Table 1 the identity of the users’ issues with the HIS system of the four hospitals

Entering and recording data manually in the triage sheet, the triage registry book, and the HIS system of the hospital is massive time consumption

Nurses and residents prefer to record diagnostic information and write reports manually

When patients are transferred from one section to another, their information is not automatically and wholly transferred to the new section and needs to be moved manually

As the computer system crashes constantly and the IT staff is not responsive to solving technical issues, the staff prefers to record the information on paper and manually

Different devices used in CPR, like monitoring devices(which display the patient’s ECG, blood oxygen, blood pressure, and heart rate), electroshock, suction, etc., are not connected to the HIS system in which their information should be recorded

Radiology requests are sent on paper, and we do not have an electronic connection with the RIS system

All users use a shared account( each user is not provided with a single account)

The system fails to warn that a patient with a stable condition has exceeded their length of hospitalization(significantly if it has surpassed 6 h) to inform the physician to release them

Failure to recognize the real identity of the user in case of forgetting the previous user to log out of the system

Nurses’ reports are paper-based

An independent search module has yet to be defined to search for patients and enter their information. The user must refer to the new patient’s registration module, enter their data, and start searching

Lack of standard coding in the system for diseases and patients’ problems

Lack of a responsive decision-support system that would eliminate over-triage and under-triage errors when the nurse has determined a patient’s state