scholarly journals Affecting factors of cloud computing adoption in public hospitals affiliated with Zahedan University of Medical Sciences: A cross-sectional study in the Southeast of Iran

2021 ◽  
Vol 7 ◽  
pp. 205520762110334
Author(s):  
Jahanpour Alipour ◽  
Yousef Mehdipour ◽  
Afsaneh Karimi ◽  
Roxana Sharifian
Keyword(s):  
Health Care ◽  
Cloud Computing ◽  
Information System ◽  
Hospital Information System ◽  
Critical Role ◽  
Public Hospitals ◽  
Relative Advantage ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Cloud Computing Adoption

Objective Health care organizations require cloud computing to remain efficient and cost-effective, and provide high-quality health care services. Adoption of this technology by users plays a critical role in the success of its application. This study aimed to determine factors affecting cloud computing adoption in public hospitals affiliated with Zahedan University of Medical Sciences. Methods A cross-sectional descriptive and analytic study was performed in 2017. The study population comprised information technology and hospital information system authorities and hospital information system users. The sample consisted of 573 participants. The data were collected using a questionnaire and analyzed with the Statistical Package for Social Sciences software using descriptive and analytical statistics. Results The mean score of environmental, human, organizational, technological, and intention dimensions of cloud computing adoption was 3.39 ± 0.81, 3.27 ± 0.63, 3.19 ± 0.71, 3 ± 0.43, and 3.55 ± 1.10, respectively. Furthermore, a significant positive relationship was found between intention of cloud computing adoption and environmental ( R = 0.521, p = 0.000), organizational ( R = 0.426, p = 0.000), human ( R = 0.492, p = 0.000), and technological dimensions ( R = 0.157, p = 0.000). Conclusions Benefits of cloud computing adoption, relative advantage, and competitive pressure were identified as the most influential factors in accepting cloud computing. Simplifying the users’ understanding of this technology and its application, improving the staff's technical capabilities, promoting executive managers’ understanding of the nature and functions of cloud computing, and fully supporting and increasing governmental mandates for adoption of new technologies are necessary for facilitating the adoption of cloud computing in given hospitals.

scholarly journals Evaluating hospital information system according to ISO 9241 part 12

2020 ◽  
Vol 6 ◽  
pp. 205520762097946
Author(s):  
Mahdieh Montazeri ◽  
Reza Khajouei ◽  
Mitra Montazeri
Keyword(s):  
Information System ◽  
Information Systems ◽  
Hospital Information System ◽  
System Optimization ◽  
Cross Sectional Study ◽  
Ease Of Use ◽  
Medical Sciences ◽  
Color Coding ◽  
Cross Sectional

Objectives Compliance with standards in designing information systems leads to better utilization and ease of use for users. In this study, the compliance of a widely used hospital information system (HIS) with ISO 9241 part 12 was assessed. Methods This applied research is a descriptive, cross-sectional study in which the HIS of 8 hospitals affiliated with Kerman University of Medical Sciences was evaluated based on ISO 9241 part 12. Data were collected by using ISO 9241/12 checklist. The data was analyzed in SPSS 16 using descriptive statistics. Results The analysis of data showed that the total compliance of the software with the ISO 9241/12 was 72%. The compliance of the software based on different groups of recommendations was 79% with Organization of information, 91% with Graphic objects, and 58% with Coding techniques. Compliance with different subgroups of ISO recommendations ranged from 28% related to “color coding” in coding techniques to 97% related to “General recommendation for graphical objects” in Graphic objects. Conclusion According to this study, the design of a widely used HIS has fairly good compliance with the standard but still suffers from some problems. Considering the role of accurate, valid and timely information in management of the hospitals, and the difficulty of system optimization after implementation, it is necessary that software developers follow existing standards when designing health information systems.

scholarly journals An evaluation model for the implementation of hospital information system in public hospitals using multi-criteria-decision-making (MCDM) approaches

2017 ◽  
Vol 7 (1) ◽  
pp. 1 ◽  
Author(s):  
Ali Aliakbar Esfahani ◽  
Hossein Ahmadi ◽  
Mehrbakhsh Nilashi ◽  
Mojtaba Alizadeh ◽  
Azadeh Bashiri ◽  
...  
Keyword(s):  
Information System ◽  
Hospital Information System ◽  
Evaluation Model ◽  
Public Hospitals ◽  
Relative Advantage ◽  
Management Support ◽  
Top Management Support ◽  
Quality Patient Care ◽  
Key Factor ◽  
Study Designs

Background: Hospital Information System (HIS) is implemented to provide high-quality patient care. The aim of this study is to identify significant dimensional factors that influence the hospital decision in adopting the HIS.Methods: This study designs the initial integrated model by taking the three main dimensions in adopting HIS technology. Accordingly, DEMATEL was utilized to test the strength of interdependencies among the dimensions and variables. Then ANP approach is adapted to determining how the factors are weighted and prioritized by professionals and main users working in the Iranian public hospitals, involved with the HIS system.Results: The results indicated that “Perceived Technical Competence” is a key factor in the Human dimension. The respondents also believed that “Relative Advantage," “Compatibility” and “Security Concern” of Technology dimension should be further assessed in relation to other factors. With respect to Organization dimension, “Top Management Support” and “Vendor Support” are considered more important than others.Conclusion: Applying the TOE and HOT-fit models as the pillar of our developed model with significant findings add to the growing literature on the factors associated with the adoption of HIS and also shed some light for managers of public hospitals in Iran to successfully adopt the HIS.

scholarly journals Implementing an Integrated Large-Scale Clinical Information System for ISSSTE’s Hospital Network in Mexico

2021 ◽  
Vol 3 (2) ◽  
pp. 444-453
Author(s):  
Arturo Cervantes Trejo ◽  
Sophie Domenge Treuille ◽  
Isaac Castañeda Alcántara
Keyword(s):  
Health Care ◽  
Information System ◽  
Health Care Services ◽  
Large Scale ◽  
Clinical Information System ◽  
Clinical Information ◽  
Public Hospitals ◽  
Care Services ◽  
Cost Reductions

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.

Understanding determinants of cloud computing adoption using an integrated TAM-TOE model

2015 ◽  
Vol 28 (1) ◽  
pp. 107-130 ◽  
Author(s):  
Hemlata Gangwar ◽  
Hema Date ◽  
R Ramaswamy
Keyword(s):  
Cloud Computing ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Organizational Level ◽  
Relative Advantage ◽  
Equation Modeling ◽  
Content Type ◽  
Cloud Computing Adoption ◽  
Tam Model ◽  
Toe Framework

Purpose – The purpose of this paper is to integrate TAM model and TOE framework for cloud computing adoption at organizational level. Design/methodology/approach – A conceptual framework was developed using technological and organizational variables of TOE framework as external variables of TAM model while environmental variables were proposed to have direct impact on cloud computing adoption. A questionnaire was used to collect the data from 280 companies in IT, manufacturing and finance sectors in India. The data were analyzed using exploratory and confirmatory factor analyses. Further, structural equation modeling was used to test the proposed model. Findings – The study identified relative advantage, compatibility, complexity, organizational readiness, top management commitment, and training and education as important variables for affecting cloud computing adoption using perceived ease of use (PEOU) and perceived usefulness (PU) as mediating variables. Also, competitive pressure and trading partner support were found directly affecting cloud computing adoption intentions. The model explained 62 percent of cloud computing adoption. Practical implications – The model can be used as a guideline to ensure a positive outcome of the cloud computing adoption in organizations. It also provides relevant recommendations to achieve conducive implementation environment for cloud computing adoption. Originality/value – This study integrates two of the information technology adoption models to improve predictive power of resulting model.

scholarly journals A Study of awareness, attitude and practice of pharmacovigilance among health care professionals in a tertiary care teaching hospital in Bareilly, India

2017 ◽  
Vol 6 (7) ◽  
pp. 1784
Author(s):  
Krishna Singh ◽  
Kauser Sayedda ◽  
Richa Bhardwaj ◽  
Neha Yadav ◽  
Quazi Shahir Ahmed
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Response Rate ◽  
Tertiary Care ◽  
Faculty Members ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Know How ◽  
Attitude And Practice ◽  
Knowledge And Attitude

Background: Awareness towards Pharmacovigilance among health professionals in any hospital is an important part of health care system. So, the present study was conducted to know the extent of awareness of Pharmacovigilance among health care professionals.Methods: A cross-sectional questionnaire based study about knowledge, attitude and practices towards adverse drugs reaction (ADRs) and Pharmacovigilance was carried out at Shri Ram Murti Smarak Institue of Medical Sciences, Bareilly (U.P). 153 questionnaires were distributed among the Post graduate students, faculties, interns, nurses and pharmacists. 2-3 days time was given to fill the questionnaire.Results: Out of 153 questionnaires distributed, 99 filled forms were turned up for evaluation. Hence, response rate was 64.70%. 73.33% PGs, 100% faculty members, 53.33% interns, 36% nurses and 18.75% pharmacists were aware of adverse drugs reactions (ADRs) and Pharmacovigilance. Regarding reporting of ADRs, 86.66% PGs, 91.66% faculties, 73.33% interns, 88% nurses and 81.25% pharmacists were agreed to report ADR as it is mandatory and related to increased patients’ safety. Regarding discouraging factors for practice of reporting ADRs, 20% PGs, 16.66% faculties, 80% interns, 40% nurses and 68.75% pharmacists found ADR forms difficult to be filled. According to 66% faculties, 80% PGs, 66.66% interns managing patients are more important than reporting ADRs while 93.75% nurses and 76% pharmacists did not know how to report and where to report.Conclusions: The results of our study indicate that the acceptable number of health-care professionals had a good knowledge and attitude towards pharmacovigilance. There was a huge gap between the ADR experienced, and ADR reported by the health-care professionals. So, there is need of conductance of CMEs, workshops and seminars related to pharmacovigilance for all heaith care professionals especially nurses and pharmacists so, that whole community can be benefitted.

scholarly journals Health Care Professionals’ Knowledge, Attitude, and Practice towards Adverse Drug Reaction Reporting and Associated Factors at Selected Public Hospitals in Northeast Ethiopia: A Cross-Sectional Study

2019 ◽  
Vol 2019 ◽  
pp. 1-11 ◽  
Author(s):  
Belete Kassa Alemu ◽  
Tessema Tsehay Biru
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Adverse Drug Reaction Reporting ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Adr Reporting ◽  
Northeast Ethiopia ◽  
Inadequate Knowledge ◽  
Knowledge Attitude And Practice

Background. The role of health care professionals among other stakeholders in early detection, assessment, documentation, and reporting as well as preventing suspected adverse reactions is very crucial to mitigate drug-related problems in health facilities. Previous reports from literatures have indicated that adverse drug reaction reporting is highly linked to the knowledge and attitude of the health care professionals. Objective. To assess knowledge, attitude, and practice of health care professionals about adverse drug reactions and the associated factors at selected public hospitals in Northeast Ethiopia. Methods. A hospital-based quantitative cross-sectional study design was employed. A structured self-administered questionnaire was used to collect data on KAP of selected health care providers by the convenience sampling method. Data were entered into Epi info version 3.5.3 and analyzed using SPSS Version 20. Association between dependent and independent variables was found by using bivariate and multivariate logistic regression analysis where p<0.05 was considered to be statistically significant. Results. Out of 120 questionnaires distributed, 114 respondents filled and returned, giving a 95% response rate. From total, 49 (43%) were nurses, 26 (22.8%) physicians, 17 (14.9%) pharmacy professionals, 12 (10.5%) health officers, and 10 (8.8%) midwives. About 86 (75.44%) study participants had an inadequate knowledge towards ADR reporting, and half of participants failed to report the adverse drug reactions they encountered. But the majority of participants (84, 73.68%) had a favorable attitude towards ADR reporting. Nurses [AOR = 0.069, 95% CI (0.018–0.275)], health officers [AOR = 0.10, 95% CI (0.015–0.647)], and physicians [AOR = 0.14, 95% CI (0.03–0.64)] were found to be less likely to have adequate knowledge on ADR reporting compared to pharmacy professionals. Conclusion. Even though the majority of health care professionals had a positive attitude, they had inadequate knowledge and poor practice towards ADR reporting.

Quality of patient information in emergency department

2019 ◽  
Vol 32 (1) ◽  
pp. 108-119 ◽  
Author(s):  
Mehrdad Farzandipour ◽  
Mahtab Karami ◽  
Mohsen Arbabi ◽  
Sakine Abbasi Moghadam
Keyword(s):  
Emergency Department ◽  
Information System ◽  
Patient Information ◽  
Hospital Information System ◽  
Quality Data ◽  
Quality Of Data ◽  
Cross Sectional ◽  
Content Type ◽  
Emergency Patients

Purpose Data comprise one of the key resources currently used in organizations. High-quality data are those that are appropriate for use by the customer. The quality of data is a key factor in determining the level of healthcare in hospitals, and its improvement leads to an improved quality of health and treatment and ultimately increases patient satisfaction. The purpose of this paper is to assess the quality of emergency patients’ information in a hospital information system. Design/methodology/approach This cross-sectional study was conducted on 385 randomly selected records of patients admitted to the emergency department of Shahid Beheshti Hospital in Kashan, Iran, in 2016. Data on five dimensions of quality, including accuracy, accessibility, timeliness, completeness and definition, were collected using a researcher-made checklist and were then analyzed in SPSS. The results are presented using descriptive statistics, such as frequency distribution and percentage. Findings The overall quality of emergency patients’ information in the hospital information system was 86 percent, and the dimensions of quality scored 87.7 percent for accuracy, 86.8 percent for completeness, 83.9 percent for timeliness, 79 percent for definition and 62.1 percent for accessibility. Originality/value Increasing the quality of patient information at emergency departments can lead to improvements in the timely diagnosis and management of diseases and patient and personnel satisfaction, and reduce hospital costs.

scholarly journals Violence against Health-Care Workers in Governmental Health Facilities in Arar City, Saudi Arabia

2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Ruqayyah B. Al Anazi ◽  
Saeed M. AlQahtani ◽  
Amal E. Mohamad ◽  
Sabry M. Hammad ◽  
Hossam Khleif
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Health Care Workers ◽  
Exposure To Violence ◽  
Cross Sectional Study ◽  
Northern Region ◽  
Public Hospitals ◽  
Negative Consequences ◽  
Cross Sectional ◽  
Care Workers

Background. Violence against health-care workers (HCWs) showed increasing worldwide concern. No previous studies addressed violence against HCWs in the Northern region, Saudi Arabia. Objectives. To determine the prevalence of violence against HCWs in public hospitals and primary health-care centers in Arar city, KSA, and to identify its associated factors. Methods. A cross-sectional study was conducted on 352 HCWs in the Ministry of Health (MOH) facilities in Arar city from 1st October to 31st December 2018. Consented HCWs completed a structured self-administered questionnaire which was modified from the WHO questionnaire for violence. Results. Out of 352 health-care workers, 171 (48.6%) reported exposure to violence during work in the past year. The verbal violence was the most common form experienced (83%). Physicians were the main exposed group (59%). Being non-Saudi HCWs, older with longer duration of experience, working in hospitals, working in the emergency room, and working in evening or night shifts were significantly associated with more exposure to violence. The unmet demand for the patient and deficient staff number were the leading reasons for aggression. Only 16.4% of assaulted HCWs reported the violent acts to the higher health affairs authority with the most frequent reasons for nonreporting were their perception that it was useless and their fear of negative consequences. Conclusions. Violence against HCWs in Arar city, KSA, is a prevalent problem. Improving health security system and increasing staffing and their training on proper dealing with violence are highly recommended. Also, enforcing rules and regulations is an important demand to control and prevent violence against HCWs.

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