Technical requirements framework of hospital information systems: design and evaluation

Abstract

Background: Implementing the health information system (HIS) is more complex and costly than implementing other information systems. The present study was conducted to design and evaluate technical requirements for the HIS. Methods: The present study was conducted in 2016 by determining technical requirements for the HIS using the Delphi technique and then evaluating this system using a checklist based on the approved requirements. Results: The first part of the study designed a 73-item final list of technical requirements for the HIS in four domains, i.e. communication service, system architecture, security service and system response time. The evaluation results obtained in the second part showed that communication service was met in 63.8% of the HIS programs, system architecture in 65.5%, security service in 72.4% and system response time in 76.3%. Conclusions: A technical evaluation tool was designed and used to select and evaluate the HIS. The evaluation results suggested the study HIS was poorer in terms of communication service and system architecture than in the other two dimensions.

Comparison of usability evaluation methods for a health information system: heuristic evaluation versus cognitive walkthrough method

“…Furthermore, integration of healthcare information systems into work processes affects their use by healthcare workers [ 55 ]. Implementing HISs in such an environment is more complex and costly than implementing other information systems [ 56 ]. Successful implementation of an HIS depends on user satisfaction.…”

Reviewing Challenges in Specifying Interoperability Requirement in Procurement of Health Information Systems

“…Ambiguous or incompatible standards [1], programming errors and different host system configurations [2] are four examples of underlying causes behind interoperability issues [1,3]. If these issues are not dealt with correctly, they can result in loss of data, unreliable operation, low maintainability, and unpredictable performance [3].…”

“…Such conglomerates of health services illustrate the complexity of HIS procurements and the challenge of specifying concrete requirements. Together with insufficient technical expertise among procurement managers and conflicting needs, this may lead to inadequate specifications, prolonged procurement processes, increased costs, and purchases that do not yield the desired value [2,5,7,9]. Despite several regulations, guidelines, recommendations, and frameworks that aim to facilitate procurements [1,11,12], several challenges remain; need analysis, lack of interoperability and standardizations [5].…”

“…Despite several regulations, guidelines, recommendations, and frameworks that aim to facilitate procurements [1,11,12], several challenges remain; need analysis, lack of interoperability and standardizations [5]. Given the significant failure rate of HISs [2], including the vast National Program for IT (NPfIT) in the United Kingdom initiated in 2002 [13], efforts are required to improve the outcome from interoperability initiatives and projects within healthcare.…”

Assessing Risk Awareness with Hospital Information Systems

“…Therefore, HIS are essential to improving healthcare services' safety and quality (Salahuddin et al, 2020). Moreover, the rapid evolution of information technologies (IT) and the digitalization of patient data require more efficient technical requirements, particularly in communications, architecture, security, and system response time (Farzandipour et al 2020).…”