Usability of Hospital Management System in Clinical Work Physician's Perspective. | [Pakistan Armed Forces Medical Journal • 2017]

Author(s):

1. Uzma Rehan: Armed Forces Post Graduate Medical Institute(AFPGMI)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

2. Nuzhat Mushahid: Army Medical College/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

3. Naila Azam: Armed Forces Post Graduate Medical Institute(AFPGMI)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

4. Syed Fawad Mashhadi: Army Medical College/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

Abstract:

Objective: To assess effectiveness of hospital management system in clinical work in military hospitals: physicians' perspective. Study Design: Descriptive cross sectional study. Place and Duration of Study: Military hospitals of Rawalpindi, from Apr 2013 to Jun 2014. Material and Methods: Sample selected through convenient non probability sampling. Sixty-one (61) physicians in clinical work: 23 (38%) specialists and 38 (62%), Health Care Administrators (HCAs) were included in the study. Tools used were questionnaire, interviews, think aloud protocol, log book analysis and chart reviews. Results: More than 50% of respondents agreed that hospital management system in clinical setting lacks appropriate attributes. System is not customized to the needs of each specialty and doesn't support the continuity of care. It does not support evidence based decision making since it lacks clinical decision support system. Majority of physicians expect their clinical HMS to provide better support for collecting statistics for research. Most respondents agreed that HMS often diverts attention away from the patients and physicians “worked around” the system due to number of cofounders like lack of time, increased number of patients. Chart review revealed majority did not add alerts. Conclusion: This study has highlighted a significant number of usability issues which are on one hand lessening the effectiveness and efficiency of this system; while at the other hand leading to user frustration. These findings call for usability evaluations at all levels and the subsequent redesign of HMS application leading to a usercentered design which is effective in providing physicians with key functionalities which support physician's tasks and improve patient care.

Page(s): 936-942

DOI: DOI not available

Published: Journal: Pakistan Armed Forces Medical Journal, Volume: 67, Issue: 6, Year: 2017

Keywords:

Military hospital , Health management system

References:

[1] ViitanenJ,HypponenH,LaaveriT,VanskaJ,ReponenJ,WinbladI.,,2011,National questionnaire study on clinical ICT systems proofs: Physicians suffer from poor usability,Int J Med Inform,80,708,25

[2] Tufail A. Financial Aspects of HMS in Military Hospital [dissertation]: Quaid-e-Azam University Islamabad; 2013

[3] SaleemJJ,,2013,,J Am Med Inform Assoc,20,e175,e77

[4] HaggertyJL,,2003,Continuity of care: A multidisciplinary,Review BMJ,327,1219,21

[5] Ohno-MachadoL,GennariJH,MurphySN,JainNL,TuSW,OliverDE,,1998,The guideline interchange format: a model for representing guidelines,J Am Med Inform Assoc,5,357,72

[6] GreenesRA,LorenziNM,,1998,Audacious goals for health and biomedical informatics in the new millennium,J Am Med Inform Assoc,5,395,400

[7] SteadWW,MillerRA,MusenMA,HershWR,,2000,Integration and beyond: Linking information from disparate sources and into workflow,J Am Med Inform Assoc,7,135,45

[8] ShiffmanRN,BrandtCA,LiawY,Corb GJ,,1999,A design model for computer-based guideline implementation based on information management services,J Am Med Inform Assoc,6,99,103

[9] Collins J. Evidence-based medicine. J Am Coll Radiol 2007; 4(8): 551-4.

Citations

Citations are not available for this document.

Citations

Downloads

Views