Abstract
BackgroundWe aimed to determine availability of core Hospital Information Systems (HIS) functions implemented in Turkish hospitals and the perceived importance of these functions on quality and patient safety.MethodsWe surveyed quality directors (QDs) at civilian hospitals in the nation of Turkey. Data were collected via web survey using an instrument with 50 items describing core functionality of HIS. We calculated mean availability of each function, mean and median values of perceived impact on quality, and we investigated the relationship between availability and perceived importance.ResultsWe received responses from 31% of eligible institutions, representing all major geographic regions of Turkey. Mean availability of 50 HIS functions was 65.6%, ranging from 19.6% to 97.4%. Mean importance score was 7.87 (on a 9-point scale) ranging from 7.13 to 8.41. Functions related to result management (89.3%) and decision support systems (52.2%) had the highest and lowest reported availability respectively. Availability and perceived importance were moderately correlated (r = 0.52).ConclusionQDs report high importance of the HIS functions surveyed as they relate to quality and patient safety. Availability and perceived importance of HIS functions are generally correlated, with some interesting exceptions. These findings may inform future investments and guide policy changes within the Turkish healthcare system.Financial incentives, regulations around certified HIS, revisions to accreditation manuals, and training interventions are all policies which will help integrate HIS functions to support quality and patient safety in Turkish hospitals.
Highlights
We aimed to determine availability of core Hospital Information Systems (HIS) functions implemented in Turkish hospitals and the perceived importance of these functions on quality and patient safety
Decision Support System (DSS) applications are embedded in the HIS and aim to detect critical situations or errors in care, and notify the clinician perhaps with additional information to assist with clinical decisions [4, 47]
Institutional characteristics and response rates are reported in Table 1. 1486 hospitals were invited to participate, and we collected 464 responses representing all major geographic regions and 74 of 81 (91%) of provinces in Turkey
Summary
We aimed to determine availability of core Hospital Information Systems (HIS) functions implemented in Turkish hospitals and the perceived importance of these functions on quality and patient safety. The second report focuses more broadly on how the healthcare delivery system can be redesigned to innovate and improve care [2]. Both reports suggest making effective use of Modern healthcare makes wide use of information technology [16, 17]. According to the IOM, HIT must play a central role in the redesign of the healthcare system if a substantial improvement in quality is to be achieved over the coming decade. The imperatives of improving documentation, reducing error, and empowering patients will continue to use of information technology in healthcare.
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