In 2020, a pandemic forced the entire world to adapt to a new scenario. The objective of this study was to know how Health Information Systems were adapted driven by the pandemic of COVID. 12 CIOS of healthcare organizations were interviewed and the interviews were classified according to the dimensions of a sociotechnical model: Infrastructure, Clinical Content, Human Computer Interface, People, Workflow and Communication, Organizational Characteristics and Internal Policies, Regulations, and Measurement and Monitoring. Adaptation to the Pandemic involved social, organizational and cultural rather than merely technical aspects in private organizations with mature and stable Health Information Systems.

In the hospital setting, the traditional method of information for nurses is to consult the Electronic Health Records (EHR) on several occasions to check the continuous updates of the prescriptions. This process, in practice, involves time and multiple setbacks such as: availability of equipment (there is no computer per nurse in the office), number of patients assigned (it involves entering each EHR one by one). This is how the implementation of the tool known as electronic whiteboard (e-whiteboard) came about. The aim of this study was to explore perceptions of nurses after implementation of e-whiteboard, recently introduced at Hospital Italiano de Buenos Aires. A Qualitative study, which consisted of 5 group interviews with a total of 27 participants. A convenience sampling was used (selection of nurses from different shifts), corresponding to 4 sectors of adult patient admissions and 1 sector of pediatric patients. The main findings were positive aspects such as: it was a simple, intuitive and easy to navigate interface, it allowed communication with other health professionals (physicians, nutritionists and kinesiologists), and it facilitated the visualization of real time information that favors the fulfillment of tasks in scheduled time. This tool is considered of great clinical importance for coordinated patient care because the visibility and availability of clinical information improves communication between professionals, streamlines workflow, and consequently accelerates shared decision making.

Health organizations aim to identify patients with high fall risk in the different attention scenarios in order to provide safety and quality care. In order to address this issue, we designed an assessment tool that surveys fall risk through three questions in self-service terminals in the outpatient setting. Our objectives in this article are to describe the implementation process. A cross sectional design was used for the pilot (between October and November 2018). The issued tickets rate with high fall risk (defined as 2/3 positive responses) was 34.3%. Some adjustments needed to be done because some patients did not have true risk criteria due to self-report. We conclude that this tool will allow quicker identification of patients with true high risk. Effective prevention strategies will be necessary to improve safety after risk fall identification.

Technology has led to the communication of the hospitalized patient and their family with clinical knowledge. The objective of this study is to describe the rate of use of the Inpatient Personal Health Record of Hospital Italiano de Buenos Aires. A cross-sectional study was conducted between May and September of 2018. The rate of use was 2.10% (95% CI 1.89-2.32). The most used functionalities were analyzed. New strategies are needed to improve the rate of use.

With the adoption of Personal Health Records (PHRs) integrated with Electronic Health Records (EHRs) and the increase of accessibility to data, institutions have the possibility of exchanging medical information with their patients. Involving the patient reported data has the potential to improve the quality of care and safety and create a feedback loop between patients and health professionals. The objective of this study is to describe a user-centered design of a module for medication list with reconciliation functionalities managed by the patients themselves, and connected to their EHR for supervision and medical validation. We conducted 42 interviews (31 patients and 11 general practitioners). From the interviews, we performed qualitative analysis and extracted the main findings from comments in both groups. Correctitude rate was 57 to 100%, and satisfaction of use (SUS) maximum was 96% and 92%. These findings may be relevant to patients, health care providers, and policymakers.

Immunization information systems and registries are essential for vaccine programs to succeed. Personal Health Record should improve decision making of healthcare providers and consumer outcomes. This article aims to describe the software development of an immunization module using a user-centered design, starting from the analysis of potential users' needs. The design was made through cycles of iterations, adjustments were made validating real scenarios and taking into account the user needs. The main features identified through interviews were: vaccination schedule, further information on vaccines' usefulness, notification, downloadable patient vaccination status and other vaccines outside the official calendar. The final scope is to create a simple, efficient and safe platform for patient immunization management.

The inclusion of new technologies in health, such as the 2D Codes scanning Drug Administration System (BCMA), has an impact on the perception of nurses, mainly changes in their workflow, and incorporation of mobile devices for patient care. The objective of this study is to know the perceptions and expectations of nurses regarding the implementation of BCMA. Qualitative research was conducted based on interviews with groups of nurses from different inpatient wards of the Hospital Italiano de Buenos Aires, with and without system implementation. The analysis of the interviews produced the categorization of information for future interventions and the need to create standard strategies for the effective continuity during the implementation of the project. Some determinants for the acceptance of the system by the nursing staff: the ease of use of the mobile station, the device, the nursing application and its usefulness, and high expectations about the new process.

Errors during drug administration stage represent a significant percentage of adverse events associated with health care. Its prevalence is higher in critical care units, due to vulnerable patient population, characteristics of intensive care as well as complexity of pharmacotherapy. Errors can occur at any stage of the medication cycle although they often occur during administration, so nurses' role in prevention is essential. The bar code medication administration (BCMA) technology increases patient safety by instituting control time, but a poorly designed system or a faulty implementation can lead to low utilization in future. This paper describes implementation, evaluation, detection of problems and search for their possible solutions of a BCMA system in the intensive care unit at Hospital Italiano de Buenos Aires.