new CPOE systems can help to increase the efficiency of this process but for that to be achieved research attention needs to be given to enhancing the provision and communication of clinical information...
  47. ncbi Computerised order entry systems: sustained impact on laboratory efficiency and mortality rates?
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, 1825, Australia
    Stud Health Technol Inform 136:345-50. 2008
    ..Associations between increased mortality rates and system introduction should be investigated carefully to ascertain any likely association...
  48. ncbi Multi-method studies in health services research
    Andrew Georgiou
    Aust N Z J Public Health 31:492. 2007
  49. ncbi Pathology's front line - a comparison of the experiences of electronic ordering in the clinical chemistry and haematology departments
    Andrew Georgiou
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, NSW 1825, Australia
    Stud Health Technol Inform 130:121-32. 2007
    ....
  50. ncbi The use of performance metrics to monitor the impact of CPOE on pathology laboratory services
    Andrew Georgiou
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, 1825, Australia
    Stud Health Technol Inform 136:291-6. 2008
    ..Performance metrics, can be relevant for measuring and monitoring changes in communication processes. This is important with CPOE systems whose introduction can have unexpected consequences requiring early detection and action...