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Impact of a Computerized Hospital Information System on the Staff workload in an Iranian Hospital

Author(s): Raheleh Malaekeh | Narjes Mirabootalebi | Hamidreza Mahboobi

Journal: Electronic Physician
ISSN 2008-5842

Volume: 4;
Issue: 2;
Start page: 485;
Date: 2012;
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Keywords: Medical records department | Hospital Information System (HIS) | Medical Record

Introduction: A hospital information system (HIS) is a comprehensive, integrated information system designed tomanage the administrative, financial and clinical aspects of a hospital. As an area of medical informatics, theintroduction of a HIS into a hospital was purported to reduce the time spent on administrative and clinical activitiesby electronic data processing. However, adoption has been slow, and a key concern has been that staffs will requiremore time to complete their work using HIS. And also Most of available HIS have lots of deficiencies in datagathering, so hospital managers decided to keep their paper records and same time use HIS. Most previous studiesaddressing this issue have been done with concentration on clinical staff activities.Methods: Comparative observational of the impact of a HIS on Medical Records Department time in four units:Admission Discharge and Transfer/ADT, Medical Filing and Retrieval, Medical coding/billing, and MedicalStatistics. Measurements: We used a time-motion method to measure staff time spent in predefined activities.Medical Records staff monitored while using HIS and paper based system. 15 clerical medical records staff wereobserved treating 300 documents while still using paper-based records, and same persons were observed treating400 patients’ records with HIS.Results: Following HIS implementation, the use of the computerized system decreased the average total workloadby 61.35% (from 66.41 to 23.93 m).Conclusion: Hospital Information System (HIS) reduces three nonclinical activities time noticeably which is vital todecision making and plays a crucial role in the success of the organization.
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