Bennis Bassma, El Bardai Ghita, Chouhani Basmat Amal, Kabbali Nadia, Sqalli Tarik
Laboratory of Epidemiology and Research in Health Sciences, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohamed Ben Abdellah University, Fez, MAR.
Nephrology Dialysis and Transplantation, Hassan II University Hospital, Fez, MAR.
Cureus. 2024 Feb 22;16(2):e54675. doi: 10.7759/cureus.54675. eCollection 2024 Feb.
The Nephrology Department of Hassan II Hospital in Fez, Morocco, has implemented an Electronic Medical Record (EMR) system for managing patients undergoing acute hemodialysis. This initiative aims to digitize patient monitoring and enhance the management of acute dialysis within the department. Conducting strengths, weaknesses, opportunities, and threats (SWOT) analysis - assessing strengths, weaknesses, opportunities, and threats - was crucial to identifying and understanding the internal strengths and weaknesses, as well as the external opportunities and threats. This article outlines the SWOT analysis findings that may impact the project's success and shape decision-making. It also discusses strategies that could be implemented to allocate resources, mitigate risks, and capitalize on potential advantages.
This study involved a multidisciplinary team, including professors, nephrologists, nephrology residents, and a healthcare information system engineer. Brainstorming sessions were held during the specification drafting phase to pinpoint both internal and external factors affecting the project. User feedback during testing further refined these factors, ensuring the project's alignment with real-world needs and challenges.
The study identifies the project's strengths as providing safe and immediate access to information, along with strong communication between the department (application users) and the project manager. The significant EMR weakness is the lack of logistical resources and the absence of a long-term maintenance plan for the application. The opportunity presented by this EMR implementation is its functionality's potential to evolve, enabling the solution to be deployed in other dialysis centers across the region. The project's threat is the potential abandonment of EMR use by future practitioners.
These SWOT analysis findings enable the development and implementation of strategies to reduce the current deployment's vulnerabilities and ensure the success of future HIS implementations in the nephrology network of the Fez-Meknes region, Morocco.
摩洛哥非斯哈桑二世医院的肾病科已实施电子病历（EMR）系统，用于管理接受急性血液透析的患者。该举措旨在将患者监测数字化，并加强科室内部急性透析的管理。进行优势、劣势、机会和威胁（SWOT）分析——评估优势、劣势、机会和威胁——对于识别和理解内部优势与劣势以及外部机会与威胁至关重要。本文概述了可能影响项目成功并塑造决策的SWOT分析结果。它还讨论了可以实施的策略，以分配资源、减轻风险并利用潜在优势。
本研究涉及一个多学科团队，包括教授、肾病学家、肾病科住院医师和一名医疗信息系统工程师。在规范起草阶段举行了头脑风暴会议，以确定影响项目的内部和外部因素。测试期间的用户反馈进一步完善了这些因素，确保项目与现实世界的需求和挑战保持一致。
该研究确定该项目的优势在于能够安全、即时地获取信息，以及科室（应用程序用户）与项目经理之间的良好沟通。电子病历的一个重大劣势是缺乏后勤资源，且应用程序没有长期维护计划。此次电子病历实施带来的机会是其功能有发展潜力，能够使该解决方案在该地区的其他透析中心进行部署。该项目面临的威胁是未来从业者可能会放弃使用电子病历。
这些SWOT分析结果有助于制定和实施策略，以减少当前部署的漏洞，并确保摩洛哥非斯-梅克内斯地区肾病网络未来医院信息系统实施的成功。
