Center for Applied Pediatric Quality Analytics, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA.
Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
BMC Med Inform Decis Mak. 2018 Jan 12;18(1):6. doi: 10.1186/s12911-018-0581-2.
We aimed to determine availability of core Hospital Information Systems (HIS) functions implemented in Turkish hospitals and the perceived importance of these functions on quality and patient safety.
We surveyed quality directors (QDs) at civilian hospitals in the nation of Turkey. Data were collected via web survey using an instrument with 50 items describing core functionality of HIS. We calculated mean availability of each function, mean and median values of perceived impact on quality, and we investigated the relationship between availability and perceived importance.
We received responses from 31% of eligible institutions, representing all major geographic regions of Turkey. Mean availability of 50 HIS functions was 65.6%, ranging from 19.6% to 97.4%. Mean importance score was 7.87 (on a 9-point scale) ranging from 7.13 to 8.41. Functions related to result management (89.3%) and decision support systems (52.2%) had the highest and lowest reported availability respectively. Availability and perceived importance were moderately correlated (r = 0.52).
QDs report high importance of the HIS functions surveyed as they relate to quality and patient safety. Availability and perceived importance of HIS functions are generally correlated, with some interesting exceptions. These findings may inform future investments and guide policy changes within the Turkish healthcare system. Financial incentives, regulations around certified HIS, revisions to accreditation manuals, and training interventions are all policies which will help integrate HIS functions to support quality and patient safety in Turkish hospitals.
本研究旨在确定土耳其医院实施的核心医院信息系统（HIS）功能的可用性，以及这些功能对质量和患者安全的感知重要性。
我们调查了土耳其民用医院的质量主管（QDs）。通过使用包含 50 个项目的仪器进行网络调查收集数据，这些项目描述了 HIS 的核心功能。我们计算了每个功能的平均可用性、对质量的感知影响的平均值和中位数，并研究了可用性和感知重要性之间的关系。
我们收到了符合条件的机构的 31%的回复，这些机构代表了土耳其所有主要地理区域。50 项 HIS 功能的平均可用性为 65.6%，范围为 19.6%至 97.4%。感知重要性的平均得分为 7.87（9 分制），范围为 7.13 至 8.41。与结果管理（89.3%）和决策支持系统（52.2%）相关的功能分别具有最高和最低的报告可用性。可用性和感知重要性之间存在中度相关性（r=0.52）。
QDs 报告称，他们高度重视与质量和患者安全相关的 HIS 功能。HIS 功能的可用性和感知重要性通常是相关的，但也存在一些有趣的例外。这些发现可能为土耳其医疗保健系统的未来投资和政策变化提供信息。经济激励、认证 HIS 的法规、认证手册的修订以及培训干预措施都是有助于整合 HIS 功能以支持土耳其医院质量和患者安全的政策。
