scholarly journals Clinicians' perceptions of organizational readiness for change in the context of clinical information system projects: insights from two cross-sectional surveys

2011 ◽  
Vol 6 (1) ◽  
Author(s):  
Guy Paré ◽  
Claude Sicotte ◽  
Placide Poba-Nzaou ◽  
George Balouzakis
Keyword(s):  
Information System ◽  
Clinical Information System ◽  
Clinical Information ◽  
Readiness For Change ◽  
Organizational Readiness ◽  
Cross Sectional ◽  
Organizational Readiness For Change

scholarly journals Nurses’ perceptions of the clinical information system in primary healthcare centres in Qatar: a cross-sectional survey

2019 ◽  
Vol 26 (1) ◽  
pp. e100030
Author(s):  
Monaa Hussain Mansoori ◽  
Kathleen Benjamin ◽  
Emmanuel Ngwakongnwi ◽  
Samya Al Abdulla
Keyword(s):  
Information System ◽  
User Satisfaction ◽  
Clinical Information System ◽  
Quality Care ◽  
Clinical Information ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Primary Health ◽  
Nurses Perceptions

BackgroundQatar is one of the fastest growing countries in the Arabic region. Primary Health Care Corporation (PHCC) is the main provider of primary health services in Qatar and employs 1600 nurses. In 2014, PHCC started to migrate from paper to electronic documentation of patient records using a clinical information system (CIS). Since implementation, the use of CIS and perception of users have not been assessed.ObjectiveThis study measured nurses’ perceptions regarding the utilisation, quality and user satisfaction with the CIS in PHCC.MethodsUsing a pre-existing survey, a cross-section of nurses from six health centres in Qatar were systematically selected and invited to participate in the study. Eighty-nine surveys were completed (response rate: 98.8%) and descriptive analyses were performed.ResultsNurses’ perceptions regarding the utilisation, quality and user satisfaction with the CIS were positive. Nurses indicated that the CIS is a resource for clear, accurate and up-to-date data and that their performance improved due to the CIS. Yet responses to an open-ended question in the survey revealed some concerns related to the CIS, such as patient confidentiality, system downtime and time constraints.ConclusionEnsuring that the CIS is facilitating nurses’ work is crucial to guarantee high-quality care to the community. The findings provide foundational data to help PHCC to understand nurses’ perceptions and to take steps to overcome challenges that nurses face related to the CIS in their daily practice. This work could also provide direction for future research.

A Computer-based Clinical Information System

1987 ◽  
Vol 26 (04) ◽  
pp. 189-194
Author(s):  
S. S. El-Gamal
Keyword(s):  
Information System ◽  
Hospital Information System ◽  
Clinical Information System ◽  
Research Work ◽  
Clinical Information ◽  
Hospital Staff ◽  
Vital Role ◽  
Daily Routine ◽  
Specialized Hospital ◽  
Computer Based

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.

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.

scholarly journals What Do Banks, Rural Credit Institutions, and Regulators Infer from the Current Strengths and Standing of Indonesian SMEs?

2020 ◽  
Vol 22 (1) ◽  
pp. 1 ◽  
Author(s):  
Jenri Panjaitan ◽  
Muhadjir Darwin ◽  
Indra Bastian ◽  
Sukamdi Sukamdi
Keyword(s):  
Social Cognition ◽  
Soviet Union ◽  
Former Soviet Union ◽  
Readiness For Change ◽  
Organizational Readiness ◽  
Regulatory Body ◽  
Organizational Readiness For Change ◽  
Shifting Balance ◽  
Optimal Distinctiveness ◽  
The Government

This study investigates whether the Indonesian regulators control Indonesian small and medium-sized enterprises (SMEs) with matching or mismatching empowerment strategies, in light of their strengths and current standing. Indonesian SMEs contributed approximately 60.34% to Indonesia’s gross domestic product (GDP) in 2018. In addition, Indonesian regulators have focused on financial support through credit policies and tax incentives. Indonesian SMEs have been standing on organizational readiness and readiness for change, based on their social networks and social cognition. It collected thirteen informants with different expertise and experiences. This study’s results suggest Indonesia’s regulatory body and financial institutions should consider the SMEs’ social cognition and organizational readiness for change. According to the current situation, to empower Indonesian SMEs, we recommend strategies such as achieving knowledge supremacy, creating an economic development board, as in Singapore, formulating comprehensive industry-wide policies, adopting omnibus laws, and implementing a shifting balance strategy. In other words, the Indonesian regulators should implement major reforms, which are similar to glasnost and perestroika in the former Soviet Union. This is to enhance Indonesian SMEs and achieve the goal of the Government of Indonesia (GoI) with respect to the optimal distinctiveness of Indonesia’s future economy. This optimal distinctiveness refers to the GoI’s policies, which focused on knowledge supremacy, an industry-wide regime, and research for empowerment.  

scholarly journals Development of safety and usability guideline for clinical information system

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

Tools in a clinical information system supporting clinical trials at a Swiss University Hospital

2014 ◽  
Vol 11 (6) ◽  
pp. 673-680 ◽  
Author(s):  
Michael Weisskopf ◽  
Guido Bucklar ◽  
Jürg Blaser
Keyword(s):  
Information System ◽  
Clinical Trials ◽  
Clinical Research ◽  
Hospital Admissions ◽  
Clinical Information System ◽  
Clinical Information ◽  
University Hospital ◽  
Trial Registry ◽  
Trial Participants ◽  
Year 2013

Background: Issues concerning inadequate source data of clinical trials rank second in the most common findings by regulatory authorities. The increasing use of electronic clinical information systems by healthcare providers offers an opportunity to facilitate and improve the conduct of clinical trials and the source documentation. We report on a number of tools implemented into the clinical information system of a university hospital to support clinical research. Methods: In 2011/2012, a set of tools was developed in the clinical information system of the University Hospital Zurich to support clinical research, including (1) a trial registry for documenting metadata on the clinical trials conducted at the hospital, (2) a patient–trial–assignment–tool to tag patients in the electronic medical charts as participants of specific trials, (3) medical record templates for the documentation of study visits and trial-related procedures, (4) online queries on trials and trial participants, (5) access to the electronic medical records for clinical monitors, (6) an alerting tool to notify of hospital admissions of trial participants, (7) queries to identify potentially eligible patients in the planning phase as trial feasibility checks and during the trial as recruitment support, and (8) order sets to facilitate the complete and accurate performance of study visit procedures. Results: The number of approximately 100 new registrations per year in the voluntary trial registry in the clinical information system now matches the numbers of the existing mandatory trial registry of the hospital. Likewise, the yearly numbers of patients tagged as trial participants as well as the use of the standardized trial record templates increased to 2408 documented trial enrolments and 190 reports generated/month in the year 2013. Accounts for 32 clinical monitors have been established in the first 2 years monitoring a total of 49 trials in 16 clinical departments. A total of 15 months after adding the optional feature of hospital admission alerts of trial participants, 107 running trials have activated this option, including 48 out of 97 studies (49.5%) registered in the year 2013, generating approximately 85 alerts per month. Conclusions: The popularity of the presented tools in the clinical information system illustrates their potential to facilitate the conduct of clinical trials. The tools also allow for enhanced transparency on trials conducted at the hospital. Future studies on monitoring and inspection findings will have to evaluate their impact on quality and safety.

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