Review of Various Aspects of Clinical Information Systems Implementation and Awareness of Health Information Administrators about It

Efficient use of information systems in provision of health services is very important for achieving efficiency, effectiveness and service quality. In this study the various aspects of clinical information systems implementation and estimate of one of main user's knowledge about these systems in hospitals was investigated. This study was conducted in two-stages: in the first step using available information resources during 1997-2008, different aspects of clinical information systems implementation have been studied. In the second step, the knowledge of medical record department's administrators of Tehran University of Medical Sciences affiliated hospitals has been determined. Validity of questionnaire was confirmed by expert panel and a reliability of 78% with test-retest coefficient was confirmed. Obtained data was analyzed with Excel 2007 software. Clinical information system with improve quality and quantity of health care provided mission, is including components such as clinical documentation systems, medication management, pathology and etc. Studies indicated that there are some obstacles such as financial, behavioral and technical problems in implementation of these systems. The results of second part showed that the mean of knowledge of medical record department administrators from various aspects of clinical information systems was 53 percent. For effective clinical information system, review of effective factors and risk factors in the clinical information system implementation are important for prevention of repeated mistakes and neglect in cases that threat successful implementation of the project. Emphasize on education can be a key factor to promote awareness of the main users of clinical information systems about various aspects of these systems.