Hospital Information Systems (HIS) in the Examination Rooms and Wards: Doctors Perceived Positive Impact on Quality of Care and Patient Safety

  • Authors

    • Lizawati Salahuddin
    • Zuraini Ismail
    • . .
    2018-05-22
    https://doi.org/10.14419/ijet.v7i2.29.14274
  • Hospital Information Systems, safe use, error, patient safety, quality of care

  • Abstract

    Hospital Information Systems [HIS] is developed to support healthcare organizations in providing efficient, quality, and safe healthcare services. The objective of this study is to identify and describe doctors’ perspective on the impact of HIS use in the examination rooms and wards on quality of care and patient safety. Semi-structured interviews were carried out with thirty one doctors from three Malaysian government hospitals. Thematic qualitative analysis was performed by using ATLAS.ti to deduce the relevant themes. HIS were commonly believed to improve quality of care and patient safety in terms of : [1] accessibility of patients’ record, [2] efficient patient-care, [3] well-structured report viewing, [4] less missing patients’ records, [5] legibility of patients’ records, and [6] safety features. In conclusion, the use of HIS in examination rooms and wards suggests to improve the quality of care and patient safety.

     

     

  • References

    1. [1] Abdullah ZS. Hospital information systems implementation framework: critical success factors for Malaysian public hospitals. Curtin University; 2013.

      [2] Yusof MM, Papazafeiropoulou A, Paul RJ, Stergioulas LK. Investigating evaluation frameworks for health information systems. Int J Med Inform. 2008 Jun;77[6]:377–85.

      [3] Masrom M, Rahimly A. Overview of Data Security Issues in Hospital Information Systems. Pacific Asia J Assoc Inf Syst. 2015;7[4]:51–65.

      [4] Ammenwerth E, Winter A. Strategic information management in hospitals: an introduction to hospital information systems. Springer; 2004.

      [5] Waterson P. Health information technology and sociotechnical systems: a progress report on recent developments within the UK National Health Service [NHS]. Appl Ergon. Elsevier Ltd; 2014 Mar;45[2]:150–61.

      [6] Rozenblum R, Jang Y, Zimlichman E, Salzberg C, Tamblyn M, Buckeridge D, et al. A qualitative study of Canada’s experience with the implementation of electronic health information technology. Can Med Assoc J. 2011;183[5]:E281–8.

      [7] Mohan J, Razali Raja Yaacob R. The Malaysian Telehealth Flagship Application: a national approach to health data protection and utilisation and consumer rights. Int J Med Inform. 2004 Mar;73[3]:217–27.

      [8] Black AD, Car J, Pagliari C, Anandan C, Cresswell K, Bokun T, et al. The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med. 2011 Jan;8[1]:e1000387.

      [9] Bates DW, Gawande AA. Improving safety with information technology. N Engl J Med. 2003 Jun;348[25]:2526–34.

      [10] Kaushal R, Bates DW. Information technology and medication safety: what is the benefit? Qual Saf Health Care. 2002 Sep;11[3]:261–5.

      [11] Mahoney CD, Berard-Collins CM, Coleman R, Amaral JF, Cotter CM. Effects of an integrated clinical information system on medication safety in a multi-hospital setting. Am J Heal Pharm. 2007 Sep;64[18]:1969–77.

      [12] Hydari MZ, Telang R, Marella WM. Saving Patient Ryan — Can Advanced Electronic Medical Records Make Patient Care Safer? Soc Sience Res Netw. 2014;

      [13] Hernandez F, Majoul E, Montes-palacios C, Antignac M, Hejblum G, Fernandez C, et al. An Observational Study of the Impact of a Computerized Physician Order Entry System on the Rate of Medication Errors in an Orthopaedic Surgery Unit. PLoS One. 2015;10[7]:1–12.

      [14] Ahmadi H, Nilashi M, Ibrahim O. Organizational decision to adopt hospital information system : An empirical investigation in the case of Malaysian public hospitals. Int J Med Inform. Elsevier Ireland Ltd; 2015;84[3]:166–88.

      [15] Zwaanswijk M, Verheij RA, Wiesman FJ, Friele RD. Benefits and problems of electronic information exchange as perceived by health care professionals: an interview study. BMC Health Serv Res. 2011 Jan;11:256.

      [16] Davis FD. Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Q. 1989;319–40.

      [17] Venkatesh V, Davis FD. A theoretical extension of the technology acceptance model: four longitudinal field studies. Manage Sci. 2000;46[2]:186–204.

      [18] Venkatesh V, Morris MG, Davis GB, Davis FD. User acceptance of information technology: toward a unified view. MIS Q. 2003;425–78.

      [19] Gagnon MP, Pluye P, Desmartis M, Car J, Pagliari C, Labrecque M, et al. A systematic review of interventions promoting clinical information retrieval technology [CIRT] adoption by healthcare professionals. Int J Med Inform. Elsevier Ireland Ltd; 2010;79[10]:669–80.

      [20] Gagnon M-P, Desmartis M, Labrecque M, Car J, Pagliari C, Pluye P, et al. Systematic Review of Factors Influencing the Adoption of Information and Communication Technologies by Healthcare Professionals. J Med Syst. 2012;36[1]:241–77.

      [21] Iqbal U, Ho CH, Li YC, Nguyen PA, Jian WS, Wen HC. The relationship between usage intention and adoption of electronic health records at primary care clinics. Comput Methods Programs Biomed. Elsevier Ireland Ltd; 2013;112[3]:731–7.

      [22] McGowan BS, Wasko M, Vartabedian BS, Miller RS, Freiherr DD, Abdolrasulnia M. Understanding the Factors That Influence the Adoption and Meaningful Use of Social Media by Physicians to Share Medical Information. J Med Internet Res. 2012;14[5]:e117.

      [23] Villalba-Mora E, Casas I, Lupianez-Villanueva F, Maghiros I. Adoption of health information technologies by physicians for clinical practice: The Andalusian case. Int J Med Inform. 2015;84[7]:477–85.

      [24] Singh YK. Fundamental of Research Methodology and Statistics. New Age International [P] Ltd.; 2006.

      [25] Hesse-Biber SN, Leavy P. The Practice of Qualitative Research. SAGE Publications, Inc; 2006.

      [26] Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3[2]:77–101.

      [27] Lee OF, Meuter ML. The adoption of technology orientation in healthcare delivery: Case study of a largeâ€scale hospital and healthcare system’s electronic health record. Int J Pharm Healthc Mark. 2010;4[4]:355–74.

      [28] Zegers M, de Bruijne MC, Spreeuwenberg P, Wagner C, Groenewegen PP, van der Wal G. Quality of patient record keeping: an indicator of the quality of care? BMJ Qual Saf. 2011 Apr;20[4]:314–8.

      [29] Hartel MJ, Staub LP, Röder C, Eggli S. High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process. BMC Health Serv Res. BioMed Central Ltd; 2011;11[199]:1–6.

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  • How to Cite

    Salahuddin, L., Ismail, Z., & ., . (2018). Hospital Information Systems (HIS) in the Examination Rooms and Wards: Doctors Perceived Positive Impact on Quality of Care and Patient Safety. International Journal of Engineering & Technology, 7(2.29), 871-875. https://doi.org/10.14419/ijet.v7i2.29.14274

    Received date: 2018-06-18

    Accepted date: 2018-06-18

    Published date: 2018-05-22