The Feasibility of Implementing Electronic Medical Records From the Staff’s Perspective of ‎Ferdows Teaching and Medical Hospitals in 2021‎

Document Type : Original Article

Authors

1 Department of Health Information Technology, Faculty of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran

2 Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran

3 Department of Health Information Technology, Ferdous School of Paramedicine and Health, Birjand University of Medical Sciences and Health Services, Birjand, Iran

4 Department of Health Information Management, Faculty of Paramedicine, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Purpose:
Nowadays, the application of computers and technology in various industries, including the care industry, has greatly expanded. Due to the need for accurate and correct information, the use of such systems as electronic health records and hospital information systems, in the health industry, has increased. Therefore, the aim of the present study is to evaluate the possibility of implementation of electronic medical records in teaching and medical hospitals of the Ferdows city (South of Khorasan, Iran) from the perspective of the hospital's staff in 2021.
Methods:
The present study is descriptive and analytical. The research population was the staff of the teaching and therapeutic hospitals of Ferdows City. In this study, the census method was used and the research community was considered as the research sample. The tool of data collection is the governor's questionnaire, which consists of two parts of Awareness and standards required for the implementation of electronic medical records. The validity and reliability of the questionnaire have been evaluated in previous studies. However, the reliability of the tool was re-examined in the present study and its internal correlation was found to be 92% with Cronbach's alpha method. Finally, the collected data were entered into SPSS version 16 and analyzed with descriptive statistics and the Mann-Whitney test.
Results:
78 hospital staff participated in the research. The awareness of the research community about electronic medical record was high and both hospitals were well prepared for the establishment of electronic medical records. The average compliance with technical, organizational, human, and legal requirements in two hospitals was 2.07, 2.04, 2.19, and 2.42, respectively. Among the examined requirements, the legal and organizational requirements were the highest and the lowest in the hospitals, respectively. In terms of the presence of requirements, no significant difference was observed between the average scores of electronic medical records.
Conclusions:
Considering the relative readiness of the educational and therapeutic hospitals of Ferdows City for establishing electronic medical records and the high awareness of employees regarding this system, it is suggested that the managers and supervisors of the hospitals take the necessary measures and plan this direction.

Keywords


  1. Mirabootalebi N, Ahmadi M, Dehghani M, Khani S, Azad M. Electronic medical records, a new step in technology of health system: Administrators and physiciansperspective. Payavard 2017; 10(5): 409-418. [Persian]
  2. Ghazi Saeedi M, Esmaeili Javid GR, Mohammadzadeh N, Asadallah Khan vali h. Determining the Minimum Data Set of Diabetic Foot Ulcer Patients' Electronic Medical Records. Payavard 2021; 14(5): 443-453. [Persian]
  3. Ayatollahi H, Mirani N, Haghani H. Electronic health records: what are the most important barriers? Perspect Health Inf Manag 2014;11: 1c.
  4. Tolf S, Mesterton J, Söderberg D, Amer-Wåhlin I, et al. How can technology support quality improvement? Lessons learned from the adoption of an analytics tool for advanced performance measurement in a hospital unit. BMC Health Serv Res 2020; 20(1): 816.
  5. Mohammadpour A, Ghaemi MM, Darrudi R, Sadagheyani HE. Use of Hospital Information System to Improve the Quality of Health Care from Clinical Staff Perspective.  Galen Med J 2021; 10: e1830.
  6. Hannawa AF, Wu AW, Kolyada A, Potemkina A, et al. The aspects of healthcare quality that are important to health professionals and patients: A qualitative study. Patient Educ Couns 2022; 105(6): 1561-1570.
  7. Feeney P. Preparing staff for information technology. Health informatics: An overview. 1996: 255-264.
  8. Gozali E, Langarizadeh M, Sadoughi F. A survey of the possibility of electronic medical records implementation in teaching hospitals affliated to Urmia University of Medical Sciences. Nursing and Midwifery Journal 2013;11(5):391-397. [Persian]
  9. Garavand A. Survey of Possibility Deployment of Electronic Medical Record in Shiraz Teaching Hospitals. jhbmi 2015; 2(1): 33-41. [Persian]
  10. Tavakoli N, Shahin A, Jahanbakhsh M, Mokhtari H, et al. Users’ acceptance and attitude in regarding electronic medical record at central polyclinic of oil industry in Isfahan, Iran. J Educ Health Promot 2013; 2(1): 59.
  11. Safdari R, Mohammad Zadeh Z, Karimi Nejad R. Electronic Health Record standards & Architecture. Tehran: Heidari; 2017: 170 . [Persian]
  12. Janssen A, Donnelly C, Elder E, Pathmanathan N, et al. Electronic medical record implementation in tertiary care: factors influencing adoption of an electronic medical record in a cancer centre. BMC Health Serv Res 2021; 21(23): 1-9.
  13. Simon JS, Rundall TG, Shortell SM. Drivers of electronic medical record adoption among medical groups. Jt Comm J Qual Patient Saf 2005; 31(11): 631-639.
  14. Ajami S, Ketabi S, Saghaeiannejad S, Heidari A. Requirements and areas associated with readiness assessment of electronic health records implementation. jha 2012; 14 (46) :71-78. [Persian]
  15. Terry AL, Thorpe CF, Giles G, Brown JB, et al. Implementing electronic health records: Key factors in primary care. Can Fam Physician 2008; 54(5): 730-736.
  16. Al-Samarraie H, Ghazal S, Alzahrani AI, Moody L. Telemedicine in Middle Eastern countries: Progress, barriers, and policy recommendations. Int J Med Inform 2020; 141: 104232.
  17. Vaishnavi V, Suresh M, Dutta P. A study on the influence of factors associated with organizational readiness for change in healthcare organizations using TISM. Benchmarking: An International Journal. 2019;26(4): 1290-1313.
  18. Abdulai A-F, Adam F. Health providers’ readiness for electronic health records adoption: A cross-sectional study of two hospitals in northern Ghana. PloS one 2020; (6)15: e0231569.
  19. Langarizadeh M, Gozali E, Sadoughi F. Readiness Survey And Comparison Of Educational Hospitals Of Medical Sciences University Of Urmia To Deploy Electronic Medical Records. Payavard 2013; 7(4): 312-24. [Persian]
  20. Gozali E. A survey of the teaching hospitals affliated to Urmia university of medical sciences for implementing Electronic Medical Record :2012. Tehran: Tehran University Of Medical Sciences; 2013. [Persian]
  21. Mirani N, Ayatollahi H, Haghani H. A Survey on Barriers to the Development and Adoption of Electronic Health Records in Iran.  jha 2013; 15(50) :65-75. [Persian]
  22. Jelvay S, Sharifian R, Farhadi P, Saeidi Nejad S. Barriers of implementation of electronic health record.  International Conference on Sustainable Reform in Health Systems 2015.
  23. Gagnon MP, Payne-Gagnon J, Breton E, Fortin JP, et al. Adoption of Electronic Personal Health Records in Canada: Perceptions of Stakeholders. Int J Health Policy Manag 2016; 5(7): 425-433.
  24. AlSadrah SA. Electronic medical records and health care promotion in Saudi Arabia. Saudi Med J 2020; 41(6): 583-589.
  25. Dargahi H , Razavi SM. The role of organizational culture in implementing telemedicine in healthcare providers Tehran University of Medical Sciences. Journal of School of Medicine 2004; 63(2): 99-107. [Persian]
  26. Høstgaard AM, Nøhr C. Dealing with organizational change when implementing EHR systems. Stud Health Technol Inform 2004; 107(Pt 1): 631-4.
  27. Mahmoodzadeh Z. Telemedicine and its impact on privacy of patient information, Iran, Tehran:Proceedings of the 4th Regional Conference on eHealth: Health and Medical Education Secretariat Takfab, 2004.