Implementation Of Hospital Information System Research Articles

UI/UX Design of The ENC Application as Electronic Nursing Care in Clinical Practice Education for Nursing Students in Hospitals.

The implementation of hospital information systems in the digitalization-based era, including medical records, currently shows that there is a need for nursing education to focus on information education, including developing electronic-based practical student nursing care applications. This research aimed to design the user interface and user experience of electronic nursing documentation, named "The ENC". The ENC (electronic nursing care) with a design thinking approach. Designing the user interface (UI) and user experience (UX) used a design thinking approach consisting of empathize, define, ideate, prototype and test. Data collection was carried out at the empathize stage using content questionnaires and interviews. UI/UX design using the Figma application. Application testing with nursing student users based on predetermined scenarios. The ENC (electronic nursing care) application design uses the design thinking method to produce an application prototype that adapts to the needs of nursing students. To validate the efficacy of The ENC application, testing was conducted with nursing student users through predetermined scenarios. The design thinking approach facilitated the creation of an application prototype attuned to the specific requirements of nursing students. Following this, a comprehensive survey involving 30 nursing students was conducted to assess usability, quality, and satisfaction with the application's UI/UX, thereby capturing both positive and negative feedback. The ENC application adapts to the needs of nursing students to ease the transition from paper-based to electronic-based documentation, increase acceptance of the application, and increase its use in the clinical environment.

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.

Implementation of Hospital Information System in Psychiatry

Considering the growing awareness and acceptance towards mental health, the COVID-19 pandemic opened new windows to incorporate technology into psychiatry. With reduced hospital visits and social distancing being the new normal implementation of the Hospital Information System (HIS) for secure and easy data storage or transfer, the record of multiple hospital areas has become necessary. Mental health is still taboo in developing countries like Pakistan; therefore, developing a HIS system for psychiatry must be taken forward with high data security. This article proposes a HIS system built for psychiatric clinics or therapy centres on a cloud-based platform to make it cost-effective for low-medium income countries like Pakistan. A survey was conducted to determine the feasibility of this proposal in which 70 people participated through an online platform. Results were analysed using SPSS 26.0, which concluded that 81.4% of the respondents agreed on implementing HIS into psychiatric clinics, while 12.9% of respondents were unsure.

An evaluation of the risk factors associated with implementing projects of health information technology by fuzzy combined ANP-DEMATEL.

Application of a Clinical Information System (CIS) like Electronic Patient Record (EPR), PACS system and CPOE has turned into one of the most important criteria of priorities of health care systems. The aims of the clinical information system include improving the physicians' efficiency level, integrating the caring process, and expanding the fuzzy quality of the services offered to patients. Achievement of these benefits in reality is not an easy task, and there are lots of plans in this field which are doomed to failure. About 50% of the implementation plans of clinical information systems in health care organizations have failed, and this trend is significantly affecting industrial countries. Proper implementation of hospital information systems lies in identifying and assessing the relationships among the most important risk factors of fuzzy. The present study aimed to provide an applicable model for identifying, ranking and evaluating the risk factors associated with projects of clinical information technology in hospitals of Shiraz University of Medical Sciences. This is an applied study which evaluates the risk factors associated with implementation of clinical information technology projects in hospitals of Shiraz Medical Sciences University. The participants consisted of professionals and senior experts of clinical information technology. Fuzzy logic was used in this study. We also applied ANP-DEMATEL combined model with fuzzy procedure to provide the analytic model of the study. According to the study findings, lack of top-executive supports, and unstable organizational environment were the two most important risk factors, while the main organizational factors and technology were also highly important. In addition, the factors associated with technology had the highest influence on the other studied risk factors. Hospital authorities can benefit from this proposed model to reduce the risk of implementing the projects of clinical information technology and improve the success coefficient of the risk of such projects.

Implementation of Hospital Information System in Research Institute of Ophthalmology, (Ministry of Higher Education and Scientific Research), Giza, Egypt. A situation analysis study.

Implementation of Hospital Information System in Research Institute of Ophthalmology, (Ministry of Higher Education and Scientific Research), Giza, Egypt. A situation analysis study.

THE CHALLENGES OF HOSPITAL INFORMATION SYSTEM IMPLEMENTATION: A CASE STUDY OF A PUBLIC HOSPITAL IN INDONESIA

The Indonesian government has mandated using the Hospital Information System (HIS) since 2013. Until now, not all hospitals in Indonesia have implemented HIS, however. Some barriers have prevented them from applying HIS. This study explores the opportunities and barriers regarding implementing the Hospital Information System (HIS) in Indonesia through a public hospital case study. This study applied a qualitative approach. The approach used interviews to gather data using a pre-tested interview guideline. The guideline used several constructs to structure the questions, i.e., predisposing, enabling, reinforcing, barrier, and projected behavior. Participants were different types of HIS users in the studied hospital, i.e., physician, nurse, pharmacist, administrators, laboratory personnel, and Information Technology (IT) personnel. Data were transcribed verbatim and analyzed thematically. The interviews involved twenty-one participants. Nine themes describe HIS implementation challenges in this case study, i.e., familiarity, flexibility, empowerment, discipline, facilities, data sharing, quality assurance, pragmatism, and capacity building. Pragmatism could be a barrier, while the other values would be opportunities. These challenges are promising in guiding HIS implementation success. The values found in this study convince that HIS implementation in Indonesia is promising. Those challenges are required to be taken into account to implement HIS successfully.

Implementation of Hospital Information System in Research Institute of Ophthalmology, (Ministry of Higher Education and Scientific Research), Giza, Egypt - A situation analysis study.

Implementation of Hospital Information System in Research Institute of Ophthalmology, (Ministry of Higher Education and Scientific Research), Giza, Egypt - A situation analysis study.

Implementation of Hospital Information System in Indonesia: A Review

Objective: The government of Indonesia has mandated the use of the Hospital Information System (HIS) since 2013. Previous research has revealed the various factors of success and failure of HIS implementation in Indonesia. This variation is due to the uniqueness and characteristics of each hospital. Therefore, this review aims to provide a clearer picture of Indonesia's HIS implementation's main factors. Methods: This review included literature in the area of interest. i.e., the HIS implementation in Indonesia, which was published from 2009 to 2019. The literature was searched within the Indonesian and international databases through their websites. The article selection was conducted by two researchers independently, using these two inclusion criteria, i.e.,1) original and peer-reviewed research, 2) research investigating HIS's implementation involving a case study at a hospital in Indonesia, 3) articles are in the national language (Bahasa Indonesia) and English, 4) full-text versions are accessible by the researchers. The selection process from the two researchers resulted in a Kappa value of 0.882. The content approach was used to review the literature searched. The Hot-fit (Human-Organization-Technology) concept was applied as a theoretical framework of the review process. Results: Fifty-two articles were identified. Through the selection process, 33 articles fitted the criteria for review. The findings show more success stories than failure factors in the HIS implementation in Indonesia. An essential lesson that can be learned from this review is that the organization's role is crucial in assuring HIS implementation's success by conducting adequate planning, monitoring, and evaluating the HIS implementation. Conclusion: The provision of technology and the organization's support that meets the user's demands and expectations is crucial to assure HIS's implementation benefit.

The antecedents of effective use of hospital information systems in the chinese context: A mixed-method approach

Hospital information system (HIS) implementation has become an important part of health informatics construction in China. However, effective use of HIS in the Chinese context has scarcely been discussed in the academic literature. Drawing upon Burton-Jones and Grange's (2013) effective use theory, this paper investigates the antecedents of medical workers’ effective use of HIS and the relationships between the antecedents in the Chinese context from a post-acceptance perspective. It employs a mixed-method approach in which a qualitative study was conducted to identify the antecedents and to develop the hypotheses, and a quantitative study was conducted to verify the hypotheses. The qualitative data (from in-depth interviews) and quantitative data (from a questionnaire survey) were collected from five public hospitals in north-eastern China. The meta-inferences from this study show that: (i) effective use of HIS is jointly determined by self-efficacy, management support, information quality and system quality; (ii) management support strengthens the effect of self-efficacy on effective use of HIS for female workers but not for male workers; and (iii) self-efficacy has a significant positive effect on female workers’ effective use of HIS but is not significant for male workers, while information quality has a significant positive effect on male workers’ effective use of HIS but is not significant for female workers. This paper extends effective use theory and enriches HIS research with practical implications for HIS implementation in China and other developing countries.

Analysis of Hospital Information System Implementation Using the Human-Organization-Technology (HOT) Fit Method: A Case Study Hospital in Indonesia

Background and purpose: The implementation of Hospital Information System (HIS) is important to achieve strategic objectives based on quality services. For this reason, an evaluation is needed to find out how the benefits of HIS in the hospital work unit. This study uses the evaluation framework of Human, Organization, Technology (HOT) Fit which was introduced by Yusof in 2008.
 Methods: This research method was carried out using a mixed method approach where the quantitative approach was processed by using Partial Least Square. The sample was obtained through proportionate stratified random sampling, namely 201 respondents who were employees of HIS users in MHJS hospital. The research instrument used a questionnaire and was measured using a Likert scale
 Results: Based on the results of the t-statistic test, there is a misfit which appears in the insignificant direct effect between service quality on user satisfaction (p-value 0.062), service quality on system use (p-value 0.063), organizational structure for system use (p-value 0.492) and user satisfaction with system usefulness (p-value 0.188).
 Conclusions: It is necessary to improve the service quality because does not significantly influence user satisfaction and system use. System quality provides a dominant influence on user satisfaction, the use of systems and organizational structures so that management plays a very important role in the implementation of HIS in MHJS hospital.

Analisis SIMRS Dengan Metode PIECES Di RSU Dr. H. Koesnadi Bondowoso

Hospital Information System (HIS) is an important component to improve hospital service quality. HIS at General Hospital Dr. H. Koesnadi Bondowoso has been running for about 5 years since 2015. HIS implementation is not optimal because there are still various problems in its implementation. The problem such as errors in printing reports so users must create reports manually. This research was aimed to analyze the application of hospital information systems using the PIECES method. This type of research is qualitative. It showed that the information Hospital Information System (HIS) performance results based on aspects of performance Hospital Information System (HIS) performance goes according to user needs, information aspects of information generated accurately, aspects of economics have produced economic value, running control aspects related to control and system security, efficiency aspects have provided efficiencies in its application, service aspect has made it easy for system users. Based on aspects of Performance, Information, Economic, Control, Efficiency, and Service Hospital Information System (HIS) performance has been running according to user needs, but it is not free from various problems, so there needs a efforts to improvement and development of Hospital Information System (HIS) through the recommendation of researchers so that Hospital Information System (HIS) can maintain quality and improve service quality to patients.

The complexity of the hospital information system (HIS) and obstacles in implementation: A mini-review

The aims are to identify the complexity of the building and the obstacles in the implementation of the HIS. The search in four databases, "PubMed," "Science Direct," and "Web of Science," published between 1982 and 2017. Focus on the obstacles and the building of HIS, within the hospital environment. The obstacles to implementation are varied. From the lack of training, the lack of IT support, and the lack of electricity. The complexity of the system, which ranges from one department to all departments (whole hospital) implementation, will also affect the cost. Studies found that there is a simple and also complex system. This complex system connected with other systems within the hospital (i.e. EMR connected with CPOE, radiology information system, etc.). The HIS implementation should be planned thoroughly and carefully, covering the aspect of hardware-software, data, users, and also policy.

Assessing the risk of hospital information system implementation using IVIF FMEA approach

ABSTRACT At present, healthcare industry in general and hospitals in particular are in need of automated information systems to capture, document, store, manage, and transfer large amounts of information related to the health of individuals as well as the wide array of business and organizational activities that take place in the health sector. Despite of many benefits of implementing HIS which is a costly implementation, the HIS project, however, sometimes fails. The importance of the HIS failure and the preventive methods in this regard has made the researchers examine the failure factors of the IS. In the current study, the FMEA technique was used in an Interval-Valued Intuitionistic Fuzzy environment to evaluate the HIS failure causes. The results of the proposed approach indicated that six factors are of paramount importance in HIS failure causes: non-commitment of senior management, lack of project maintenance budget, senior management change, non-commitment (accountability) of users, inconsistency between company culture and change requirements (compatibility), and improper software development.

Adoption of Hospital Information System Among Nurses: a Technology Acceptance Model Approach.

Introduction:The successful implementation of Hospital Information Systems (HIS) depends on user acceptance. Nurses are the largest group of HIS users in hospitals. This study aims to evaluate some factors may affect the utilization of the Hospital Information System.Aim:To explore factors that contribute to using of Hospital Information System.Methods:In this cross-sectional study, 325 nurses from training Hospitals affiliated with Lorestan University of Medical Sciences (LUMS) were chosen. A valid and reliable structured questionnaire based on Technology Acceptance Model 1&2 and Unified Theory of Acceptance and Use of Technology was used as the data collection tool. Descriptive statistics, Correlations analysis, multiple regression analysis, path analysis technique, Structure Equation Model using AMOS software was used to examine factors that influenced the Adoption of Hospital Information System.Results:The findings indicate a significant direct relationship between Management Support and Perceived Usefulness of HIS. Perceived Usefulness has a significant effect on attitudes. While there was no significant effect of perceived ease of use on attitude. Attitude has a significant effect on behavioral intention.Conclusion:This research provides a tool to realize what factors undertake the behavioral intention of healthcare professionals to use hospital information system and how this may affect future use.

Examination of the Important Factor during Implementation of the Medical Equipment and Hospital Information System Using the Correlation Analysis

During medical equipment and hospital information system implementation in small- and medium-sized hospitals, the system introduction often advances after system selection by the management. However, in reality, the requirements of the systems between the management and staff layers were different. Therefore, the system did not often satisfy staff demands, resulting in increased dissatisfaction of the staff for the system. It was important to consider the staff's opinion at the selection of the system manufacturer, vendor, and system to resolve their dissatisfaction for a system. In this study, we let the staff decrease these dissatisfactions in selecting a system manufacturer, vendor, and a system at the system implementation. Therefore, we consider a more useful system implementation method through the staff's motivation building by the questionnaire result analysis. The questionnaire was carried out after each event in relation to system implementation. The enforcement of event for system implementation was useful for the staff's motivation building, because we can consider the staff's opinion with staff understanding. During system implementation, it was important and/or necessary for building the staff's motivation for the success of the system implementation and to utilize it after the implementation.

Factors Affecting Drugs Stock Void in Karsa Husada Batu Hospital: What and How?

Abstract: Data of pharmaceutical quality indicator in Karsa Husada Batu Hospital in January-August 2017 showed non-conformance indicator of drug stock void figure with standard. Based on this, in this present study aim to analyze the factors that influence the occurrence of drug stock void. The research used descriptive method. The results of the study indicate that there are five problems causing the occurrence of drug stock void, the coordination between units not yet running, the implementation of the pharmaceutical HIS that has not been operated, the flow of procurement that has not run optimally, the reporting system of drug stock in the unused user unit and the lack of pharmaceutical personnel in the procurement of drug stock. FGD results indicate the need for plan of action. Short-term programs include daily drug stock reporting and analysis of drug procurement flow. Long-term program in the form of pharmaceutical HIS evaluation, data configuration procedure and report into existing pharmaceutical HIS and conduct socialization/training of pharmaceutical HIS that has been configured. Keywords: pharmaceutial service standard, drug stock void, pharmaceutical Hospital Information System (HIS).

Applied Criteria of Hospital Information Systems in Organizational Evaluation: A Systematic Review Protocol

Introduction: Through new and expanding technologies, the development of health information technology in today’s society is indisputable, and the use of this technology has led to the production of various products with a variety of capabilities. One of these products is the Hospital Information System. Regarding the impact of organizational factors on the successful implementation of hospital information systems and the lack of comprehensive criteria for assessing them, the purpose of this study was to determine the criteria of hospital information systems involved in organizational evaluation.Methods: Data sources included the following databases: pubmed, scopus and cochrane library. In addition, other sources were searched for ongoing studies and grey literature. Studies were independently screened for eligibility by 2 reviewers and data extraction was done by 2 people. The language limitations for article wasn’t considered, the reference of the articles that selected, review and related articles were selected. After completing the search, all the articles were entered in to EndNote, and duplicates were deleted. The Prisma protocol was used to report.Results and Dissemination: A specific and precise checklist was being prepared and developed, which is an appropriate guide to assess hospital information system from an organizational dimension in health technology assessment. The results of the study were published in a peer-reviewed journal and presented at relevant conferences. Policy makers and healthcare decision-makers can use these results.

Variations in Oncology Consultations: How Dictation Allows Variations to be Documented in Standardized Ways

In-between 2016 and 2017 a new hospital information system (HIS) was introduced at several hospitals in Denmark radically changing the core work practices for a majority of the healthcare professionals. Promptly, the new HIS began to receive criticism from healthcare professionals for failing to live up to proclaimed expectations. To fully understand the problems experienced by the healthcare professionals we need to understand the fundamental nature of the work prior to the implementation. In this paper, we investigate patient consultations as they were performed prior to the implementation of the HIS at an oncology department. Reporting from a 1.5 year-long study, we find patient consultations were organized in three sequential activities: review, interaction, and documentation. Further, we find that the dictaphone served as a key artifact allowing physicians to enact flexibility in documentation while simultaneously providing them with the capability to communicate and coordinate with the medical secretaries. Our empirical findings suggest that the medical secretaries are critical for structured documentation of variations in health data and are the cornerstones that allow physicians to enact sentimental efforts when interacting with patients. These insights prove important in understanding the criticism aimed at the new HIS implementation since the implementation removed the dictaphone as a key artifact and instead introduced a new organizational structure where documentation was assumed accomplished in parallel with patient interaction. The transformation consequently shifted work, previously performed by the medical secretaries, to the physicians.

An evaluation model for the implementation of hospital information system in public hospitals using multi-criteria-decision-making (MCDM) approaches

Background: Hospital Information System (HIS) is implemented to provide high-quality patient care. The aim of this study is to identify significant dimensional factors that influence the hospital decision in adopting the HIS.Methods: This study designs the initial integrated model by taking the three main dimensions in adopting HIS technology. Accordingly, DEMATEL was utilized to test the strength of interdependencies among the dimensions and variables. Then ANP approach is adapted to determining how the factors are weighted and prioritized by professionals and main users working in the Iranian public hospitals, involved with the HIS system.Results: The results indicated that “Perceived Technical Competence” is a key factor in the Human dimension. The respondents also believed that “Relative Advantage," “Compatibility” and “Security Concern” of Technology dimension should be further assessed in relation to other factors. With respect to Organization dimension, “Top Management Support” and “Vendor Support” are considered more important than others.Conclusion: Applying the TOE and HOT-fit models as the pillar of our developed model with significant findings add to the growing literature on the factors associated with the adoption of HIS and also shed some light for managers of public hospitals in Iran to successfully adopt the HIS.

Hospital information system user acceptance factors: User group perspectives

ABSTRACTThis study aimed to identify and rank user acceptance factors regarding the implementation of hospital information systems (HIS) based on the views of the following user groups: doctors, nurses, hospital management, and administrative staff (operators). The results should provide guidance for hospital management and HIS developers on meeting user requirements. The study was carried out using both qualitative and quantitative methods. The authors conducted interviews and distributed questionnaires to doctors, nurses, hospital management, and administrative staff in a government-owned Indonesian public hospital. Entropy measurements were used to analyze the questionnaire data. The study identified 15 important HIS user acceptance factors, which were ranked differently by each user group. The results show that non-technological dimensions, such as human and organizational dimensions, influence HIS user acceptance to a greater extent than technological dimensions. More work should be carried out to gain a better understanding of the relationship between user acceptance factors in order to increase the success of HIS implementations.