A User-Centered, Object-Oriented Methodology for Developing Health Information Systems: A Clinical Information System (CIS) Example

2010 ◽  
Vol 36 (2) ◽  
pp. 437-450 ◽  
Author(s):  
Georgios Konstantinidis ◽  
George C. Anastassopoulos ◽  
Alexandros S. Karakos ◽  
Emmanouil Anagnostou ◽  
Vasileios Danielides
Keyword(s):  
Information System ◽  
Information Systems ◽  
Health Information ◽  
Clinical Information System ◽  
Object Oriented ◽  
Clinical Information ◽  
Health Information Systems ◽  
User Centered

scholarly journals Data Incompleteness Preventing Information Communication from Hospital Information Systems to the Iranian National Electronic Health Record (SEPAS)

2021 ◽  
Vol 10 (1) ◽  
pp. 97
Author(s):  
Reza Abbasi ◽  
Reza Khajouei ◽  
Monireh Sadeghi Jabali ◽  
Moghadameh Mirzaei
Keyword(s):  
Information System ◽  
Information Systems ◽  
Electronic Health Record ◽  
Health Information ◽  
Information Quality ◽  
Clinical Information ◽  
Health Information Systems ◽  
Hospital Information Systems ◽  
Health Record ◽  
Electronic Health

Introduction: One of the well-known problems related to the information quality is the information incompleteness in health information systems. The purpose of this study was to investigate the completeness rate of patients’ information recorded in the hospital information system, sending information from which to Iranian electronic health record system (SEPAS) seemed to be unsuccessful.Methods: This study was conducted in six hospitals associated with Kerman University of Medical Sciences (KUMS) in Iran. In this study, 882 records which had failed to be sent from three hospital information systems to SEPAS were reviewed and the data were collected using a checklist. Data were analyzed using the descriptive and inferential statistics with SPSS.18.Results: A total of 18758 demographic and clinical information elements were examined. The rate of completeness was 55%. The highest completeness rate of demographic information was related to name, surname, gender, nationality, date of birth, father's name, marital status, place of residence, telephone number (79-100%), and in clinical information it was related to the final diagnosis (74%). The completeness rate of some information elements was significantly different among the hospitals (p <0.05). The completeness rate of information communicated to the Iranian national electronic health record was at a moderate level.Conclusion: This study showed that completeness rate is different among hospitals using the same hospital information system. The results of this study can help the health policymakers and developers of the national electronic health record in developing countries to improve completeness rate and also information quality in health information systems.

Prioritizing the Risk Factors Influencing the Success of Clinical Information System Projects

2008 ◽  
Vol 47 (03) ◽  
pp. 251-259 ◽  
Author(s):  
C. Sicotte ◽  
M. Jaana ◽  
D. Girouard ◽  
G. Paré
Keyword(s):  
Risk Factors ◽  
Information System ◽  
Information Systems ◽  
Information Technologies ◽  
Clinical Information System ◽  
Clinical Information ◽  
Clinical Work ◽  
Perceived Usefulness ◽  
Clinical Information Systems ◽  
Factors Influencing

Summary Objective: The aim of this study is to gain a better understanding of the risk factors influencing the success of clinical information system projects. Methods: This study addresses this issue by first reviewing the extant literature on information technology project risks, and second conducting a Delphi survey among 21 experts highly involved in clinical information system projects in Québec, Canada, a region where government have invested heavily in health information technologies in recent years. Results: Twenty-three risk factors were identified. The absence of a project champion was the factor that experts felt most deserves their attention. Lack of commitment from upper management was ranked second. Our panel of experts also confirmed the importance of a variable that has been extensively studied in information systems, namely, perceived usefulness that ranked third. Respondents ranked project ambiguity fourth. The fifth-ranked risk was associated with poor alignment between the clinical information systems’ characteristics and the organization of clinical work. The large majority of risk factors associated with the technology itself were considered less important. This finding supports the idea that technology-associated factors rarely figure among the main reasons for a project failure. Conclusions: In addition to providing a comprehensive list of risk factors and their relative importance, the study presents a major contribution by unifying the literature on information systems and medical infor - matics. Our checklist provides a basis for further research that may help practitioners identify the effective countermeasures for mitigating risks associated with the implementation of clinical information systems.

Model-based Design of Clinical Information Systems

2008 ◽  
Vol 47 (05) ◽  
pp. 399-408 ◽  
Author(s):  
J. Werner ◽  
Y. Lee ◽  
B. Malin ◽  
A. Ledeczi ◽  
J. Mathe
Keyword(s):  
Information System ◽  
Information Systems ◽  
Service Oriented Architecture ◽  
Clinical Information System ◽  
Clinical Information ◽  
Security And Privacy ◽  
Clinical Information Systems ◽  
Great Promise ◽  
Model Based ◽  
Business Process Execution

Summary Objective: The goal of this research is to provide a framework to enable the model-based development, simulation, and deployment of clinical information system prototypes with mechanisms that enforce security and privacy policies. Methods: We developed the Model-Integrated Clinical Information System (MICIS), a software toolkit that is based on model-based design techniques and highlevel modeling abstractions to represent complex clinical workflows in a service-oriented architecture paradigm. MICIS translates models into executable constructs, such as web service descriptions, business process execution language procedures, and deployment instructions. MICIS models are enriched with formal security and privacy specifications, which are enforced within the execution environment. Results: We successfully validated our design platform by modeling multiple clinical workflows and deploying them onto the execution platform. Conclusions: The model-based approach shows great promise for developing, simulating, and evolving clinical information systems with formal properties and policy restrictions.

scholarly journals Implementation of Toddler Health Information Systems

2021 ◽  
Vol 7 (1) ◽  
pp. 1-4
Author(s):  
Teungku Nih Farisni ◽  
Keyword(s):  
Information System ◽  
Information Systems ◽  
Health Center ◽  
Health Information ◽  
Reporting System ◽  
Health Information System ◽  
Public Information ◽  
Health Information Systems ◽  
Integrated System

Health Information System is an integrated system that used to manage data and public information. Babahrot Health Center, has problems in the field of health information system and the health center of integrated recording and reporting system especially the system toddler health information

scholarly journals OpenMRS FRAMEWORK : HEALTH INFORMATION SYSTEM SOLUTION TO DEVELOP IN SABHA, LIBYA

Respati ◽  
2017 ◽  
Vol 9 (27) ◽  
Author(s):  
Mostafa Abobaker ◽  
Selo Sulistyo ◽  
Adhistya Erna Permanasari
Keyword(s):  
Health Care ◽  
Information System ◽  
Information Systems ◽  
Health Services ◽  
Health Information ◽  
Health Care System ◽  
Health Information System ◽  
Health Information Systems ◽  
Care System ◽  
The Revolution

The health care system in Libya in recent years does not change significantly, less developed and modernized. This problem is further exacerbated by the revolution that occurred in Libya. The revolution that occurred in 2011 has caused the health care system into collapse. In this study conducted a review for the development of health information systems in Libya by using OpenMRS Framework.At the stage of gathering information using questionnaires concluded that the majority of respondents (about 95.35%) wanted the development of a new system that can resolve the main problems that occurred in Libya, the health information system ineffective and inefficient in which this system has led to wastage of time and increased operating costs. Based on analysis of system vulnerabilities using PIECES method could also be concluded that the current system is not used effectively and efficiently. In this study is also presented on how to implement OpenMRS.Based on the results of the discussion it can be concluded that OpenMRS is a solution that can be taken for the development of a health information system that is fast, low cost, and is an open source application that only requires a little setting in the system of patient management and care. OpenMRS can be implemented to support the health services of a small clinic to the health services with enterprise scale. Therefore, OpenMRS could be the answer to the development of health information systems in various countries around the world, including Libya.

scholarly journals Cloud Data Privacy Preserving Model for Health Information Systems Based on Multi Factor Authentication

2020 ◽  
Vol 9 (3) ◽  
pp. 360-367
Keyword(s):  
Cloud Computing ◽  
Information Systems ◽  
Health Information ◽  
Data Privacy ◽  
Clinical Information System ◽  
Health Information Systems ◽  
Healthcare Services ◽  
Cost Utility ◽  
Personal Health Information ◽  
Patient Side

With cloud computing (CC) becoming popular in recent years, variety of institutions, organizations, businesses and individual users are creating interest. They are adopting the technology in order to take advantage of shared web applications, low infrastructure cost, utility and distributed computing, cluster computing as well as reliable IT architecture. In the area of health, Cloud Health Information Systems (CHIS) play a key role not only on the healthcare businesses but patients as well. On the patient side, CHIS aid in sharing of medical data and health information, timely access of critical patient information and coordination of clinical services. Patients, who continue to demand for instantaneous and quality healthcare services are now able to access the services from experts even when they are not necessarily in the same physical location. This is being aided by proliferation of telemedicine through hosted cloud architecture. From the business perspective, CC has helped to cut down operational expenses by way of cost-effective clinical information system infrastructure through the implementation of a distributed platform. The platform has therefore saved businesses millions of dollars that would have gone to infrastructural and human resource investment. Even with these immense opportunities, cloud computing uptake has been serious inhibited by the privacy and security concerns. Due to the sensitivity of personal health information, businesses and individuals are apprehensive when it comes to adopting the technology or releasing the data to the cloud. This study is a results discussion of an enhanced model for attainment of data privacy on the cloud through use of multi factor authentication.

Building a Comprehensive Clinical Information System from Components

2003 ◽  
Vol 42 (01) ◽  
pp. 01-07 ◽  
Author(s):  
S.P. Narus ◽  
S.M. Huff ◽  
T.A. Pryor ◽  
P.J. Haug ◽  
T. Larkin ◽  
...  
Keyword(s):  
Information System ◽  
Information Systems ◽  
Clinical Information System ◽  
Clinical Information ◽  
Data Repository ◽  
Attractive Alternative ◽  
Systems Architecture ◽  
Advantages And Disadvantages ◽  
Information Systems Architecture ◽  
Almost All

Summary Objectives: To discuss the advantages and disadvantages of an interfaced approach to clinical information systems architecture. Methods: After many years of internally building almost all components of a hospital clinical information system (HELP) at Intermountain Health Care, we changed our architectural approach as we chose to encompass ambulatory as well as acute care. We now seek to interface applications from a variety of sources (including some that we build ourselves) to a clinical data repository that contains a longitudinal electronic patient record. Results: We have a total of 820 instances of interfaces to 51 different applications. We process nearly 2 million transactions per day via our interface engine and feel that the reliability of the approach is acceptable. Interface costs constitute about four percent of our total information systems budget. The clinical database currently contains records for 1.45 m patients and the response time for a query is 0.19sec. Discussion: Based upon our experience with both integrated (monolithic) and interfaced approaches, we conclude that for those with the expertise and resources to do so, the interfaced approach offers an attractive alternative to systems provided by a single vendor. We expect the advantages of this approach to increase as the costs of interfaces are reduced in the future as standards for vocabulary and messaging become increasingly mature and functional.

scholarly journals Usability Evaluation of Hospital Information System According to Heuristic Evaluation

2021 ◽  
Vol 10 (1) ◽  
pp. 69
Author(s):  
Ahmad Azizi ◽  
Mahmood Maniati ◽  
Hadis Ghanbari-Adivi ◽  
Zeinab Aghajari ◽  
Sedigheh Hashemi ◽  
...  
Keyword(s):  
Information System ◽  
Information Systems ◽  
Health Information ◽  
User Satisfaction ◽  
Hospital Information System ◽  
Evaluation Method ◽  
Health Information Systems ◽  
Heuristic Evaluation ◽  
Usability Problems ◽  
Scientific Principles

Introduction: There are various applications and health information systems which have been developed to promote the effective retrieval of patient information, statistics, research, and education. Therefore, there is a need to design them in consistency with scientific principles of usability. To this end, the usability of hospital information sub-systems employed at the hospitals of Ahvaz were compared using heuristic evaluation method. The objective of the study was to assess the usability of hospital information system according to heuristic evaluation.Material and Methods: Six trained evaluators, independently determined the ADT subsystem, HIM subsystem, and NIS according to Nielsen’s 10 Heuristic Principles. Since more than half of the hospitals (about 54%) employed Sib application, no specific sampling method was used. After combining the usability problems, the average severity ratings of the problems were calculated, and then the subsystems were compared.Results: The number of the usability problems of the ADT information subsystem, HIM subsystem, and NIS were 40, 39, and 37, respectively. After merging the problems, the features of “user control and freedom” with 20 cases and “flexibility and efficiency of use” with six cases had the highest and the lowest inconsistencies with usability principles. The average severity ratings of the problems also varied between 1.7 and 3.Conclusion: Heuristic evaluation method is regarded as one of the approaches appropriate to identify usability problems in health information systems. Thus, it is advisable to utilize this method to modify the design of the systems and to improve their efficiency before their implementation in order to increase user satisfaction.

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