The efficiency and effectiveness of surgery information systems in Iran

Abstract

Background Despite the prevalent use and advantages of information systems in hospitals, some have failed to meet their predefined objectives. Surgery information system (SIS) is a sub-system of a hospital information system. Its effective and efficient operation could enhance patient care in the busy environment of operating rooms with multiple tasks. The objective of this study was to evaluate the effectiveness and efficiency of SIS in three educational hospitals. Methods Data were collected using a questionnaire completed by 82 users of SIS. This questionnaire contains three parts: 1) participants’ demographic information, 2) questions regarding the efficiency of SIS, and 3) questions about its effectiveness. An independent sample t-test was used to compare the efficiency and effectiveness among systems. Chi-squared and Fisher tests were used to determine the relationship between the participants’ demographics and efficiency and effectiveness as well as the relationship between efficiency and effectiveness. Results About 23% of the participants rated the system’s efficiency as low, 29% as medium, and 48% as high. Besides, 24% of the participants considered the effectiveness of the system as low, 31% as medium, and 45% as high. There was a significant correlation between the efficiency and effectiveness of SIS (p ≤ 0.0001). Conclusion Based on the perspective of most participants (44%)the efficiency and effectiveness of both surgery information systems were acceptable. The results suggest that these systems should be designed in a way that facilitate user’s interaction and reduce the time takes to complete tasks. The results could be useful for developing and designing an efficient and effective system.

Evaluating physicians’ perspectives on the efficiency and effectiveness of the electronic prescribing system

“…In our study, the efficiency and effectiveness of the SSO electronic prescribing system had no significant relationship with gender, age, work experience, specialization, and computer skills. Likewise, previous studies (30–33) showed that there was no relationship between age, gender, and working experience with computers of users with some electronic systems such as nursing information systems (NIS), electronic medical record system, and surgery information system. Contrary to the above results, in the two studies on the NIS and computerized physician order entry (34;35), the age of users impacted their satisfaction levels, and it was found that older users were more satisfied than their younger counterparts.…”

“…Our results are in line with the results of a study concerning the correlation between satisfaction, effectiveness, and efficiency (36). Also, the results of two studies (16;33) showed that there is a significant correlation between the efficiency and effectiveness of the surgery information system and that of the diabetes mHealth system.…”

Comparison of usability evaluation methods for a health information system: heuristic evaluation versus cognitive walkthrough method

“…As a rule of thumb, effectiveness can be achieved when users perform their activities and tasks wholly and accurately via the system [ 59 ]. In a complex healthcare environment, the effectiveness of health information systems reduces errors by improving legibility, completeness and accuracy of information required for users to make decisions and perform their tasks, having a positive effect on improving quality of care [ 60 – 62 ]. It can be stated that, according to the results of the present study and Khajouei et al's study [ 28 ], the HE method is a validated method to identify satisfaction problems.…”

“…Within the dynamic healthcare environment, healthcare information systems are being constantly implemented, changed and updated [ 65 – 67 ]. Meanwhile, usability problems and users’ unfamiliarity with the user interface lead users to spend more time completing tasks by the system, hence, decreasing the efficiency [ 59 , 62 ]. On the other hand, training time in HISs is highly limited for the healthcare workers such as nurses who are essentially required to learn how to work with the system while doing their duties [ 68 ].…”

Development and Application Evaluation of a Nursing Simulation Teaching Information System Based on Hospital Information Systems

“…Carrying out nursing information technology education in colleges and universities has become popular [26]. HISs not only reduce cost and time but also reduce medical errors and patient mortality, promote nursing workfow, and improve the quality of nursing services for patients [27,28]. Although the clinical application of HISs still faces many obstacles, including imperfect systems, data loss, information security problems, and a lack of systematic training [29,30], such systems play an important role in clinical practice.…”