Dogether Majed Al, Muallem Yahya Al, Househ Mowafa, Saddik Basema, Khalifa Mohamed
College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia.
College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia.
J Infect Public Health. 2016 Nov-Dec;9(6):749-756. doi: 10.1016/j.jiph.2016.09.003. Epub 2016 Sep 23.
In recent decades, healthcare organizations have undergone a significant transformation with the integration of Information and Communication Technologies within healthcare operations to improve healthcare services. Various technologies such as Hospital Information Systems (HIS), Electronic Health Records (EHR) and Laboratory Information Systems (LIS) have been incorporated into healthcare services. The aim of this study is to evaluate the completeness of outpatients' laboratory paper based request forms in comparison with a electronic laboratory request system. This study was carried out in the laboratory department at King Abdulaziz Medical City (KAMC), National Guard Health Affairs, Riyadh, Saudi Arabia. We used a sample size calculator for comparing two proportions. We estimated the sample size to be 228 for each group. Any laboratory requests including paper and electronic forms were included. We categorized the clarity of the forms into understandable, readable, and unclear. A total of 57 incomplete paper forms or 25% were identified as being incomplete. For electronic forms, there were no incomplete fields, as all fields were mandatory, therefore, rendering them complete. The total of understandable paper-based laboratory forms was 11.4%. Additionally, it was found that the total of readable was 33.8% and the total for unclear was 54.8%, while for electronic-based forms, there were no unclear forms. Electronic based laboratory forms provide a more complete, accurate, clear, and understandable format than paper-based laboratory records. Based on these findings, KAMC should move toward the implementation of electronic-based laboratory request forms for the outpatient laboratory department.
近几十年来，医疗保健机构通过在医疗运营中整合信息通信技术以改善医疗服务，经历了重大变革。诸如医院信息系统（HIS）、电子健康记录（EHR）和实验室信息系统（LIS）等各种技术已被纳入医疗服务。本研究的目的是与电子实验室申请系统相比，评估门诊患者纸质实验室申请表的完整性。本研究在沙特阿拉伯利雅得国民警卫队卫生事务部阿卜杜勒阿齐兹国王医疗城（KAMC）的实验室进行。我们使用样本量计算器来比较两个比例。我们估计每组的样本量为228。包括纸质和电子表格在内的任何实验室申请都被纳入。我们将表格的清晰度分为可理解、可读和不清晰。总共57份不完整的纸质表格或25%被确定为不完整。对于电子表格，没有不完整的字段，因为所有字段都是必填的，因此使其完整。基于纸质的实验室表格中可理解的总数为11.4%。此外，发现可读的总数为33.8%，不清晰的总数为54.8%，而对于基于电子的表格，没有不清晰的表格。基于电子的实验室表格比基于纸质的实验室记录提供了更完整、准确、清晰和可理解的格式。基于这些发现，KAMC应朝着为门诊实验室部门实施基于电子的实验室申请表的方向发展。
