Document Type : Original Article
Authors
1 Associate Professor, Health Information Management/Technology, School of Allied Health Professions, Kashan University of Medical Sciences, Kashan, Iran
2 PhD Student , Medical Informatics, School of Allied Health Professions, Tehran University of Medical Sciences, Tehran, Iran
3 MSc, Education Medical Records, Isfahan University of Medical Sciences, Esabne Maryam Hospital, Isfahan, Iran
Abstract
Introduction: Since hospital information systems in our country are limited on HIS first-generation activities it is necessary that these systems inter into a new wave by emphasizing on improving quality of care.Thus, this study was performed to design the quality improvement and patient safety requirements in hospital information systems. Methods: This descriptive, sectional and applied research was done in15 hospitals affiliated to Tehran, Shahid Beheshti and Isfahan universities medical science in 2012. First, library studies and internet browsing was done and based on that, an index and a semi-strutted questionnaire were prepared and presented to 5 experts of first round. Then, based on pluralization of experts' opinions in firstround, the final questionnaire was prepared including 25 closed questions with Likret scoring, validity and reliability were confirmed through content validity and test-retest method and was presented to experts of the second round by verbal reference. Answers were graded from 0-4 and were analyzed using the software SPSS version 18 and the requirements that their average of final score was 3 and more were confirmed. Results: The mean score of all determined requirements was more than 3. All experts confirmed the need of warning in abnormal test results, %94/8 providing clinical guidelines and %94/7 providing warning in case of non-conformity of the prescribed measures with physiological parameters and providing a differential diagnosis based on clinical symptoms of the patient in hospital information system. Conclusion: All proposed requirements of the initial model were approved by experts, also some items added to it. Using this model for hospital information systems evaluation and selection are recommended. Keywords: Quality Improvement; Patient Safety; Hospital Information Systems; Clinical Governance
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