Table 3 Average of availability and percieved importance [mean (SD)]
Item No | HIS functions | Availability (%) | Perceived importance (Over 9) |
|---|---|---|---|
1 | Display alerts for high risk medications (e.g. narcotics, sound-alike drugs, concentrated electrolytes) just prior to administration | 47.7 (50.0) | 8.07 (2.05) |
2 | Predict time to patient examination on admission | 74.6 (43.6) | 7.13 (2.25) |
3 | Record time to consultation after request from emergency department | 82.4 (38.2) | 7.66 (2.13) |
4 | Display real-time availability of patient beds | 91.9 (27.4) | 7.84 (1.99) |
5 | Flag and prioritize elderly and disabled patients | 80.8 (39.4) | 7.81 (1.99) |
6 | Provide electronic copy of patient records when requested (e.g. diagnosis list, lab test results, administered procedures, administered medications, discharge summary) | 82.9 (37.7) | 7.58 (2.02) |
7 | View all diagnostic test results including laboratory, radiology, pathology, nuclear medicine, endoscopy | 92.4 (26.5) | 8.12 (1.85) |
8 | Record times and performing staff of laboratory test samples throughout all laboratory phases i.e. sampling, accepting, analyzing, approving, and reporting | 96.1 (19.4) | 8.19 (1.79) |
9 | Display alerts for lab samples that do not meet acceptance criteria | 72.4 (44.8) | 7.96 (1.98) |
10 | Display alerts for laboratory tests that return panic values | 96.5 (18.4) | 8.33 (1.79) |
11 | Display reminders for internal and external lab quality control measures and keep their result for analyses | 57.8 (49.4) | 7.65 (2.12) |
12 | Record laboratory process problems (pre-analytic, analytic, and post-analytic) | 71.0 (45.4) | 7.76 (2.02) |
13 | Provide digital radiology images within internal network i.e. Picture Archiving and Communication System (PACS) | 85.3 (35.5) | 8.18 (1.89) |
14 | Monitor radiology appointment and reporting times | 61.1 (48.8) | 7.46 (2.13) |
15 | Support telemedicine applications | 19.6 (39.5) | 7.58 (2.28) |
16 | Monitor use of blood and blood products during order, preparation, acceptance, and implementation | 74.3 (43.8) | 8.11 (1.90) |
17 | Monitor blood and blood products stock and expiration date | 78.1 (41.4) | 8.16 (1.91) |
18 | Record disease severity as structured data (e.G. apache II, SAPS II, and PRISM) | 50.7 (50.1) | 7.64 (2.10) |
19 | Integrate nursing care plans into medical record | 58.5 (49.3) | 7.57 (2.26) |
20 | Record and integrate all clinical orders into medical record including laboratory test orders, medication orders, nursing care orders, nutrition therapy orders, rehabilitation therapy orders | 84.2 (36.5) | 7.94 (1.99) |
21 | Record and integrate all diagnostic, clinical, and surgical procedures into medical record including endoscopy, cardiac catheterization, radiotherapy, CT, and ultrasound | 90.1 (29.9) | 8.05 (1.95) |
22 | Record usage and monitor complications of anesthetic agents and sedatives administered outside of anesthesiology (e.g. endoscopy, cardiac catheterization, and IVF units) | 52.2 (50.0) | 7.81 (2.08) |
23 | Display clinical guidelines and provide alerts for deviations | 50.2 (50.1) | 7.53 (2.10) |
24 | Provide alerts for drug-drug interactions | 45.5 (49.9) | 7.98 (2.06) |
25 | Provide alerts for drug-food interactions | 42.3 (49.5) | 7.88 (2.12) |
26 | Provide alerts for drug-allergy interactions | 41.9 (49.4) | 8.07 (2.06) |
27 | Integrate Computerized Physician Order Entry | 75.6 (43.0) | 8.04 (1.98) |
28 | Provide alerts for patient education that is part of care plan or discharge plan | 29.7 (45.8) | 7.39 (2.23) |
29 | Record all patient education provided to patient | 41.8 (49.4) | 7.32 (2.18) |
30 | Record patient and staff safety events | 57.0 (49.6) | 7.86 (2.11) |
31 | Record emergency code alerts (e.g. Code Blue, Code White) and integrate with paging system | 42.6 (49.5) | 7.67 (2.22) |
32 | Record blood transfusion reactions as structured data | 52.0 (50.0) | 7.84 (2.17) |
33 | Monitor hospital key performance indicators automatically | 62.6 (48.5) | 7.96 (2.00) |
34 | Flag patients and warn staff of patients with risk of infection (e.g. HIV+, HepC+) | 51.7 (50.0) | 8.18 (2.04) |
35 | Monitor nosocomial infections and transmit surveillance data to national or international networks | 44.8 (49.8) | 7.83 (2.13) |
36 | Monitor and record sterilization processes including procedure date and time and material expiration date | 32.8 (47.0) | 7.76 (2.19) |
37 | Display real-time information necessary for unit managers including bed occupancy, waiting list, surgeries scheduled | 88.9 (31.5) | 7.85 (2.01) |
38 | Report periodically on operational statistics including monthly admissions, income-expenditure, services delivered | 94.5 (22.8) | 7.88 (1.94) |
39 | Provide alerts for devices that require periodic maintenance or calibration | 29.5 (45.7) | 7.76 (2.11) |
40 | Provide alerts for medications and medical supplies near expiration or at critically low stock levels | 91.9 (27.3) | 8.25 (1.85) |
41 | Provide inventory of all medical devices including location and responsible staff | 57.4 (49.5) | 7.65 (2.08) |
42 | Monitor and provide reminders for routine health screening of clinical staff | 25.6 (43.7) | 7.80 (2.13) |
43 | Identify, flag, and, prohibit duplicate patient records | 83.0 (37.6) | 8.14 (1.95) |
44 | Monitor occupational accidents and injuries | 52.0 (50.5) | 7.90 (2.10) |
45 | Display current organizational policies and procedures and provide alerts of updated documents | 67.5 (46.9) | 7.90 (2.09) |
46 | Record clinical staff certification and licensing information | 78.8 (40.9) | 7.80 (1.97) |
47 | Integrate and update information with hospital external website | 56.1 (49.7) | 7.73 (2.10) |
48 | Provide online patient portal to view, download, and transmit lab results | 91.1 (28.5) | 8.09 (1.86) |
49 | Provide access control management for different staff groupings | 97.4 (16.0) | 8.18 (1.85) |
50 | Provide data security and protection for electronic health information | 93.6 (24.5) | 8.41 (1.81) |
| Â | Average | 65.6 (20.0) | 7.87 (1.71) |