Factors Impacting Use of Health IT Applications

Author(s):  
Sadaf Ashtari ◽  
Al Bellamy

Nowadays, information technology tools are widely used in the healthcare industry to record and integrate medical data so as to provide complete access to patients' information for coordinated healthcare delivery. Yet, the efficacy of these technologies depends on their successful implementation for, adoption by and/or adaptation to support health professional workers such as physicians and nurses. This study addresses the impact of specific factors including result observability, autonomy, perceived barriers, task structure, privacy and security anxiety on the nurses' perception of their performance using health information technologies. Additionally, the effects of nurses' personality factors are examined as moderating factors on the relationships between the organizational factors and nurses' perception of performance. Multiple linear regression was applied to validate the proposed research model and professional autonomy, result observability, privacy and security anxiety were found to be key factors predicting the nurses' perception of performance.

Author(s):  
Sadaf Ashtari ◽  
Al Bellamy

Nowadays, information technology tools are widely used in the healthcare industry to record and integrate medical data so as to provide complete access to patients' information for coordinated healthcare delivery. Yet, the efficacy of these technologies depends on their successful implementation for, adoption by and/or adaptation to support health professional workers such as physicians and nurses. This study addresses the impact of specific factors including result observability, autonomy, perceived barriers, task structure, privacy and security anxiety on the nurses' perception of their performance using health information technologies. Additionally, the effects of nurses' personality factors are examined as moderating factors on the relationships between the organizational factors and nurses' perception of performance. Multiple linear regression was applied to validate the proposed research model and professional autonomy, result observability, privacy and security anxiety were found to be key factors predicting the nurses' perception of performance.


Author(s):  
Patricia Whitley ◽  
Hossain Shahriar ◽  
Sweta Sneha

Through a literary review of recent research, this paper examines the mixed impact of health information technology (HIT) on patient care, medical errors, and the quality of healthcare delivery in selected hospital settings such as emergency departments. Specific technologies examined include the electronic health record (EHR), medical devices, artificial intelligence, and robotics. The paper identifies that some healthcare technologies are increasingly valuable in reducing medical errors, improving healthcare quality, and in producing better patient-centered outcomes. It also determines that technologies have complicated the delivery of quality patient care, increased the incidences of clinician burnout, and made receiving quality healthcare in America's hospital systems possibly less sure. The paper concludes with some suggestions for improving HIT's implementations and confirms the need for further evaluation of the impact of HIT in increasing patient safety and clinician well-being.


2018 ◽  
Vol 3 (2) ◽  
pp. 52
Author(s):  
Saeed Eslami ◽  
Hamidreza Dehghan ◽  
Mahdieh Namayandeh ◽  
Arezo Dehghani ◽  
Saeed Hajian Dashtaki ◽  
...  

Introduction: Through new and expanding technologies, the development of health information technology in today’s society is indisputable, and the use of this technology has led to the production of various products with a variety of capabilities. One of these products is the Hospital Information System. Regarding the impact of organizational factors on the successful implementation of hospital information systems and the lack of comprehensive criteria for assessing them, the purpose of this study was to determine the criteria of hospital information systems involved in organizational evaluation.Methods: Data sources included the following databases: pubmed, scopus and cochrane library. In addition, other sources were searched for ongoing studies and grey literature. Studies were independently screened for eligibility by 2 reviewers and data extraction was done by 2 people. The language limitations for article wasn’t considered, the reference of the articles that selected, review and related articles were selected. After completing the search, all the articles were entered in to EndNote, and duplicates were deleted. The Prisma protocol was used to report.Results and Dissemination: A specific and precise checklist was being prepared and developed, which is an appropriate guide to assess hospital information system from an organizational dimension in health technology assessment. The results of the study were published in a peer-reviewed journal and presented at relevant conferences. Policy makers and healthcare decision-makers can use these results.


2017 ◽  
Vol 33 (S1) ◽  
pp. 216-217
Author(s):  
Martina Andellini ◽  
Francesco Faggiano ◽  
Francesca Sabusco ◽  
Pietro Derrico ◽  
Matteo Ritrovato

INTRODUCTION:Since the adoption of electronic health record (EHR) systems, which contain large volumes of aggregated longitudinal clinical data, promises a number of substantial benefits including better care, improved safety issues and decreased healthcare costs (1). It is also associated with significant costs and large technical and organizational impacts, therefore it is important to conduct comprehensive evaluations of healthcare delivery outcomes. The purpose of the study is to gather evidence on safety and overall effectiveness of EHR implementation in Bambino Gesù Children's Hospital (OPBG).METHODS:Decision-oriented HTA (DoHTA) method (2) was applied to assess the technology on clinical, technical, organizational, economic, legal, ethical and safety domains. It's a new implementation of the European Network for Health Technology Assessment (EUnetHTA) CoreModel integrated with the Analytic Hierarchy Process. It allows defining an evaluation structure represented by a hierarchical decision tree filled by indicators of technology's performances, each of which was given a weight proportional to the impact that this criterion provides to achieve the purpose of the decision problem; finally, the alternatives’ ranking was defined.RESULTS:The multidisciplinary assessment took into consideration all of the aspects and recommendations about the benefits and disadvantages of EHR (3). The synthesis of scientific evidence integrated with results of the specific context analysis, resulted in the definition of components of the decisional hierarchy structure. In particular, EHR seems to offer many benefits in terms of safety and clinical effectiveness such as improved continuity and quality of care, and increased accessibility of the data. The implementation of EHR resulted in important organizational outcome such as EHR configuration, learning curve and training. For these reasons, the usability was the main technical characteristics of the technology taken into account. Finally, legal aspects on privacy and security of data, covered a key role in the assessment.CONCLUSIONS:A thorough evaluation of the EHR before its implementation has permitted hospital's decision makers to choose knowingly.


2021 ◽  
Vol 341 ◽  
pp. 00069
Author(s):  
Yuri Trofimenko

The use of digital and information technologies in automobile transport leads to the transformation and expansion of the environmental research problem field, because of the need to ensure sustainable development and to improve people’s quality of life. It is necessary to learn how to manage the mobility (transport demand and transport behavior) of each resident in real time, offering him a choice of a limited set of transport behavior stereotypes. These stereotypes shall be based on the technologically sound code of ethics according to the need of ensuring the transport system environmental sustainability. The formation of a unified digital information environment for transport activities will allow the use of virtual and augmented reality technologies to manage population mobility by developing: systems for monitoring the impact of transport facilities on the natural and social environment; platform solutions of digital twins of roadside ecosystems, means of environmental engineering protection for use in digital models of road facilities, intelligent transport systems of traffic management; symbiotic man-machine management systems of transportation facilities. In case of the successful implementation of symbiotic man-machine management systems in the future transport facilities there are two ways for the motor-vehicle industry: either to create fully autonomous commercial transport, or to focus on symbiotic man-machine management systems of transportation facilities, which make the most of the driver's intellectual potential in decision-making. In our opinion, the second way is preferable in terms of safety, human movement comfort, habitat’s quality of public transport. The first way seems to be more efficient and safer for freight transport.


2017 ◽  
Vol 15 (2) ◽  
pp. 33-44 ◽  
Author(s):  
Homayoun Bayat ◽  
Mohammadq Dadashzadeh

Critical success factors for successful implementation outcomes of lean manufacturing remain an important area of research.  This paper examines the correlation between organizational factors, organizational structure, and job design with implementation outcomes of lean manufacturing that impact quality, waste, and delivery.  The effect of three moderating factors, the length of time that lean manufacturing has been implemented, the company’s size, and the type of manufacturing, on the relationship between organizational factors and implementation outcomes of lean manufacturing is also studied.  The results of this research study indicate that except for the lack of a relationship between level of formalization with waste and delivery outcomes, there are significant positive correlations between organizational factors and implementation outcomes of lean manufacturing.  The results also indicate that the moderating factors do affect the relationship between independent and dependent variables.


Author(s):  
Hamid R. Ahadi

This study examines organizational factors that affect the implementation of business process reengineering (BPR) when applying two specific information technologies (i.e., Electronic Data Interchange and/or Internet technology). This research uses a survey methodology to gather information about how organizational enablers and information technology affect BPR implementation. By determining the factors that affect BPR implementation, these factors can be managed in the best interest of customers, employees, and organizations. From the nine hypotheses tested in this study, six factors were found to be positively associated with successful implementation of BPR. These factors are top management supports, change management, centralization of decision making, formalization of procedure,organizational culture, and customer involvement. No significant relationship was found between employee resistance and integration of jobs with successful implementation of BPR. In this research, we found that the lack of resources is negatively associated with successful implementation of BPR. We also found that different information technologies such as those examined in this chapter—EDI and Internet—provide different capabilities and can be useful in different ways and for different purposes. The findings of this research can help practitioners to better understand the role of critical success and failure factors in BPR as well as the impact of different information technologies on BPR. By determining the factors that affect BPR implementation, these factors can be managed in the best interest of customers, employees, and organizations.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Chi Nguyen Thi Khanh ◽  
Le Thai Phong ◽  
Kien Dinh Cao

Purpose This paper aims to analyze the effects of organizational factors on electronic customer relationship management (e-CRM) successful implementation. Design/methodology/approach Data were collected through a structured questionnaire survey conducted in Vietnam. The dataset consists of 241 valid responses by individuals working at Vietnamese airlines. Correlation analysis and structural equation modeling were used to examine the causal relationships among organizational factors, customer orientation, knowledge management, data quality and CRM strategy. Findings The result shows that organizational factors have influence on e-CRM success. However, there are other factors needed to be more considered that are customer orientation having the most influence, following by knowledge management and technology. Still other factors have indirect effect on e-CRM success such as data quality and CRM strategy. Originality/value This study is among the first to examine an integrated model depicting the direct and indirect effects of organization factors on e-CRM success. From this perspective, this paper provides an improved understanding of how customer orientation and organizational factors, technology and knowledge management influences airlines applying e-CRM. This study also provides several implications for practice. The paper suggests airline providers and marketing managers, especially those in Vietnam, focus more on customer orientation activities. The paper also recommends that airlines should pay attention to its organizational structure in line with its customer-orientation strategy.


2018 ◽  
Vol 15 (3-4) ◽  
pp. 75-106
Author(s):  
Zdravko Zekić ◽  
Mirjana Grčić Fabić ◽  
Luka Samaržija

The concept of management innovation as distinctive type of non-technological innovations is still in the early days of conceptual formation and confirmation. This paper aims to investigate the concept of management innovations in public sector organizations with an emphasis on identifying the impact of organizational factors on the successful implementation of management innovations. The aim of implementation of new management concepts and methods is to increase efficiency and effectiveness of public services. A research was conducted on a sample of local self-government units in Croatia using empirical methods. The obtained results confirm the set conceptual determinants of the management innovation term, as manifested through the influence of selected organizational factors. Accordingly, absorptive capacity and top management support, with the combined effects of implementation climate and innovation-values fit, have been identified as key factors to achieving successful implementation of management innovations. On the other hand, availability of significant financial resources was not found to be a significant factor for the effective implementation of this type of innovation. Research results suggest theoretical and practical implications for strengthening the effectiveness of local self-government.


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