Document Type : Original Article
Authors
1 Researcher, Social Determinants of Health Research Center, Isfahan University of Medical Sciences,
2 Department of Information Technology, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
CONTEXT: Emergency Department Information System (EDIS) plays a significant role in supporting
the emergency department (ED) workflow. Hence, it is vital to assess the services provided by this
system in order to identify its strengths and weaknesses.
AIMS: The study aimed to assess the information systems in use in the ED of 11 teaching hospitals
associated with Isfahan University of Medical Sciences (IUMS) so as to identify their strengths and
weaknesses and improving the quality of these systems.
SETTINGS AND DESIGN: This study was conducted using descriptive‑applied research method.
SUBJECTS AND METHODS: Data collection tool was a checklist developed based on EDIS
functional profile. It covered two sections of the profile, namely direct care and supportive functions
and their respective subsections.
STATISTICAL ANALYSIS USED: Data were analyzed using descriptive statistics through the
estimation of the frequency and frequency percentage for each respective section and subsections
using SPSS software v. 20.
RESULTS: The content conformance rate of the information systems in use in the EDs of IUMS’
teaching hospitals was found to be 49.72% and 75.25% for the direct care section and supportive
functions section, respectively. In addition, the overall conformance rate in the hospitals surveyed
was up to 53.15%.
CONCLUSION: As per the findings of this study, it is suggested that some important clinical and
administrative functions should be incorporated into the redesigned information systems in use in
the EDs under study.
Keywords
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;2:8‑16.
2. Khajouei R, Azizi A, Atashi A. Usability evaluation of an
emergency information system: A heuristic evaluation. J Health
Adm 2013;16:61‑72.
3. Callen J, Li L, Georgiou A, Paoloni R, Gibson K, Li J, et al. Does
an integrated emergency department information system change
the sequence of clinical work? A mixed‑method cross‑site study.
Int J Med Inform 2014;83:958‑66.
4. Rothenhaus T, Kamens D, Keaton B, Nathanson L, Nielson J,
Mcclay JC, et al. Emergency Department Information Systems:
primer for Emergency Physicians, Nurses and IT Professionals;
15 April, 2009. Available from: http://www.acep.org/workarea/
DownloadAsset.aspx?id=45756. [Last accessed on 2017 Apr 25].
5. Ceglowski AS, Churilov L. Towards process‑of‑care aware
emergency department information systems: A clustering
approach to activity views elicitation. Int J Healthc Inform Syst
Inform 2008;3:1‑16.
6. Rao U. Impact of emergency department information system on
patient tracking and clinical documentation. Int J Health Sci Res
2015;5:271‑7.
7. Inokuchi R, Sato H, Nakamura K, Aoki Y, Shinohara K,
Gunshin M, et al. Motivations and barriers to implementing
electronic health records and ED information systems in Japan.
Am J Emerg Med 2014;32:725‑30.
8. Landman AB, Bernstein SL, Hsiao AL, Desai RA. Emergency
department information system adoption in the United States.
Acad Emerg Med 2010;17:536‑44.
9. Ward MJ, Landman AB, Case K, Berthelot J, Pilgrim RL, Pines JM,
et al. The effect of electronic health record implementation on
community emergency department operational measures of
performance. Ann Emerg Med 2014;63:723‑30.
10. Landman A, Teich JM, Pruitt P, Moore SE, Theriault J, Dorisca E,
et al. The boston marathon bombings mass casualty incident: One
emergency department’s information systems challenges and
opportunities. Ann Emerg Med 2015;66:51‑9.
11. Kahouei M, Eskrootchi R, Ebadi‑Fard‑Azar F. Conceptual model
designing of clinical staff’s information needs of emergency
information system. Payavard Salamat 2013;7:217‑27.
12. Stokes‑Buzzelli S, Peltzer‑Jones JM, Martin GB, Ford MM,
Weise A. Use of health information technology to manage
frequently presenting emergency department patients. West J
Emerg Med 2010;11:348‑53.
13. Clark LN, Guarrera TK, McGeorge NM, Hettinger AZ,
Hernandez A, LaVergne DT, et al. Usability Evaluation and
Assessment of a Novel Emergency Department IT System
Developed using a Cognitive Systems Engineering Approach.
Proceedings of the International Symposium on Human Factors
and Ergonomics in Health Care; 2014: SAGE Publication; 2014.
14. Shapiro JS, Baumlin KM, Chawla N, Genes N, Godbold J, Ye F,
et al. Emergency department information system implementation
and process redesign result in rapid and sustained financial
enhancement at a large academic center. Acad Emerg Med
2010;17:527‑35.
15. Kim MS, Shapiro JS, Genes N, Aguilar MV, Mohrer D,
Baumlin K, et al. A pilot study on usability analysis of
emergency department information system by nurses. Appl
Clin Inform 2012;3:135‑53.
16. Gagnon MP, Desmartis M, Labrecque M, CarJ, Pagliari C, Pluye P,
et al. Systematic review of factors influencing the adoption of
information and communication technologies by healthcare
professionals. J Med Syst 2012;36:241‑77.
17. Mehraeen E, Ahmadi M, Shajarat M, Khoshgam M. Assessment
Of hospital information system in selected hospitals in Tehran.
Payavard Salamat 2013;6:458‑66.
18. Saghaeiannejad‑Isfahani S, Saeedbakhsh S, Jahanbakhsh M,
Habibi M. Assessment and comparison of hospital information systems in Isfahan hospitals based on the adjusted Delone and
McLean model. Dir Gen 2011;8:620.
19. Rothenhaus TC, Kamens D, McClay J, Coonan K. Emergency
Department Information Systems (EDIS) Functional Profile;
2007.
20. Jamoom E, Hing E. Progress with electronic health record
adoption among emergency and outpatient departments: United
States, 2006‑2011. NCHS Data Brief 2015;187:1‑8.
21. Handel DA, Hackman JL. Implementing electronic health records
in the emergency department. J Emerg Med 2010;38:257‑63.
22. Inokuchi R, Sato H, Nakajima S, Shinohara K, Nakamura K,
Gunshin M, et al. Development of information systems and clinical
decision support systems for emergency departments: A long
road ahead for Japan. Emerg Med J 2013;30:914‑7.
23. Asaro PV, Sheldahl AL, Char DM. Physician perspective on
computerized order‑sets with embedded guideline information in
a commercial emergency department information system. AMIA
Annu Symp Proc 2005:6‑10.
24. Mayer PH, Yaron M, Lowenstein SR. Impact on length of stay
after introduction of emergency department information system.
West J Emerg Med 2010;11:329‑32.
25. Vezyridis P, Timmons S, Wharrad H. Going paperless at the
emergency department: A socio‑technical study of an information
system for patient tracking. Int J Med Inform 2011;80:455‑65.