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01.12.2018 | Research article | Ausgabe 1/2018 Open Access

BMC Medical Informatics and Decision Making 1/2018

Functionality of hospital information systems: results from a survey of quality directors at Turkish hospitals

Zeitschrift:
BMC Medical Informatics and Decision Making > Ausgabe 1/2018
Autoren:
Mehmet Saluvan, Al Ozonoff
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1186/​s12911-018-0581-2) contains supplementary material, which is available to authorized users.

Abstract

Background

We aimed to determine availability of core Hospital Information Systems (HIS) functions implemented in Turkish hospitals and the perceived importance of these functions on quality and patient safety.

Methods

We surveyed quality directors (QDs) at civilian hospitals in the nation of Turkey. Data were collected via web survey using an instrument with 50 items describing core functionality of HIS. We calculated mean availability of each function, mean and median values of perceived impact on quality, and we investigated the relationship between availability and perceived importance.

Results

We received responses from 31% of eligible institutions, representing all major geographic regions of Turkey. Mean availability of 50 HIS functions was 65.6%, ranging from 19.6% to 97.4%. Mean importance score was 7.87 (on a 9-point scale) ranging from 7.13 to 8.41. Functions related to result management (89.3%) and decision support systems (52.2%) had the highest and lowest reported availability respectively. Availability and perceived importance were moderately correlated (r = 0.52).

Conclusion

QDs report high importance of the HIS functions surveyed as they relate to quality and patient safety. Availability and perceived importance of HIS functions are generally correlated, with some interesting exceptions. These findings may inform future investments and guide policy changes within the Turkish healthcare system.
Financial incentives, regulations around certified HIS, revisions to accreditation manuals, and training interventions are all policies which will help integrate HIS functions to support quality and patient safety in Turkish hospitals.
Zusatzmaterial
Additional file 1: Survey Items Related to IOM Groups. This table provides classification of survey items within the 8 HIS functionality categories described by IOM. (XLSX 13 kb)
12911_2018_581_MOESM1_ESM.xlsx
Literatur
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