Hospital Information Systems (HIS) in the Examination Rooms and Wards: Doctors Perceived Positive Impact on Quality of Care and Patient Safety

Salahuddin, Lizawati; Ismail, Zuraini; ., .

doi:10.14419/ijet.v7i2.29.14274

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…The stages of an EHR maturity system are disparate between the developed and developing nations including Malaysia. While developed countries have advanced ICT infrastructure supported by clear and trusted policy and regulations on patient privacy, as well as standards and interoperability, Malaysia is still lagging behind due to ineffectively exchanging clinical data between their health departments, hospitals, and clinics due to privacy concerns, poor IT hardware and networking infrastructure, frequent disruptive systems, di culty in integrating with legacy systems, lack of interoperable systems between different hospitals, and absence of an interoperability standard [10,13,15]. As Malaysia has used THIS for more than two decades, its level of maturity is greater.…”

Section: Adoption Of the Ehr System In Malaysiamentioning

confidence: 99%

Evaluating the Effects of Electronic Health Records System Adoption on the Performance of Malaysian Health Care Providers

Salleh

Abdullah

Zakaria

2020

Preprint

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Background: The Ministry of Health of Malaysia has invested significant resources to implement an electronic health record (EHR) system to ensure the full automation of hospitals for coordinated care delivery. Thus, evaluating whether the system has been effectively utilized is necessary, particularly regarding how it predicts the work performance of health care providers. Methods: Convenience sampling was employed for data collection in three government hospitals for seven months. A standardized efficacy survey for EHR systems was administered to primary health care providers (specialists, medical officers, and nurses) as they participated in medical education programs. Empirical data were assessed by employing partial least squares-structural equation modeling for hypothesis testing.Results: The results demonstrated that knowledge quality had the highest score for predicting performance and had a large effect size, whereas system compatibility was the strongest component of system quality. The findings indicated that EHR systems supported the clinical tasks and workflows of care providers, which increased system quality, whereas increased quality of knowledge improved user performance. Conclusion: Given these findings, knowledge quality and effective use should be incorporated into the evaluation of EHR system efficacy in health institutions. Data mining features can be integrated into current systems for easily and systematically generating health populations and disease trend analysis, improving clinical knowledge of care providers and aiding in maintaining their productivity. The validated survey instrument can be further tested with empirical surveys in other public and private hospitals with different interoperable EHR systems.

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Section: Adoption Of the Ehr System In Malaysiamentioning

confidence: 99%

Evaluating the Effects of Electronic Health Records System Adoption on the Performance of Malaysian Health Care Providers

Salleh

Abdullah

Zakaria

2020

Preprint

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“…7 One of the new and important concepts in the healthcare system is the use of information systems and technologies to improve the quality and safety of patient care. [8][9][10] Nurses are directly involved in information systems and information technology as a basis for evidence-based practice, clinical decision support (CDS) systems, and electronic health records (EHR). [11][12][13][14][15][16] Nurses who are sufficiently capable in information systems and computer literacy have more opportunities to provide quality patient care.…”

Section: Introductionmentioning

confidence: 99%

Nursing informatics competencies in critical care unit

Zareshahi

Mirzaei

Nasiriani

2022

Health Informatics J

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Nurses need professional competencies for safe and effective care. In this regard, nursing informatics competence is a significant need for intensive care unit nurses. In this study, the Delphi method was used during four rounds. The participants included 30 panelists selected by purposive sampling method. The data were analyzed using qualitative content analysis and descriptive statistics. During the rounds, the items were evaluated for importance, necessity, relevancy, and percentage of agreement. The findings of nursing informatics competencies in the intensive care units (ICU) were classified in three categories including basic computer skills (7 subcategories and 20 items), skills to use information management software (2 subcategories and 9 items), and specific nursing informatics skills (2 subcategories and 22 items). In order for nurses to perform successfully in ICU, they must meet some abilities such as computer skills, available software management, nursing information systems familiarity, nursing databases, web search methods, and English proficiency.

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“…HISs have been widely implemented in many hospitals to support the efficient delivery of health care. The HIS has resulted in positive outcomes in relation to the accessibility of patients' records, efficient patient care, legibility of patients' records, and patient safety . On the other hand, the HIS can result in unfavourable outcomes when it is poorly designed, implemented, or adopted .…”

Section: Introductionmentioning

confidence: 99%

Exploring the contributing factors to workarounds to the hospital information system in Malaysian hospitals

Salahuddin

Ismail

Ghani

et al. 2019

Evaluation Clinical Practice

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Objectives: The objective of this study was to identify the factors influencing workarounds to the Hospital Information System (HIS) in Malaysian government hospitals. Methods: Semi-structured interviews were conducted among 31 medical doctors in three Malaysian government hospitals on the implementation of the Total Hospital Information System (THIS) between March and May 2015. A thematic qualitative analysis was performed on the resultant data to deduce the relevant themes. Results: Five themes emerged as the factors influencing workarounds to the HIS: (a) typing skills, (b) system usability, (c) computer resources, (d) workload, and (e) time. Conclusions: This study provided the key factors as to why doctors were involved in workarounds during the implementation of the HIS. It is important to understand these factors in order to help mitigate work practices that can pose a threat to patient safety.

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Hospital Information Systems (HIS) in the Examination Rooms and Wards: Doctors Perceived Positive Impact on Quality of Care and Patient Safety

Cited by 4 publications

References 22 publications

Evaluating the Effects of Electronic Health Records System Adoption on the Performance of Malaysian Health Care Providers

Evaluating the Effects of Electronic Health Records System Adoption on the Performance of Malaysian Health Care Providers

Nursing informatics competencies in critical care unit

Exploring the contributing factors to workarounds to the hospital information system in Malaysian hospitals

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