Identifying and prioritizing the needed reforms at the hospital information system from the users’ perspective: A Case Study in Imam Reza Hospital in Mashhad in 2015

authors:

avatar Ali khorsand 1 , avatar Mehdi Yousefi 2 , avatar Somayeh Fazaeli 3 , * , avatar Mohsen Shokohizadeh 4 , avatar Seyed Masoud Sadati 4 , avatar Abdullah Bahrami 5

Department of Complementary and Chines Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Social determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Medical Records and Health Information Technology , school of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Information Technology, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Internal Medicine, Mashhad University of Medical Sciences Mashhad, Mashhad, Iran
Journal of Clinical Research in Paramedical Sciences: Vol.5, issue 4; e81561
published online: January 12, 2017
article type: Research Article
received: May 19, 2017
accepted: October 19, 2017

how to cite: khorsand A , Yousefi M, Fazaeli S , Shokohizadeh M , Sadati S M , et al. Identifying and prioritizing the needed reforms at the hospital information system from the users’ perspective: A Case Study in Imam Reza Hospital in Mashhad in 2015. J Clin Res Paramed Sci. 2017;5(4):e81561. 

Abstract

Introduction: Inevitable benefits of hospital information systems (HIS) has led the hospital processes to be highly depended on it. Accordingly, the analysis of these systems is necessary. This study aimed at Identifying and prioritizing the needed reforms at the HIS from the users’ perspective in Imam Reza hospital in Mashhad.
Methods: This was a cross-sectional descriptive study. Initially, using the literature review and focus group discussion, a list of functional capabilities for evaluating HIS was made. Then, these capabilities were reviewed and rated according to two aspects: presence or absence of capabilities and the level of importance. Finally, these HIS capabilities were divided into six general categories: from the first class priorities (capabilities that not exist and have a high importance) to the sixth class priorities (capabilities that exist appropriately but have a low importance). Therefore, subsystems that needed the most improvement were identified.
Results: In the first phase of the study, 651 capabilities were identified. Among these capabilities, about 48% were put in the first priority class to establish and upgrade the system.  These capabilities were absent in the current HIS of Imam Reza hospital. About 30% of the reviewed capabilities were in a suitable condition.
Conclusion: The ongoing developments in information technology in hospitals has made HIS improvements in them inevitable. Among the requirements for Imam Reza hospital were planning for the development of HIS for subsystems such as: hospital personnel information, decision support system, telemedicine, reporting to the management and HIS management.

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References

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