Implementation Of HIS Research Articles

Role of Training in The Successful Implementation of Hospital Information Systems

The adoption of HIS has many benefits including reduced waiting time, errors, less paperwork and errors, and easy data retrieval and reporting. The research aims to define whether the training provided by the IT department has an effect on the successful implementation of HIS at the hospital. System and information qualities were significantly associated with the benefit of HIS. Data taken from 296 hospital employees of Mongolian Japan Hospital is used to assess the effect of the implementation of HIS on employee satisfaction and individual benefit. Training had a mediating role in enhancing the effects of system and information quality effects on net benefits perceived by employees. Assessing individual training results may lead to the effective administration of training at the hospitals.

The importance of digitalisation and data science for HIS strengthening

Abstract The COVID-19 (coronavirus disease 2019) pandemic has underscored the critical need for all countries to strengthen their health data and information systems and ensure the routes the data travel, from submission to use, are unobstructed. Timely, credible, reliable, and actionable data are key to ensuring that political decisions are data driven and facilitate understanding, monitoring, and forecasting. To ensure that critical decisions related to the wider health and socioeconomic effects of this pandemic are data driven, each country needs to develop or enhance a national data governance plan that includes a clear coordination mechanism, well-defined and documented data processes (manual or electronic), the exchange of data, and a data culture to empower users. In addition, countries should now more than ever invest and enhance their data and health information systems to ensure that all decisions are data driven and that they are prepared for what is next. Furthermore, strong enabling environments and advanced and digitized health information systems are vital to controlling epidemics. Sustainable finance and government support are required for the continued implementation and enhancement of HIS. It is important to promote digital solutions beyond the COVID-19 pandemic. Now is the time to discuss potential solutions to obtain timely, accurate, and reliable health information and steer policy-making while protecting privacy rights and meeting the highest ethical standards.

HIS Implementation in Small Hospital

Background: Budi Rahayu Hospital at Magelang City has implemented HIS in partnership with the SIMKES FKKMK laboratory of Gadjah Mada University since April 2021. During the initial four months of implementation, Budi Rahayu Hospital experienced various challenges. For understanding and overcome the challenges, it is necessary to construct a strategy of HIS implementation, and then offer a proper recommendation based on study.Methods: This study is a descriptive qualitative with action research design that describe four stages of action research i.e Diagnosing, Planning, Action, and Evaluation. On the Diagnosing stage, Author arrange an interview and discussion with Hospital Team. Next, Author plan a strategy to generate suitable recommendations for the successful implementation of HIS. In the Action stage, author conduct an implementation review and assistance. Author also manage an UAT as a evaluation stage distributed to respondents using a questionnaire. The study is performed by observing of HIS implementation from September – December 2021. The subject of this study is chosen purposively from departments involved, with total 20 end-users respondents on multiple service units to capture data in a real environtment when HIS is used for healthcare services to patients.Results: Strategic actions for smooth implementation is active involvements and collaboration from developer team and hospital team monitored by regional health services. the hospital team and developer team formed an online communication group as a place to discuss the problems encountered. There are monitoring activities that involved by regional health services, so the timeline that has been set runs according to the target and the hospital gets optimal benefits of HIS implementation. System acceptance is important for the further development of HIS. The score of HIS acceptance at Budi Rahayu Hospital is 70% based on 85% scenario that execute successfully. Based on system performance, continues maintenance and communication among implementation team, HIS can be accepted with condition of continuous improvement and adjustment.Conclusions: Active involvements and collaboration from developer team and hospital team, performance improvement and availability of the system is very crucial for user acceptance, satisfaction and overall success of HIS implementation. Keywords: HIS, Implementation, UAT

Kompjuterska pismenost i uticaj zdravstveno-informacionih sistema na rad i kontrolu kvaliteta u sestrinskoj praksi

Objective. To determine whether the method of acquiring IT knowledge affects computer literacy and how the implementation of HIS affects work and quality control. Methods. The research was conducted as a cross-sectional study, in the population of nurses. The sample consisted of 116 respondents, who voluntarily agreed to participate in the research. Results. Respondents who have formal education in informatics showed a higher level of knowledge than respondents who do not. It was established that there is a statistically significant difference in computer literacy between respondents who acquired IT knowledge in different ways. Those who rated themselves better have higher scores on the knowledge test. The data indicate the existence of statistical significance of differences depending on the self-assessment of one's own computer skills. Almost half (46.7%) of respondents believe that the implementation of HIS made work easier, while 26% of them believe that it had no impact on work or made work more difficult. The largest percentage (59.9%) of respondents believed that the health information system facilitated quality control. Conclusion. The way of acquiring knowledge has the greatest influence on the computer literacy of nurses: nurses who had formal IT education showed a higher level of computer literacy. Nurses believe that thanks to the implementation of HIS, the quality control of the provided services has been significantly improved. The majority of health workers in the initial stages of introduction, application and development of the health information system had no formal education. Nevertheless, with the support of the institutions, they made a significant contribution to the implementation of HIS in the Republic of Serbia.

Health Information Systems (HIS) Sustainable Framework

A sustainable technology is a technology that is capable of being maintained over a long period of time; independent of shifts in both hardware and software. Numbers of studies have discussed various factors contributes towards barriers to successful implementation of HIS. Through critical analysis of existing literature on success, failure and challenges of HIS adoption, this paper identifies four crucial factors that shape the sustainable HIS. This paper describes the theoretical basis behind the development of the model and methodology employed to validate the proposed model. This paper proposes a novel theoretical framework which integrates the expectation-confirmation model with the constructs identifies through literature reviews act as HIS sustainability factors. The proposed framework was tested by collecting data from three major public hospitals in Malaysia. A field studies of users who had experience using health information systems mainly medical staffs and administrative staffs were conducted. A valid 166 respondents participated to test the research model using structural equation modeling with the partial least squares method. The results show that all five proposed constructs had a significant impact on HIS continuance usage. Satisfaction had a significant impact on user continue usage of HIS. This study showed that the extended expectation conformation model effectively predicts users’ continuance usage which leads to factors discovered for sustainable HIS. The present study provides some insights for hospital management and HIS developers.

A Newly Proposed HIS Implementation Success Model for Nursing, using an Electronic Approach for Design

Despite the advantages of utilizing hospital information systems (HISs) in nursing care, and their contribution to nursing structures and care processes, the troubling issue of HIS underutilization continues. Low utilization of installed systems has been identified as a major problem in implementing information technology (IT). Unfortunately, nurses have been unwilling to apply technology to healthcare delivery, although they generally have a positive attitude toward computers. In this study, based on the Critical Success Factos (CSFs) and DeLone and McLean's Information Systems success model, an implementation framework, made up of essential elements to guide successful HIS implementation for nursing staff is proposed. This study is among the few that have tested empirically an implementation framework in the developing countries settings, and provides helpful guidelines for hospital managers in planning HIs implementation in such countries.

The creation of database pertinent to nurses/technicians at University Hospital Centre [UHC] Zagreb

The database of nurses / technicians is an important tool of the hospital information system [HIS]. Implementation of HIS allows increased level of delivering quality healthcare by nurses / technicians, and at the same time improves the level of quality in the execution of the established daily activities [health care]. Also it is a simple tool for recording the daily work activities, general and specific knowledge and competencies of nurses / technicians.

Usability Factors Assessment in Health Information System

Systems’ usability is one of the critical attribute of any system’s quality. Medical prac-titioners usually encounter usability difficulties while using a health information system like other systems. There are different usability factors, which are expected to influence systems’ usability. Errors preventions, patient safety and privacy are vital usability factors and should not be ignored while developing a health information system. This study is based on a comprehensive analysis of published academic and industrial literature to provide the current status of health information systems’ usability. It also identifies different usability factors such as privacy, errors, design and efficiency. Usability factors are then assessed. Those factors are further examined through a questionnaire to study the priorities of them from medical practitioners’ point of view in Saudi Arabia. The statistical analysis shows that the privacy and errors are very critical than the other usability factors. The study results further revealed that availability and response time are the main challenges faced by the medical practitioners when using the HIS. However, flexibility and customizability were claimed to ease the use of the HIS. In addition, a number of statistical correlations were established. Overall, the study findings seemed helpful to designers and implementers to consider these factors for successful implementation of HIS.

Making Distance Learning an Effective Health Information Systems Training Strategy: A Combined Social Network Analysis and Content Analysis Perspective

AbstractHealth Information Systems (HIS) training have been recognized as one of the important aspects of any HIS implementation which contributes to its success or failure. Providing high quality training in low resource settings have been a challenge for many HIS initiatives including for the Health Information Systems Program (HISP) with regard to its DHIS 2 implementations. In order to tackle these challenges, it was decided to introduce online distance training as a supplement to its face‐to‐face training academies. However, the interactions generated within the online training and the perceived knowledge construction was variable in different training instances. Therefore, the study made use of social network analysis (SNA) and content analysis (CA) as tools to understand the type of interactions that took place within such learning instances and the degree of knowledge constructions that was achieved through such interactions. This enabled the study to assess the best practices when utilizing online distance learning for providing HIS training in low resource settings particularly with regard to ‘short’ online training programs. The findings from the study supports the successful utilization of short online learning programs for the said purpose with adaptation of ‘best practices’ to enable participant interactions and knowledge construction.

How Health Managers' Trust Towards FOSS Implementors Changed and Shaped HIS Implantation Trajectories

In developing countries, implementation of FOSS health information systems demands participation of diverse organizational actors and, can be considered similar to software outsourcing exercise. The multi sectoral actors operate in a network form of governance model where psychological and social contracts are important in maintain the fabric of the network organization. Inter-personal and inter-organizational trust is a key constituent in psychological and social contracts in IS outsourcing. This article attempt to reflect the empirical evidence of trust based governance of the network organization around 2 FOSS HIS implantation within the state health sector with an inter-organizational trust lenses. The longitudinal case studies try to understand how health managers' trust towards FOSS implementors changed and shaped HIS implementation trajectories with long term repeated interactions during two HIS implementations in Sri Lankan context.

Survey on the Status of the Hospital Information Systems in Portugal

To diagnose the hospital information systems' situation in Portugal. Developing a survey on HIS department heads. Several weaknesses were identified in most HIS departments, such as substantial lack of people and of qualifications to deal with HIS challenges. The Nolan and McFarlan Matrix helped assess the SNS IS maturity at stage 3, characterized by the generalized lack of IS integration. The results are very relevant to explain the many delays (and conflicts) in implementing HIS and therefore the actual status of HIS in Portugal. The most successful cases of HIS implementation were recognized as related to the existence of an active CIO. Complexity theory can further define guidelines for the development of HIS that help keep the navigation towards "smart healthcare".

Computer aided surveillance and control of the Rossendorf reactor system

Abstract Activities of the ZfK Rossendorf team on reactor surveillance and control are summarized. A special implementation of the so-called HIS at the Rossendorf Reactor System is described. Some experiences are resumed; advanced approaches are indicated.