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Table 1 Description of the HOT-fit domains [18]

From: Decision support systems for antibiotic prescription in hospitals: a survey with hospital managers on factors for implementation

Domain

Description

Human

System use

System Use relates to the person who uses it, their levels of use, training, knowledge, expectation and attitude.

User satisfaction

User satisfaction is the overall evaluation of the

user’s experience in using the system. It can be related to perceived usefulness and user’s attitudes towards the systems which are influenced by user’s personal characteristics.

Organization

Structure

The organizational structure consists of type, culture, politics, hierarchy, system planning and control, management and communication strategies. Leadership, support from top management and staff support are important parts of measuring the success of the system.

Environment

The organizational environment consists of sources of funding, governance, politics, competition, inter-organizational relations and communication.

Technology

System Quality

The quality of the system in health care institutions involves the linkages of features in the system including system performance and user interface. Ease of use, ease of learning, response time, usefulness, availability, flexibility, and security are variables or factors that can be assessed from the quality of the system.

Information Quality

Information quality focuses on information produced by information systems including patient medical records, reports and prescriptions. Criteria that can be used to assess the quality of information include completeness, accuracy, timeliness, availability, relevance and consistency.

Service Quality

Service quality focuses on the overall support received by the system or technology service provider. Service quality can be assessed by speed of response, assurance, empathy and service follow-up

Net Benefits

Net benefits capture the balance of positive and negative impacts on user, which includes clinicians, managers and IT, staff, system developers, hospitals or the entire healthcare sector. Net benefits can be assessed using direct benefits, job effects, efficiency, effectiveness, error reduction, communication, clinical outcomes and cost.