A Computer-based Clinical Information System

1987 ◽  
Vol 26 (04) ◽  
pp. 189-194
Author(s):  
S. S. El-Gamal

SummaryModern information technology offers new opportunities for the storage and manipulation of hospital information. A computer-based hospital information system, dedicated to urology and nephrology, was designed and developed in our center. It involves in principle the employment of a program that allows the analysis of non-restricted, non-codified texts for the retrieval and processing of clinical data and its operation by non-computer-specialized hospital staff.This Hospital Information System now plays a vital role in the efficient provision of a good quality service and is used in daily routine and research work in this hospital. This paper describes this specialized Hospital Information System.

1981 ◽  
Vol 20 (04) ◽  
pp. 196-199 ◽  
Author(s):  
D. W. Young

The results of a survey by questionary concerning user attitudes and views on the use of a computer-based clinical information system are reported. The 13 users, 8 house officers and 5 senior house officers, found the system helpful, felt that patient care was improved and that their knowledge about the investigation of acute medical problems had increased.


CHEST Journal ◽  
1991 ◽  
Vol 99 (1) ◽  
pp. 155-157 ◽  
Author(s):  
Jeffrey Hammond ◽  
Hiram Milton Johnson ◽  
Robin Varas ◽  
Charles Gillon Ward

Author(s):  
Gurpreet Dhillon

The case study described in this chapter concerns the introduction of a new computer based integrated Clinical Information System (CIS) into a British National Health Services Trust-the Sunrise Trust. At the time of the study most of the system modules had been developed and were being tested largely for technical aspects. The system was being introduced during a period when the organization was experiencing significant changes. It was an environment where new structures were being created and the existing ones changed. Indeed, the case study was selected primarily because of these factors. The analysis of these structures, formal and informal, provides insight into the management of information systems. Various stakeholders in the Hospital Trust felt that a computer based information system would facilitate the change process. However the analysis and design of the system posed its own problems. The system turned out to be inflexible with respect to the core health care delivery process. It was also nonresponsive to the needs of the key stakeholders. Analysis of the case shows that clearly the formal methods adopted by the system analysts fell short of determining the rapid changes required for care. In particular this was an important issue, since the context of the British National Health Services posed pressures on individual trusts to be cost effective. This resulted in long term patients being moved out into the community. However, this richness in the context was overlooked by the analysts. They developed “logical” models of the system, which ended up in being “tidy pictures of reality” and were prescriptive and utterly inflexible. Structured Systems Analysis and Design Method (SSADM) was used as a modelling tool, which amplified the rational view of decision making and information technology (IT) applications (for more details on SSADM see Downs et al., 1988). The interpretations identified in the case show a clear mis-match between the formal models and perceptions of the system users who inevitably reflect a more informal and pragmatic approach to their own organizational realities. The analysis of the case poses a number of interesting issues. It questions the relationship between the complexity of the social relations and systems design. Furthermore it brings to the fore the paradoxical viewpoints of different stakeholders and the emergent concerns for a system analyst. The chapter also identifies the impact of an “overformalized” information system on the integrity of an organization. In doing so it evaluates the nature and significance of social power structures in systems analysis, design and implementation.


2021 ◽  
Author(s):  
Konstantinos Karitis ◽  
Parisis Gallos ◽  
Ioannis S. Triantafyllou ◽  
Vassilis Plagianakos

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.


2021 ◽  
Vol 3 (2) ◽  
pp. 444-453
Author(s):  
Arturo Cervantes Trejo ◽  
Sophie Domenge Treuille ◽  
Isaac Castañeda Alcántara

AbstractThe Institute for Security and Social Services for State Workers (ISSSTE) is a large public provider of health care services that serve around 13.2 million Mexican government workers and their families. To attain process efficiencies, cost reductions, and improvement of the quality of diagnostic and imaging services, ISSSTE was set out in 2019 to create a digital filmless medical image and report management system. A large-scale clinical information system (CIS), including radiology information system (RIS), picture archiving and communication system (PACS), and clinical data warehouse (CDW) components, was implemented at ISSSTE’s network of forty secondary- and tertiary-level public hospitals, applying global HL-7 and Digital Imaging and Communications in Medicine (DICOM) standards. In just 5 months, 40 hospitals had their endoscopy, radiology, and pathology services functionally interconnected within a national CIS and RIS/PACS on secure private local area networks (LANs) and a secure national wide area network (WAN). More than 2 million yearly studies and reports are now in digital form in a CDW, securely stored and always available. Benefits include increased productivity, reduced turnaround times, reduced need for duplicate exams, and reduced costs. Functional IT solutions allow ISSSTE hospitals to leave behind the use of radiographic film and printed medical reports with important cost reductions, as well as social and environmental impacts, leading to direct improvement in the quality of health care services rendered.


Medicine ◽  
2021 ◽  
Vol 100 (13) ◽  
pp. e25276
Author(s):  
Yura Lee ◽  
Sangwoo Bahn ◽  
Gee Won Shin ◽  
Min-Young Jung ◽  
Taezoon Park ◽  
...  

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