Safdari Reza, Ghazisaeidi Marjan, Jebraeily Mohamad
Department of Health Information Management, School of Allied Medical Sciences, Tehran.
Acta Inform Med. 2015 Apr;23(2):102-4. doi: 10.5455/aim.2015.23.102-104. Epub 2015 Apr 14.
EHR implementation results in the improved quality of care, customer-orientation and timely access to complete information. Despite the potential benefits of EHR, its implementation is a difficult and complex task whose success depends on many factors. The purpose of this research is indeed to identify the key success factors of EHR.
This is a cross-sectional survey conducted with participation of 340 work forces from different types of job from Hospitals of TUMS in 2014. Data were collected using a self-structured questionnaire which was estimated as both reliable and valid. The data were analyzed by SPSS software descriptive statistics and analytical statistics.
58.2% of respondents were female and their mean age and work experience were 37.7 and 11.2 years, respectively and most respondents (52.5%) was bachelor. In terms of job, the maximum rate was related to nursing (33 %) and physician (21 %). the main category of critical success factors in Implementation EHRs, the highest rate related to Project Management (4.62) and lowest related to Organizational factors (3.98).
success in implementation EHRs requirement more centralization to project management and human factors. Therefore must be Creating to EHR roadmap implementation, establishment teamwork to participation of end-users and select prepare leadership, users obtains sufficient training to use of system and also prepare support from maintain and promotion system.
电子健康记录（EHR）的实施可提高医疗质量、以客户为导向并能及时获取完整信息。尽管EHR有潜在益处，但其实施是一项困难且复杂的任务，其成功取决于许多因素。本研究的目的确实是确定EHR的关键成功因素。
这是一项横断面调查，于2014年在德黑兰医科大学附属医院的340名不同类型工作岗位的员工参与下进行。数据通过一份自行编制的问卷收集，该问卷经评估具有可靠性和有效性。数据使用SPSS软件进行描述性统计和分析性统计分析。
58.2%的受访者为女性，她们的平均年龄和工作经验分别为37.7岁和11.2年，大多数受访者（52.5%）拥有学士学位。在工作岗位方面，占比最高的是护理人员（33%）和医生（21%）。在EHR实施的关键成功因素主要类别中，与项目管理相关的比例最高（4.62），与组织因素相关的比例最低（3.98）。
EHR实施的成功需要更集中于项目管理和人为因素。因此，必须制定EHR实施路线图，建立终端用户参与的团队合作，并选拔有准备的领导，让用户获得使用系统的充分培训，同时为系统的维护和推广做好支持准备。
