Implementing electronic health system in Nigeria: perspective assessment in a specialist hospital

Alobo, Gabriel; Soyannwo, Tolulope; Ukponwan, Godwin; Po, Akogu Simon; Akpa, Abubakar Matthew; Ayankola, Kazeem

doi:10.4314/ahs.v20i2.50

Cited by 15 publications

(18 citation statements)

References 12 publications

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“…In total, 43% (6/14) of these studies [53,56,66,73,93,98] included survey items about EMR preventing errors in patient care, especially mistakes associated with medications. One study in a large specialist hospital in Nigeria (n=35 health care workers) found that the EMR made clinicians "more prone to errors" [80]. Similarly, Kaipio et al [66] found that less than half of the surveyed physicians (44.7%) and nurses (40.2%) agreed with the following statement: "IT systems help in preventing errors and mistakes associated with medication."…”

Section: Patient Safety and Delivery Of Carementioning

confidence: 99%

“…Of the 41 quantitative studies that investigated the clinician experience, 24 (59%) included an overall EMR satisfaction metric, and 71% (17/24) of these studies reported a positive sentiment [47,49,59,60,62,70,72,73,76,79,80,85,[87][88][89]98,101]. For instance, Kutney-Lee et al [76] used the registered nurse forecasting study (RN4CAST-US) nursing survey with 12,377 nurses across 353 hospitals and found a 74.9% "satisfaction with current EMR."…”

Section: Clinician Satisfaction With the Emrmentioning

confidence: 99%

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The Impact of Digital Hospitals on Patient and Clinician Experience: Systematic Review and Qualitative Evidence Synthesis

Canfell,

Woods,

Meshkat

et al. 2024

J Med Internet Res

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Background The digital transformation of health care is advancing rapidly. A well-accepted framework for health care improvement is the Quadruple Aim: improved clinician experience, improved patient experience, improved population health, and reduced health care costs. Hospitals are attempting to improve care by using digital technologies, but the effectiveness of these technologies is often only measured against cost and quality indicators, and less is known about the clinician and patient experience. Objective This study aims to conduct a systematic review and qualitative evidence synthesis to assess the clinician and patient experience of digital hospitals. Methods The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and ENTREQ (Enhancing the Transparency in Reporting the Synthesis of Qualitative Research) guidelines were followed. The PubMed, Embase, Scopus, CINAHL, and PsycINFO databases were searched from January 2010 to June 2022. Studies that explored multidisciplinary clinician or adult inpatient experiences of digital hospitals (with a full electronic medical record) were included. Study quality was assessed using the Mixed Methods Appraisal Tool. Data synthesis was performed narratively for quantitative studies. Qualitative evidence synthesis was performed via (1) automated machine learning text analytics using Leximancer (Leximancer Pty Ltd) and (2) researcher-led inductive synthesis to generate themes. Results A total of 61 studies (n=39, 64% quantitative; n=15, 25% qualitative; and n=7, 11% mixed methods) were included. Most studies (55/61, 90%) investigated clinician experiences, whereas few (10/61, 16%) investigated patient experiences. The study populations ranged from 8 to 3610 clinicians, 11 to 34,425 patients, and 5 to 2836 hospitals. Quantitative outcomes indicated that clinicians had a positive overall satisfaction (17/24, 71% of the studies) with digital hospitals, and most studies (11/19, 58%) reported a positive sentiment toward usability. Data accessibility was reported positively, whereas adaptation, clinician-patient interaction, and workload burnout were reported negatively. The effects of digital hospitals on patient safety and clinicians’ ability to deliver patient care were mixed. The qualitative evidence synthesis of clinician experience studies (18/61, 30%) generated 7 themes: inefficient digital documentation, inconsistent data quality, disruptions to conventional health care relationships, acceptance, safety versus risk, reliance on hybrid (digital and paper) workflows, and patient data privacy. There was weak evidence of a positive association between digital hospitals and patient satisfaction scores. Conclusions Clinicians’ experience of digital hospitals appears positive according to high-level indicators (eg, overall satisfaction and data accessibility), but the qualitative evidence synthesis revealed substantive tensions. There is insufficient evidence to draw a definitive conclusion on the patient experience within digital hospitals, but indications appear positive or agnostic. Future research must prioritize equitable investigation and definition of the digital clinician and patient experience to achieve the Quadruple Aim of health care.

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Section: Patient Safety and Delivery Of Carementioning

confidence: 99%

Section: Clinician Satisfaction With the Emrmentioning

confidence: 99%

The Impact of Digital Hospitals on Patient and Clinician Experience: Systematic Review and Qualitative Evidence Synthesis

Canfell,

Woods,

Meshkat

et al. 2024

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…It is noteworthy, however, that these digital solutions may face some implementation challenges given the current infrastructural deficits and healthcare practitioners' capacities. Yet, there is optimism that healthcare professionals in Nigeria are generally positively inclined to incorporate digital services into their practice, as evidenced by some studies 28 . This favorable disposition enhances the feasibility of employing digital solutions for TOC.…”

Section: Recommendations To Revamp the Referral Systemmentioning

confidence: 99%

Enhancing care transition performance of community pharmacies in Nigeria

Bamgboye,

Hassan,

Fatoye

et al. 2024

Health Science Reports

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Community pharmacies (CPs) represent a crucial source of primary care for the Nigerian population. Pharmacists in this setting provide essential primary care services to the public and, when required, facilitate care transitions or referrals for patients to higher levels of care. Given their accessibility and expanding roles in patient care, pharmacists are considered pivotal to meeting the transition of care (TOC) goals, that is, continuity, quality, and safety, especially at the community level. However, CPs in Nigeria face significant systemic and human‐factor barriers that impede their TOC performance, especially with their exclusion from the national care referral framework. Removing these barriers is essential to avoid the health consequences of a breakdown in the TOC system for the patients receiving care at the CPs. This paper discusses the barriers to effective TOC performance of the CPs in Nigeria and offers recommendations to address the deficiencies to improve patient care delivery using an inclusive and collaborative referral model.

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“…13 Furthermore, issues of poor-quality data from the service delivery points, incomplete reporting, and multi-level reporting chain which causes delays and inaccuracies in data needed to support quantification persist in Nigeria. 14 Use of manual data reporting methods is still rampant in Nigerian health service delivery 15 which increases the likelihood of errors which negatively impact decisions in quantification and supply planning. This is further worsened by inaccessibility to private sector data on FP which deters the application of a total market approach to forecasting and limits the ability to generate a true picture of national demand for FP commodities.…”

Section: Supply Chain Management Of Family Planning Commodities In Ni...mentioning

confidence: 99%

Challenges in last mile distribution of family planning commodities: Effects on product availability and accessibility in Nigeria

Chukwu

Adibe

2023

Health Planning & Management

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BackgroundFamily planning (FP) reduces maternal and child mortality risk. Despite policies and plans to improve FP in Nigeria, access remains poor leading to high unmet need. Contraceptive use is still as low as 4.9% in some regions. Thus, this study assessed challenges in FP commodities distribution and its effect on accessibility.MethodsDescriptive survey was used to explore last mile distribution of FP commodities in 287 facilities across various levels of FP service provision. Also, 2528 end users of FP services were assessed to ascertain their attitudes towards FP services. Data were analysed using IBM Statistical Package for the Social Sciences version 25.ResultsOnly 16% of the facilities had all the basic infrastructure requirements assessed with majority of the facilities having inadequate human resource capacity on logistics and supply chain management of health commodities. The study also identified positive attitudes towards FP (80%) and low incidence of stigmatising attitudes (5.4%).ConclusionsThe study identified challenges in distribution of FP commodities including frequent stock out of commodities and socio‐cultural barriers. Increased positive attitude and limited stigmatising attitudes provides policy directions that are relevant for decision makers to align FP policies and strategies to improve last mile distribution of FP commodities.

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Implementing electronic health system in Nigeria: perspective assessment in a specialist hospital

Cited by 15 publications

References 12 publications

The Impact of Digital Hospitals on Patient and Clinician Experience: Systematic Review and Qualitative Evidence Synthesis

The Impact of Digital Hospitals on Patient and Clinician Experience: Systematic Review and Qualitative Evidence Synthesis

Enhancing care transition performance of community pharmacies in Nigeria

Challenges in last mile distribution of family planning commodities: Effects on product availability and accessibility in Nigeria

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