Determining Hospital Information System (HIS) Success Rate: Development of a New Instrument and Case Study

Ebnehoseini, Zahra; Tabesh, Hamed; Deldar, Kolsoum; Mostafavi, Sayyed Mostafa; Tara, Mahmoud

doi:10.3889/oamjms.2019.294

Cited by 19 publications

(12 citation statements)

References 34 publications

(55 reference statements)

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“…The Cronbach alpha for information quality was 0.72 and 0.61 in Tabesh and Tara study. The correlation between this construct and user satisfaction was significant in Tara study (correlation coefficient was 0.319) ( 20 , 22 ).…”

Section: Discussionmentioning

confidence: 98%

Information System Success of the Iranian Integrated Health Record System Based on the Clinical Information System Success Model

Bitaraf

Janani

Hajebi

et al. 2022

Med. J. Islam. Republ. Iran

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Background: The Integrated Health Record System, locally known as the "SIB," is the most used information system for recording public health services provided to the Iranian population. The objective of this study was to evaluate the success rate of the SIB using the Clinical Information System Success Model (CISSM). Methods: This is a psychometric and evaluation study. The CISSM has a 26-item instrument that assesses 7 constructs in 3 following stages: (1) the socio-technical stage (facilitating conditions, social influence, information quality, and system performance(; (2) the integrated stage (system use dependency and user satisfaction); and (3) success outcome stage (net benefit). A Persian version of the CISSM instrument was validated and applied in this study. Based on this instrument, the reliability and the validity of the CISSM were assessed. The SIB success rate was evaluated using a validated CISSM. The study participants were 758 SIB users from different disciplines and different levels. Results: Assessment of content validity, construct validity, internal consistency, and test-retest reliability showed acceptable psychometric properties of the CISSM instrument. The results demonstrated that the SIB success rate was in the moderate range (59.6%). Facilitating conditions and information quality were strong predictors of use dependency and user satisfaction, while both of these 2 constructs significantly influenced net benefit. Conclusion: The SIB success was in the moderate range, and it needs to be enhanced. Therefore, Iranian healthcare policymakers should consider working on the most important factors influencing SIB success (facilitating conditions, information quality, use dependency, and user satisfaction) to improve SIB success.

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Section: Discussionmentioning

confidence: 98%

Information System Success of the Iranian Integrated Health Record System Based on the Clinical Information System Success Model

Bitaraf

Janani

Hajebi

et al. 2022

Med. J. Islam. Republ. Iran

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“…Finally, the mean of the hospital EHR success rate was categorized as follows: 1- Appropriate (75% ≤ hospital EHR success rate), 2- Moderate (50% ≤ hospital EHR success rate < 75%), 3- Low (25% ≤ hospital EHR success rate < 50%), and 4- Poor (coverage rate < 25%). For more details about the hospital EHR success rate measurement, see our previous papers [ 30 , 31 ].…”

Section: Methodsmentioning

confidence: 99%

Development an extended-information success system model (ISSM) based on nurses’ point of view for hospital EHRs: a combined framework and questionnaire

Ebnehoseini

Tabesh

Deghatipour

et al. 2022

BMC Med Inform Decis Mak

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Background Understanding the hospital EHR success rate has great benefits for hospitals. The present study aimed to 1-Propose an extended-ISSM framework and a questionnaire in a systematic manner for EHR evaluation based on nurses’ perspectives, 2-Determine the EHR success rate, and 3-Explore the effective factors contributing to EHR success. Methods The proposed framework was developed using ISSM, TAM3, TTF, HOT-FIT, and literature review in seven steps. A self-administrated structured 65-items questionnaire was developed with CVI: 90.27% and CVR: 94.34%. Construct validity was conducted using EFA and CFA. Eleven factors were identified, collectively accounting for 71.4% of the total variance. In the EFA step, 15 questions and two questions in EFA were excluded. Finally, 48 items remained in the framework including dimensions of technology, human, organization, ease of use, usefulness, and net benefits. The overall Cronbach’s alpha value was 93.4%. In addition, the hospital EHR success rate was determined and categorized. In addition, effective factors on EHR success were explored. Results In total, 86 nurses participated in the study. On average, the “total hospital EHR success rate” was moderate. The total EHR success rates was ranging from 47.09 to 74.96%. The results of the Kruskal–Wallis test showed that there was a significant relationship between “gender” and “self-efficacy” (p-value: 0.042). A reverse relation between “years of experience using computers” and “training” (p-value: 0.012) was observed. “Years of experience using EHR” as well as “education level” (p-value: 0.001) and “ease of use” had a reverse relationship (p-value: 0.034). Conclusions Our findings underscore the EHR success based on nurses’ viewpoint in a developing country. Our results provide an instrument for comparison of EHR success rates in various hospitals.

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“…The first part included four demographic questions (about age, gender, specialty of the user, computer systems familiarity) while the second part included twenty-two questions to assess six factors of the DeLone & McLean evaluation model [7]. The questions were based on other surveys using the DeLone & McLean evaluation model and were translated in Greek language [8][9][10][11][12][13][14]. The factors that where examined were "information quality", "system quality", "service quality", "system usage" ("use"), "user satisfaction", "perceived benefits from using the system" ("benefits").…”

Section: Methodsmentioning

confidence: 99%

“…The System "Benefits" refers to the benefits that system can offer and is an important aspect of the overall value of the system to its users or organization [7]. The IS success model has been broadly used for information systems assessment in several domains and in healthcare domain too [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Chios Hospital Information System Assessment

Karitis

Gallos

Triantafyllou

et al. 2021

Applying the FAIR Principles to Accelerate Health Research in Europe in the Post COVID-19 Era

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A very important aspect for organizations that provide healthcare services is to have fully functional and successful information systems. A successful hospital information system can contribute to high quality healthcare services provided to the patients of the hospital. In this paper, is presented the evaluation of the information system of Chios Hospital, “Skylitsio”. The survey was conducted using a questionnaire which consists demographic questions and questions that measure the factors of the DeLone & McLean success model. The participants of the survey were 71 users of the clinical information system. Cronbach’s alpha reliability test, descriptive statistics, and further data analyses to investigate the relations between the factors of the DeLone & McLean success model were performed. Based on the results, the users of the information system are satisfied with it, as well as they find the system useful and easy to use. The average value of the “information quality” is 3.78 out of 5, the “system quality” is 3.61, the “service quality” is 3.45, the “use” is 3.83, the “user satisfaction” is 3.46, and the “user benefit” is 3.76. The research concludes with a validation of the DeLone & McLean success model and it seems that the information system of the General Hospital of Chios is successful based on the users’ opinions.

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Determining Hospital Information System (HIS) Success Rate: Development of a New Instrument and Case Study

Cited by 19 publications

References 34 publications

Information System Success of the Iranian Integrated Health Record System Based on the Clinical Information System Success Model

Information System Success of the Iranian Integrated Health Record System Based on the Clinical Information System Success Model

Development an extended-information success system model (ISSM) based on nurses’ point of view for hospital EHRs: a combined framework and questionnaire

Chios Hospital Information System Assessment

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