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Full article title Determining the hospital information system (HIS) success rate: Development of a new instrument and case study
Journal Open Access Macedonian Journal of Medical Sciences
Author(s) Ebnehoseini, Zahara; Tabesh, Hamed; Deldar, Kolsoum; Mostafavi, Sayyed M.; Tara, Mahmood
Author affiliation(s) Mashhad University of Medical Sciences, Shahroud University of Medical Sciences
Primary contact Email: TaraM at mums dot ac dot ir
Year published 2019
Volume and issue 7(9)
Page(s) 1407–14
DOI 10.3889/oamjms.2019.294
ISSN 1857-9655
Distribution license Creative Commons Attribution-NonCommercial 4.0 International
Website https://www.id-press.eu/mjms/article/view/2647
Download https://www.id-press.eu/mjms/article/view/oamjms.2019.294/3327 (PDF)

Abstract

Background: A hospital information system (HIS) is a type of health information system which is widely used in clinical settings. Determining the success rate of a HIS is an ongoing area of research since its implications are of interest for researchers, physicians, and managers.

Aim: In the present study, we develop a novel instrument to measure HIS success rate based on users’ viewpoints in a teaching hospital.

Methods: The study was conducted in Ibn-e Sina and Dr. Hejazi Psychiatry Hospital and education center in Mashhad, Iran. The instrument for data collection was a self-administered structured questionnaire based on the information systems success model (ISSM), covering seven dimensions, which includes system quality, information quality, service quality, system use, usefulness, satisfaction, and net benefits. The verification of content validity was carried out by an expert panel. The internal consistency of dimensions was measured by Cronbach’s alpha. Pearson’s correlation coefficient was calculated to evaluate the significance of associations between dimensions. The HIS success rate on users’ viewpoints was determined.

Results: A total of 125 users participated in the study. The instrument was validated by an expert panel with the content validity index (CVI) at 0.85 and content validity ratio (CVR) at 0.86. The overall Cronbach’s alpha value of the instrument was 0.93. The Pearson correlation coefficient showed significant positive relationships among the investigated dimensions. On average, HIS success rate in the hospital under study was 65% (CI: 64%, 67%). The dimensions of “usefulness,” “system quality,” and “net benefits” showed the highest rates of success, respectively.

Conclusion: The instrument used in this study can be adopted for HIS evaluation in future studies. In the current study, a method was developed to determine the HIS success rate based on users’ viewpoints. This method allows for the comparison of HIS success rates in various hospitals. As well, our findings underscore the viewpoints of HIS users in a developing country.

Keywords: electronic health record, evaluation, hospital information systems, information system success model, ISSM


References

Notes

This presentation is faithful to the original, with only a few minor changes to presentation, spelling, and grammar. We also added PMCID and DOI when they were missing from the original reference.