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Table 3 Average of availability and percieved importance [mean (SD)]

From: Functionality of hospital information systems: results from a survey of quality directors at Turkish hospitals

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)
  Average 65.6 (20.0) 7.87 (1.71)