scholarly journals The negative impact on nurses of lack of alignment of information systems with public hospital strategic goals

2008 ◽  
Vol 32 (4) ◽  
pp. 733
Author(s):  
Lucy A Firth ◽  
David J Mellor ◽  
Peter S Francis

The objectives of this study were to investigate the degree to which hospital information systems are aligned with hospital strategies and how they impact on nurses. Semi-structured interviews were conducted with nine hospital staff from a range of disciplines in a large public hospital in Australia. The interviews revealed that the focus of hospital information systems on administration has meant that applications to support the patient?s clinical journey have been deemed unaffordable. A consequence is that the historic use of the nurses? station as a source of verbal information about patients has continued, with negative impacts on nurses? perceived role and status, and the possible exacerbation of the clash between administrative and clinical cultures. We conclude that hospitals need clear strategies, with alignment of information systems. To do otherwise can undermine culture and morale, while disrupting workflows and patients? clinical journeys.

2018 ◽  
Vol 25 (4) ◽  
pp. 1358-1372 ◽  
Author(s):  
Lizawati Salahuddin ◽  
Zuraini Ismail ◽  
Ummi Rabaah Hashim ◽  
Raja Rina Raja Ikram ◽  
Nor Haslinda Ismail ◽  
...  

The objective of this study is to identify factors influencing unsafe use of hospital information systems in Malaysian government hospitals. Semi-structured interviews with 31 medical doctors in three Malaysian government hospitals implementing total hospital information systems were conducted between March and May 2015. A thematic qualitative analysis was performed on the resultant data to deduce the relevant themes. A total of five themes emerged as the factors influencing unsafe use of a hospital information system: (1) knowledge, (2) system quality, (3) task stressor, (4) organization resources, and (5) teamwork. These qualitative findings highlight that factors influencing unsafe use of a hospital information system originate from multidimensional sociotechnical aspects. Unsafe use of a hospital information system could possibly lead to the incidence of errors and thus raises safety risks to the patients. Hence, multiple interventions (e.g. technology systems and teamwork) are required in shaping high-quality hospital information system use.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mohammad Javad Jamshidi ◽  
Mahdi Hosseinpour ◽  
Hamed Heshmati ◽  
Bahareh Fathi Zolmabadi

Background: Performance improvement in hospitals requires an appropriate model for performance evaluation. Because organizational goals cannot be achieved without a comprehensive model for evaluating and reviewing programs, organizations cannot apply effective management of programs without regard to the results of their activities. Objectives: The purpose of this study is to introduce a new model for improving the performance of hospital information systems using Six Sigma method in Kermanshah province hospitals. Methods: This is a qualitative research based on content analysis and Delphi method. The data are collected through semi-structured interviews and the participants are 19 experts in hospital performance systems which were selected by snowball sampling. After transcribing the interviews, three steps were done using content analysis: firstly, using line-by-line coding (or open coding) words and segments of interviews were coded, secondly, each code was conceptualized and categorized into some axial codes based on focused coding, and finally, selective coding was done in which categories were identified based on axial codes’ similarity, conceptual relationship and common characteristics. Results: The results of the coding of the interviews showed that variables such as reduction of medical errors, improvement of hospital quality of services, promotion of hospital efficiency and productivity, quick and easy access to information, increased patient satisfaction and safety, management and cost reduction, and time management and control influences the performance of hospital information systems. Conclusions: For improving hospital information systems, hospital managers and system developers should not only pay attention to variables which are controlled by the software and are least affected by the human resources of the organization; such as: cost control, quality control, information control and time control but also human based variables such as specialization of the staffs, their motivation, reduce errors and etc., which are sometimes neglected.


2018 ◽  
Vol 7 (2.29) ◽  
pp. 871 ◽  
Author(s):  
Lizawati Salahuddin ◽  
Zuraini Ismail ◽  
. .

Hospital Information Systems [HIS] is developed to support healthcare organizations in providing efficient, quality, and safe healthcare services. The objective of this study is to identify and describe doctors’ perspective on the impact of HIS use in the examination rooms and wards on quality of care and patient safety. Semi-structured interviews were carried out with thirty one doctors from three Malaysian government hospitals. Thematic qualitative analysis was performed by using ATLAS.ti to deduce the relevant themes. HIS were commonly believed to improve quality of care and patient safety in terms of : [1] accessibility of patients’ record, [2] efficient patient-care, [3] well-structured report viewing, [4] less missing patients’ records, [5] legibility of patients’ records, and [6] safety features. In conclusion, the use of HIS in examination rooms and wards suggests to improve the quality of care and patient safety.  


2019 ◽  
Vol 5 (1) ◽  
Author(s):  
FITRIANI FITRIANI

This paper describes about ethics and law in applying management information system. The development of technology through computers, internet and other hardware and software as a means of information provide positive impacts and negative impacts. Implementation of management information systems affect the social and cultural issues of the organization in the world of education. It takes ethics and law so that the negative impact of utilization of management information system can be minimized.


2015 ◽  
Vol 21 (3) ◽  
pp. 175 ◽  
Author(s):  
Kyoung Won Cho ◽  
Seong Min Kim ◽  
Chang-Ho An ◽  
Young Moon Chae

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258865
Author(s):  
Carmen Vives-Cases ◽  
Daniel La Parra-Casado ◽  
Erica Briones-Vozmediano ◽  
Sebastià March ◽  
Ana María García-Navas ◽  
...  

Socioeconomic crisis and humanitarian disasters can cause increased stress for women who experience inter-partner violence (IPV). This study analyzed the impact of the COVID-19 lockdown on this important issue, their related health and social services and working conditions from the perspectives of professionals in different sectors. Forty-three semi-structured interviews were carried out with 47 professionals (44 women and 3 men) from 40 different entities (September 2020—April 2021). This content analysis suggests that the pandemic and its associated prevention measures have had a negative impact on women exposed to IPV and their children, which affected their social wellbeing. Professionals described burnout, difficult and slow administrative processes, and problems with coordination and access to information. These negative impacts were mitigated, in part, by the work of professionals, but this suggests that a series of key strategies are needed to improve the response capacity of the service sector to IPV in situations of crisis. These improvements are related to the availability of human and material resources; an efficient coordination network between the professionals from different sectors; existence of informal support networks in the community; protocols/procedures and prior training for better implementation; and greater flexibility and accessibility of basic services that benefit women who experience IPV.


1999 ◽  
Vol 38 (03) ◽  
pp. 200-206 ◽  
Author(s):  
Y. Ogushi ◽  
Y. Okada ◽  
M. Kimura ◽  
I Kumamoto ◽  
Y. Sekita ◽  
...  

AbstractQuestionnaire surveys were sent to hospital managers, designed to shape the policy for future hospital information systems in Japan. The answers show that many hospitals use dedicated management systems, especially for patient registration and accounting, and personnel, food control, pharmacy and financial departments. In many hospitals, order-entry systems for laboratory tests and prescriptions are well developed. Half of the hospitals have patient databases used for inquiries of basic patient information, history of outpatient care and hospital care. The most obvious benefit is the reduction of office work, due to effective hospital information system. Many hospital managers want to use the following sub systems in the future for automatic payment, waiting time display, patient records search, automatic prescription verification, drug side-effect monitoring, and graphical display of patient record data.


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