ARTICLE INFO

Article Type

Descriptive & Survey Study

Authors

Mohammadi   R. (1)
Bostan   H. (2)
Darabi   H. (3)
Lazem   M. (4)
Maleki   M. (5)
Ghalaneh   S. (6)
Aslani   N. (4)
Garavand   A. (*)






(*) Health Information Management Department, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
(1) Military Psychology Applied Research Center, Deputy of Health, Police Force, Tehran, Iran
(2) Health Information Technology Department, Abadan School of Medical Sciences, Abadan, Iran
(3) School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
(4) Health Information Management Department, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
(5) Health Information Technology Department, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
(6) Health Information Technology Department, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Correspondence

Article History

Received:  July  2, 2018
Accepted:  December 15, 2018
ePublished:  December 31, 2018

BRIEF TEXT


Laboratory Information System (LIS) is used for planning, organizing, and controlling clinical activities, management, and productivity from laboratory services in the hospital.

… [1-8]. Khajouei et al. (2015) study on the performance of the laboratory information system of the private and educational-therapeutic hospitals in Isfahan showed that there were no differences between private and educational-therapeutic hospital hospitals in the studied factors, and the Kowsar software system has the highest rate of compliance with standards (29.23%), compared to the other hospitals systems in the studied factors. They also found that their studied system did not meet the international standards [9]. Asadi et al. in a study entitled “Situation analysis of hematology information systems in educational-therapeutic hospital laboratories of Shaheed Beheshti University of Medical Sciences” concluded that the quality control data, interpretive reports, tables and subjects, and financial reports are presented in 78.92%, 69.23%, 46.15%, and 30.77% of these systems, respectively [10]. Mahajan et al. concluded that without information system, up to 30% of hospital costs were spent on collecting, storing and retrieving information and management [11]. … [12].

This study was conducted with the aim of comparing LIS performance in two military hospitals.

The present study is a descriptive cross sectional research.

The present study was conducted on the LIS of two military hospitals in Tehran in 2016.

None declared.

LIS was evaluated using a researcher-made checklist based on the LIS-2A and LIS-8A standards of the American Standard Society (supervised by the American National Standards Institute (ANSI) and the Clinical & Laboratory Standards Institute (CLSI)) and the LIS factors approved by the Ministry of Health and Medical Education (Management Center of Statistics and Information Technology) [13]. These two standards, as well as Ministry of Health and Medical Education factors were considered as inclusion criteria and data storage and processing. In the checklist, items which were not consistent with the study objectives and the conditions of health information system were excluded and some national items were added to the standard. A part of the checklist which was designed according to the ANSI was translated using translation/back translation to the Persian, and was again translated to English by a translator expert in both languages. It was compared with the original checklist then redesigned when the contrasts were resolved. The content validity of the checklist was confirmed by nine experts including three experts in laboratory sciences, four health information management specialists and two information system specialists. The final checklist consisted of 15 main variables and 152 questions. After obtaining the necessary permissions, data was collected through direct referral of the researcher (M.Sc. in Medical laboratory sciences and expert in LIS) to check the LIS and interview with the users of the system. Compliance with the standards introduced in the l LIS was analyzed and compared. The second researcher (expert in health information technology) evaluated the system separately. The results were compared and in case of contrast, the results were referred to the third expert. The final results were assessed by the SPSS 21 software after elimination of contradictions and data was analyzed based on the research objectives. Measures of central tendency including mean, frequency, and frequency percentage were used to report the status of the LIS of the hospitals.

The total mean of compliance with the standards for the studied items in hospital A (25.76±5.64) was less than hospital B (37.47±6.21). Hospital B (48.14%) had a better status than hospital A (26.82%) in terms of the data input. Hospital B (27.39%) had a better status in data storage/processing compared with the hospital A (13.46%). Both hospitals had the same status (29.99%) based on the data output (Table 1).

According to the findings of this study, the recording patient's demographic information, diagnostic information and sample information had better status compared with other factors. In this regard, Asadi et al. concluded that recording information is in compliance with standards in 94% of cases in the information systems of selected hospitals of Shahid Beheshti University of Medical Sciences [10]. In terms of financial information recording, Burtis & Bruns state that using LIS a list of costs based on test subject, financial code, and the costs can be provided [16]. Lungo (2003) in a study entitled “Data flows in health information systems”, concluded that data management, data analysis, data transmission, human resource training, intra-organizational coordination, and implementation of computer-based information systems and its relationship with other units are the problems caused by LIS reporting [18].

Regarding the inappropriate status of both hospitals based on national and international standards, it is recommended that authorities decide on the development and improvement of the status of the LIS in accordance with the used tool in the study and in accordance with the opinion of the users of the system.

LIS of the Hospital B had a significant better status than that of Hospital A, which is more significant in data input and storage/processing of the data.

None declared.

None declared.

None declared.

None declared.

None declared.

TABLES and CHARTS

Show attach file


CITIATION LINKS

[1]Ball MJ. Hospital information systems: Perspectives on problems and prospects, 1979 and 2002. Int J Med Inform. 2003;69(2-3):83-9.
[2]Thakkar M, Davis DC. Risks, barriers, and benefits of EHR systems: A comparative study based on size of hospital. Perspect Health Inf Manag. 2006;3(5):1-19.
[3]Ajami S, Tavakoli Moghadam A. The study of information management system of medical records office in Kashani hospital based on the existing standards. Health Inform Manag. 2006;3(1):63-71. [Persian]
[4]Khajouei R, Jaspers MW. The impact of CPOE medication systems' design aspects on usability, workflow and medication orders. Methods Inf Med. 2010;49(1):3-19.
[5] Yusof MM, Paul RJ, Stergioulas LK, editors. Towards a framework for health information systems evaluation. Proceedings of the 39th Annual Hawaii International Conference on System Sciences (HICSS'06). Kauia, HI: IEEE; 2006.
[6] Hamborg KC, Vehse B, Bludau HB. Questionnaire based usability evaluation of hospital information systems. Electron J Inf Sys Eval. 2004;7(1):21-30.
[7]Agharezaei Z. Developing a clinical decision support system for reducing the probability of pulmonary embolism and deep venous thrombosis and assessing the physicians and the nurses attitude about the system [Dissertation]. Tehran: Amirkabir University of Technology; 2012. [Persian]
[8]Blazek P, Kuca K, Jun D, Krejcar O. Development of information and management system for laboratory based on open source licensed software [Conference paper]. Switzerland: Springer International Publishing; 2015. pp. 377-87.
[9]Khajouei R, Saghaeiannejad S, Jahanbakhsh M, Mirmohammadi M. Assessment of the Performance of the Laboratory Information System (LIS) Based on the Standards of the American National Standards Institute (ANSI). J Health Biomed Inform. 2015;2(1):8-16. [Persian]
[10] Asadi F, Moghaddasi H, Mastaneh Z. Situation analysis of hematology information systems in educational-therapeutic hospital laboratories of Shaheed Beheshti University of Medical Sciences. Health Inf Manag. 2009;6(1):11-21. [Persian]
[11]Mahajan V, Milton EF. The use of computers in hospitals: An analysis of adopters and nonadopters. Interfaces. 1977;7(3):95-107.
[12]Nematollahi M, Kharmandar H, Ameripoor MR. Evaluating the performance of the laboratory information system of public hospitals in Shiraz, 2011. Mag E-learn Distrib Academ (MEDIA). 2012;3(3):9-16.
[13]Mountain PJ, Chou D, Callaghan J, Davis R, Hawker D, Herold D, et al. American National Standards Institute. Specification for transferring information between clinical instruments and computer systems; approved standard--Second edition [Online]. Michigan: Clinical and Laboratory Standards Institute; 2004. [cited, 2016 March 2]. Available from: https://clsi.org/standards/products/automation-and-informatics/documents/lis02/.
[14] Musavi F. Situation analysis of hematology information systems in therapeutic hospital laboratories of Shiraz University of Medical Sciences [Dissertation]. Shiraz: Shiraz University of Medical Sciences; 2011. [Persian]
[15]Gimbel S, Micek M, Lambdin B, Lara J, Karagianis M, Cuembelo F, et al. An assessment of routine primary care health information system data quality in Sofala Province, Mozambique. Popul Health Metr. 2011;9:12.
[16] Burtis CA, Bruns DE. Tietz Fundamentals of clinical chemistry. 5th edition. Philadelphia: Saunders; 2001.
[17]Tate KE, Gardner RM, Weaver LK. A computerized laboratory alerting system. Comput Med Pract. 1990;7(5):296-301.
[18]Lungo JH. Data flows in health information systems : An action research study of reporting routine health delivery services and implementation of computer databases in health information systems [Dissertation]. Oslo: University of Oslo; 2004.