Halimeh Jamal, Somaye Fazaeli, Zahra Ebnhosini, Hamed Tabesh, Mahnaz Samadbeik, Sanaz Sadat Mahmoudian, Marzieh Meraji,
Volume 6, Issue 2 (Summer 2020)
Abstract
Aim: Nowadays, the concentration of information systems evaluation is changing from technical issues toward humanoid and organizational subjects. To evaluate the interrelationships between these three dimensions in health systems, the HOT-Fit Assessment Framework (HOT-Fit) was proposed in 2006. Therefore, this study was conducted to identify accurate criteria for evaluating systems based on this model.
Information sources or data: In the field of health information evaluation using HOT-Fit criteria, articles in PubMed, Scopus, and Persian e-databases including Iran Public Information Database (Magiran), Iran University Jihad Scientific Information Database, and Irandoc were searched from 2006 to 2019.
Selection methods for study: The extracted articles were reviewed by content analysis method. From 1062 articles, 18 articles were selected after eliminating duplicated articles and unrelated articles according to their title, abstract and full text.
Combine content and Results: After reviewing evaluation criteria of health information systems using HOT-Fit framework, 130 benchmarks were obtained from databases in four different dimensions including technical (n=51), organizational (n=36), human (n=33) and net profit dimensions (n=10).
Conclusion: In this comprehensive review, we tried to provide a practical and comprehensive view of the evaluation of hospital information systems using the HOT-Fit model. This model can be used for all health hospital information system. Generally, the results of this review can be useful for information technology policymakers in determining health information systems evaluation criteria.
Roya Malekzadeh, Touraj Assadi, Elahe Mahmoudi, Fatemeh Montazeriun,
Volume 8, Issue 4 (Winter 2023)
Abstract
Objective: The Intensive care unit (ICU) in hospitals is known as the bottleneck of performance control where the compliance with standards is very important; to achieve quality management goals, the provided services must comply with the predetermined requirements. Hospital performance evaluation is needed for giving feedback on the efficiency of hospitals and effectiveness of services. This study aims to evaluate the performance of the ICUs in hospitals affiliated to Mazandaran University of Medical Sciences in Iran during the coronavirus disease 2019 (COVID-19) pandemic.
Methods: This is a descriptive/analytical study that was conducted in 2021. The study samples were 19 ICUs in medical and teaching hospitals affiliated to Mazandaran University of Medical Sciences, which were selected by census method. The data collection tool was a researcher-made questionnaire. The content and face validity of the questionnaire was confirmed based on the opinions of a panel of experts and its construct validity was confirmed by the confirmatory factor analysis. Its reliability was reported 0.82 using Cronbach’s alpha coefficient and its composite reliability was 0.91. Data analysis was performed by non-parametric tests of Wilcoxon, Friedman and Kruskal-Wallis in SPSS software, version 21 and Splus applications.
Results:The highest level of compliance with the standards was in the area of management and leadership (4.74±0.93), followed by the areas of medical equipment (4.53±0.52), nursing processes (4.53±0.66), space, structure and facilities (4.47±0.39), safety (4.3±0.69), functioning (4.0±11.04) and manpower (4.19±0.42). The lowest level was related to the field of infection control with a mean score of 3.42±1.24. This difference in ranks between different areas was significant according to the results of Friedman test (P<0.05).
Conclusion: The overall performance of the ICUs of study hospitals is favorable, but they need more attention and effort in the area of infection control. They are recommended to train and monitor the measures of infection control.
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