Replacing an Inpatient Electronic Medical Record

2009 ◽  
Vol 48 (01) ◽  
pp. 92-100 ◽  
Author(s):  
G. Paré ◽  
M.-P. Moreault ◽  
A. Lemay ◽  
L. Valiquette ◽  
J. Barkun ◽  
...  
Keyword(s):  
User Satisfaction ◽  
Clinical Information System ◽  
Current System ◽  
Clinical Information ◽  
Electronic Record ◽  
Quality Attributes ◽  
Three Dimensions ◽  
Successful Implementation ◽  
System Quality ◽  
User Attitudes

Summary Objective: Since it is important to develop strategies for the successful implementation of electronic clinical information systems, the aim of this study is to explore where, and to what extent, users’ attitudes toward the former system that is being replaced may vary. Methods: A cross-sectional survey of 346 nurses and physicians practicing in two Canadian teaching hospitals resulted in a total response rate of 63%. User attitudes were measured in three dimensions: a) user satisfaction with the system’s quality attributes, b) perceived system usefulness, and c) perceived impact on quality of care and patient safety. The current system (the one being replaced) was analyzed as a dual system composed of both paper-based and electronic records. Results: The results on user satisfaction demonstrate a wide variation in opinions, with satisfaction ranging from 4.2 to 7.7 on a 10-point disagree-agree, Likert scale. The quality attributes varied by record type, with differences that were systematically in favor of the electronic record component, which received higher scores. The results also highlighted large differences by user group. Physicians and nurses systematically rated the two record formats differently. The nurses were more satisfied with the attributes of the paper-based record. Multivariate regression analyses results also revealed strong interdependencies among the three dimensions of user attitudes, to the extent that perceived system usefulness was strongly correlated with system quality attributes and the system outcomes were also correlated, although less strongly, with the two former system dimensions. Conclusion: Understanding users’ attitudes toward a clinical information system in use, both in its paper and electronic aspects, is crucial for developing more successful implementation strategies for electronic record systems.

Sistem Integrasi Aplikasi Desktop Klinik MCU TKI Pada Medical Center Purwokerto

2020 ◽  
Vol 2 (01) ◽  
pp. 1-8
Author(s):  
Lutfi Syafirullah ◽  
Hidayat Muhammad Nur ◽  
Vadlya Ma'arif
Keyword(s):  
Network Architecture ◽  
Clinical Information System ◽  
Medical Center ◽  
Current System ◽  
Clinical Information ◽  
Clinical Work ◽  
Database Systems ◽  
Prototype Model ◽  
Medical Checkup ◽  
Operational Activities

Information technology integration is expected to be able to accommodate the ease and improvement in supporting database platforms through intranet and internet infrastructure. Integration is intended to blend desktop and web database systems. Medical Checkup Purwokerto is a designated place to facilitate the checkup health of the official PJTKI Banyumas Disnaker BNP2TKI. The current system, which is a check-up application, is carried out by prospective Indonesian Workers or Medical checkup units, covering many processes including registration, health checks, types, results, payments and reports. There was a buildup of operational activities Clinical work on a daily basis, by the administrator of the medical record so that management aimed at developing a web-based clinical information system includes the scope of the processed database components, access authorization, and security. The method used is the software development life cycle (SDLC) with the Evolutionary Prototype Model. Results, patient data can be integrated as a whole process flow with a client-server network architecture

scholarly journals Evaluating the success of the tele-pathology system in governmental hospitals in Kuwait: an explanatory sequential mixed methods design

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ali Jasem Buabbas ◽  
Tareq Mohammad ◽  
Adel K. Ayed ◽  
Hawraa Mallah ◽  
Hamza Al-Shawaf ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Mixed Methods ◽  
Support Services ◽  
User Satisfaction ◽  
Technical Support ◽  
Successful Implementation ◽  
System Quality ◽  
Mixed Methods Design ◽  
Telepathology System

Abstract Background Telepathology is the practice of reviewing and exchanging pathological images through telecommunication systems to obtain diagnoses remotely. Studying the factors that make such a system successful and favourable is important to ensure the merits of its implementation in clinical practice. Objective This study aims to evaluate the success of a telepathology system from the users’ perspectives, using specific evaluation criteria, namely: system quality, information quality, technical service quality, user satisfaction, and benefits. Methods A sequential explanatory mixed methods design was adopted in this study, which consists of two phases. Initially, a questionnaire was distributed via WhatsApp to all of the pathologists (total: 45) working at governmental hospitals in Kuwait. Followed by, semi-structured interviews with ten senior pathologists. Results Forty pathologists responded to the questionnaire, giving an 89% response rate. There were 42.5% of the respondents aged between 35–44 years old, and 52.5% were male. The quantitative results reveal that most of the respondents were satisfied with the quality of the telepathology system with a mean of 2.6025 (Standard Deviation (SD) = 0.47176), whereas they were dissatisfied with the quality of the information with a mean of 2.4100 (SD = 1.580) and the technical support services with a mean of 2.2750 (SD = 0.99535). In addition, there was disagreement on the benefits of telepathology in clinical practice among the pathologists with a mean of 2.4667 (SD = 0.77552). The qualitative results indicate that the lack of interest in and little experience with using the system were behind the general dissatisfaction of most of the respondents. All of the interviewees were satisfied with the performance of the telepathology system and considered it successful; however, the quality of the technical support services, including training workshops, was deemed deficient. Conclusion This study concluded that telepathology system in Kuwait is functioning well and has been successful in its implementation; however, pathologists are dissatisfied with it, mainly due to the deficient quality of the technical support services provided. In addition, the successful implementation of such advanced technologies requires careful steps to be taken on multiple levels: technical, organisational, and managerial. Recommendations were suggested.

scholarly journals Nurses’ perceptions of the clinical information system in primary healthcare centres in Qatar: a cross-sectional survey

2019 ◽  
Vol 26 (1) ◽  
pp. e100030
Author(s):  
Monaa Hussain Mansoori ◽  
Kathleen Benjamin ◽  
Emmanuel Ngwakongnwi ◽  
Samya Al Abdulla
Keyword(s):  
Information System ◽  
User Satisfaction ◽  
Clinical Information System ◽  
Quality Care ◽  
Clinical Information ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Primary Health ◽  
Nurses Perceptions

BackgroundQatar is one of the fastest growing countries in the Arabic region. Primary Health Care Corporation (PHCC) is the main provider of primary health services in Qatar and employs 1600 nurses. In 2014, PHCC started to migrate from paper to electronic documentation of patient records using a clinical information system (CIS). Since implementation, the use of CIS and perception of users have not been assessed.ObjectiveThis study measured nurses’ perceptions regarding the utilisation, quality and user satisfaction with the CIS in PHCC.MethodsUsing a pre-existing survey, a cross-section of nurses from six health centres in Qatar were systematically selected and invited to participate in the study. Eighty-nine surveys were completed (response rate: 98.8%) and descriptive analyses were performed.ResultsNurses’ perceptions regarding the utilisation, quality and user satisfaction with the CIS were positive. Nurses indicated that the CIS is a resource for clear, accurate and up-to-date data and that their performance improved due to the CIS. Yet responses to an open-ended question in the survey revealed some concerns related to the CIS, such as patient confidentiality, system downtime and time constraints.ConclusionEnsuring that the CIS is facilitating nurses’ work is crucial to guarantee high-quality care to the community. The findings provide foundational data to help PHCC to understand nurses’ perceptions and to take steps to overcome challenges that nurses face related to the CIS in their daily practice. This work could also provide direction for future research.

Understanding cloud computing success and its impact on firm performance: an integrated approach

2020 ◽  
Vol 120 (5) ◽  
pp. 963-985 ◽  
Author(s):  
Abul Khayer ◽  
Yukun Bao ◽  
Bang Nguyen
Keyword(s):  
Cloud Computing ◽  
Information Systems ◽  
Firm Performance ◽  
User Satisfaction ◽  
Information Quality ◽  
Equation Modeling ◽  
Successful Implementation ◽  
System Quality ◽  
Content Type ◽  
It Capability

PurposeThis study aims to investigate the determinants of successful implementation of cloud computing and, further, examines how cloud computing success influences firm performance.Design/methodology/approachThe authors developed a conceptual framework based on the integration of several strands of literature in business studies and information systems. To test the proposed model, data were collected from 300 Chinese firms which have adopted cloud computing. To analyze the data, partial least squares structural equation modeling (PLS-SEM) was used. An importance-performance map analysis (IPMA) was also conducted to identify the critical factors that exhibit high importance but low performance.FindingsThe results of the study revealed that end-user satisfaction, information quality, system quality, managerial information technology (IT) capability and technical IT capability significantly affect cloud computing success. Additionally, cloud computing success has a strong and positive impact on firm performance. IPMA further confirms that managers need to concentrate more on system quality, information quality, user satisfaction and technical IT capability.Originality/valueThis paper is one of the few attempts to integrate several theoretical frameworks (i.e. IT capabilities and resource-based view, expectation-confirmation theory, and information system success theory) to develop a comprehensive model for understanding the key determinants of cloud computing success and its impact on firm performance. This study makes a useful contribution to the conventional information systems (IS) literature and IT management practice.

scholarly journals Current Challenges and Opportunities for Better Integration of Human Factors Research with Development of Clinical Information Systems

2009 ◽  
Vol 18 (01) ◽  
pp. 48-58 ◽  
Author(s):  
J. J. Saleem ◽  
A. L. Russ ◽  
P. Sanderson ◽  
T. R. Johnson ◽  
J. Zhang ◽  
...  
Keyword(s):  
Information Systems ◽  
Human Factors ◽  
User Satisfaction ◽  
Clinical Decision Making ◽  
Clinical Information System ◽  
Healthcare Delivery ◽  
Clinical Information ◽  
Lessons Learned ◽  
Clinical Information Systems ◽  
Human Factors Research

Summary Objectives Clinical information system (CIS) developers and implementers have begun to look to other scientific disciplines for new methods, tools, and techniques to help them better understand clinicians and their organizational structures, clinical work environments, capabilities of clinical information and communications technology, and the way these structures and processes interact. The goal of this article is to help CIS researchers, developers, implementers, and evaluators better understand the methods, tools, techniques, and literature of the field of human factors. Methods We developed a framework that explains how six key human factors topics relate to the design, implementation, and evaluation of CISs. Results Using this framework we discuss the following six topics: 1) informatics and patient safety; 2) user interface design and evaluation; 3) workflow and task analysis; 4) clinical decision making and decision support; 5) distributed cognition; and 6) mental workload and situation awareness. Conclusions Integrating the methods, tools, and lessons learned from each of these six areas of human factors research early in CIS design and incorporating them iteratively during development can improve user performance, user satisfaction, and integration into clinical workflow. Ultimately, this approach will improve clinical information systems and healthcare delivery.

scholarly journals Successful Implementation of Information Systems in Public Sector Organizations

2020 ◽  
Vol 3 (1) ◽  
pp. 40
Author(s):  
Ajeng Apridiyanti ◽  
Harry Suharman ◽  
Zaldy Adrianto
Keyword(s):  
Information Systems ◽  
Public Sector ◽  
User Satisfaction ◽  
Financial Management ◽  
Primary Data ◽  
Successful Implementation ◽  
System Quality ◽  
Public Sector Organizations ◽  
Net Benefits

This study aims to determine the success of the implementation of the Regional Financial Management Information System (SIPKD) in the Regional Work Unit (SIPKD) in the Sumedang District Government, by examining the effect of system quality, information quality and service quality on user satisfaction and its implications for net benefits. This study uses primary data from questionnaires given to leaders of agencies, operators, and administrators of SIPKD. The data analysis method used is path analysis. The results of this study indicate that the quality of the system, the quality of information, and the quality of service affect user satisfaction and impact on net benefits both partially and simultaneously. The results of this study contribute to adding literature on the implementation of information systems in public sector organizations, and influencing factors can be used as a reference for public sector organizations in assessing the application of information systems.

scholarly journals Peneraapan Model HOT Fit pada Evaluasi Kinerja Human Resources Information System (HRIS) di KPKNL Palembang

2020 ◽  
Vol 1 (2) ◽  
pp. 119-127
Author(s):  
Bunga Pertiwi ◽  
Evi Yulianingsih
Keyword(s):  
Information System ◽  
Human Resources ◽  
User Satisfaction ◽  
Current System ◽  
Employee Attitudes ◽  
System Quality ◽  
Net Benefit ◽  
Human Resources Information System ◽  
Quantitative Descriptive ◽  
Relationship Of

Human Resources Information System (HRIS) is a system that functions to manage all information related to human resources in an institution. This study aims to evaluate and assess the current system and to see the relationship of the variables in the HOT Fit method to HRIS users in KPKNL Palembang. There are three independent variables in this model, each variable has its own sub-variables. Human variables have sub-variables: System Users (PS) and User Satisfaction (KP), Organization Variables have sub-variables: Organizational Structure (SO) and Organizational Environment (LO), and Technology Variables have sub-variables: System Quality (KS), Quality Information (IC), and Service Quality (KL), In addition to the independent variable of this study there are also dependent variables, namely Net Benefit. From these variables, it will be the focus of this research. In this study the authors will use quantitative descriptive research methods by observing, interviewing, and distributing questionnaires. This study uses a Likert scale in measuring employee attitudes and perceptions of the product to be assessed. Because there are only 38 Civil Servants (PNS), all of them will be taken as samples. From this study, the authors hope that the agency can use it as a reference in perfecting the current system.

scholarly journals The Determinants of User Satisfaction of Engineering Maintenance System (EMESYS) in the Malaysian Army

2021 ◽  
Vol 7 (1) ◽  
pp. 225
Author(s):  
Nurul Shahnaz Mahdzan ◽  
Marzuki Mokhtar ◽  
Amran M. Nayan ◽  
Mohd Razif Idris
Keyword(s):  
Information System ◽  
User Satisfaction ◽  
Information Quality ◽  
Data Entry ◽  
Three Dimensions ◽  
System Quality ◽  
Information System Success ◽  
Maintenance System ◽  
Information System Success Model ◽  
Online Management

Engineering Maintenance System (EMESYS) is the online Management Information System (MIS) on equipment maintenance performed by the Royal Electrical and Mechanical Engineers (REME) Corps including maintenance on vehicle, weapon, electronic and miscellaneous equipment. This study attempts to identify the determinants of user satisfaction in adopting the EMESYS based on an information system success model by De Lone and Mc Lean (2003).  This study is important as it is the first empirical study focusing on the user satisfaction of EMESYS in the context of the Malaysian Army. The data were collected using online surveys from 309 EMESYS users. Standard multiple regressions was used to analyse the data gathered. The results of this study indicate that three of the hypothesis are supported and users’ satisfaction of EMESYS is influenced by the three dimensions, namely, system quality, information quality and IT infrastructure. EMESYS has been proven successful in transforming the tedious procedures involving multiple parties and documents to the process of a simple data entry to EMESYS.

Doctors’ Attitudes to a Computer-based Clinical Information System

1981 ◽  
Vol 20 (04) ◽  
pp. 196-199 ◽  
Author(s):  
D. W. Young
Keyword(s):  
Information System ◽  
Patient Care ◽  
Clinical Information System ◽  
Clinical Information ◽  
Medical Problems ◽  
User Attitudes ◽  
Computer Based

The results of a survey by questionary concerning user attitudes and views on the use of a computer-based clinical information system are reported. The 13 users, 8 house officers and 5 senior house officers, found the system helpful, felt that patient care was improved and that their knowledge about the investigation of acute medical problems had increased.

scholarly journals Indentifikasi Faktor-Faktor Keberhasilan Implementasi Sistem Informasi Manajemen Rumah Sakit

2016 ◽  
Vol 19 (3) ◽  
pp. 135-148 ◽  
Author(s):  
Adnika Bayu Saputra
Keyword(s):  
Service Quality ◽  
User Satisfaction ◽  
Success Factors ◽  
Hospital Environment ◽  
Successful Implementation ◽  
System Quality ◽  
Net Benefit ◽  
Human Organization ◽  
Net Benefits

Implementation SIMRS currently still experiencing problems and obstacles level of user acceptance. This study analyzed the results of evaluation of the success factors SIMRS application using HOT-Fit Model (Organization Human Technology - Net benefits). The model have been selected for this model may provide an explanation and provide identification factor of the implementation of a system in terms of Technology, Human, Organization and Net benefit. The model included eight variables consist of System Quality, Information Quality, Service Quality, Use of the System, User Satisfaction, Organizational Structure, Environmental Organizations and Net benefits (the benefit system). Based on the results of data obtained from the RS PKU Muhammadiyah Temanggung, it can be concluded that the variables that affect the successful implementation SIMRS is on the side of the variable tehnology is the quality of the system, the quality of information and service quality, while from the variable human ie user satisfaction affects the use of the system, in terms of organization variables which greatly affect the structure of the existing organizational environment. The successful implementation of SIMRS at RS PKU Muhammadiyah Temanggung influenced by the support and encouragement from the managerial to the users SIMRS conditions and the availability of adequate facilities in the hospital environment for use SIMRS. Keywords: Information System, Managemen, Hospital ABSTRAK Penerapan SIMRS saat ini masih mengalami kendala dan hambatan ditingkat penerimaan pengguna Penelitian ini melakukan analisis terhadap hasil Evaluasi faktor-faktor keberhasilan penerapan SIMRS dengan menggunakan Model HOT-Fit (Human Organization Technology – Net benefits). Model ini dapat memberikan penjelasan dan memberikan identifikasi faktor penerapan sebuah sistem dari sisi Teknologi, Manusia, Organisasi dan Net benefit. Model ini melibatkan delapan variabel yang terdiri dari Kualitas Sistem, Kualitas Informasi, Kualitas Layanan, Penggunaan Sistem, Kepuasan Pengguna, Struktur Organisasi, Lingkungan Organisasi dan Manfaat Sistem. Berdasarkan hasil yang diperoleh dari RS PKU Muhammadiyah Temanggung, maka dapat disimpulkan bahwa variabel yang mempengaruhi keberhasilan penerapan SIMRS adalah dari sisi variabel teknologi yaitu kualitas sistem, kualitas informasi dan kualitas layanan, sedangkan dari sisi variable manusia yaitu kepuasan pengguna mempengaruhi penggunaan sistem, dari sisi variabel organisasi yaitu struktur sangat mempengaruhi lingkungan organisasi yang ada. Keberhasilan penerapan SIMRS di RS PKU Muhammadiyah Temanggung dipengaruhi oleh adanya dukungan dan dorongan dari pihak manajerial kepada para pengguna SIMRS serta tersedianya kondisi fasilitas yang memadai di lingkungan rumah sakit untuk menggunakan SIMRS. Kata Kunci : Sistem Informasi, Manajemen, Rumah Sakit

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