Evaluating the ability of hospital information systems to establish evidence-based medicine in Iran

Rangraz-Jeddi, F. and Abazari, F. and Moravveji, S.A. and Nadjafi, M. (2013) Evaluating the ability of hospital information systems to establish evidence-based medicine in Iran. Journal of Medical Systems, 37 (2).

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Abstract

Evidence-based medicine (EBM) is the correct use of the best evidences in clinical decision making for patient care. Hospital Information Systems (HIS) can act as a bridge between medical data and medical knowledge through context-sensitive merging and filtering of patient data, individual clinical knowledge and external evidence. The aim of this study was to determine the ability of HISs to establish EBM in Iran. This descriptive cross-sectional study was carried out on HISs of 30 hospitals from March 2011 to October 2011. Data were collected using a researcher-constructed checklist including applicant's background information as well as information based on research objectives: clinical decision support system (CDSS), reference databases, contextual and case-specific information, clinical and administrative data repositories and Internet-based health information. Face and content validity of the checklist were assessed by the qualified specialists and then the data were analyzed using descriptive statistics and SPSS 16 software. The results of the study revealed that the HISs lacked the essential components to providing access to CDSS, reference databases and Internet-based health information in 19, 16 and 20 hospitals were 63.3 , 53.3 and 66.7, respectively. Twenty-two hospitals (70 ) had more than two-thirds of the essential components to access clinical and administrative data repositories; 23 hospitals (76.7 ) had at least one essential component to access contextual and case-specific information. It can be concluded that the ability of the HISs to establish EBM in providing access to the clinical and administrative data repositories is better than other research objectives. Furthermore, more attention should be paid to other related objectives. © 2013 Springer Science+Business Media New York.

Item Type: Article
Additional Information: cited By 2
Uncontrolled Keywords: access to information; article; clinical evaluation; content validity; cross-sectional study; decision support system; descriptive research; evidence based medicine; face validity; hospital information system; human; information; Internet; Iran; library; medical information; multicenter study; reference database; statistics; computer interface; electronic medical record; evaluation study, Cross-Sectional Studies; Decision Support Systems, Clinical; Electronic Health Records; Evidence-Based Medicine; Hospital Information Systems; Humans; Iran; User-Computer Interface
Subjects: Health Professions
Divisions: Faculty of Para medicine > Department of Management & Health Information Technology
Depositing User: editor . 2
Date Deposited: 03 Mar 2017 13:37
Last Modified: 04 Mar 2017 06:24
URI: http://eprints.kaums.ac.ir/id/eprint/668

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