Assessing the perceptions of users of computerized hospital information systems: A case study of three hospitals

This study explores the impact of the implementation of a computerized hospital information system (HIS) on three not-for-profit acute care hospitals. Using qualitative methods, including semi-structured interviews, observations, and a user satisfaction survey instrument, the study reveals that perceptions of the HIS can have a significant impact on the employees in different areas of the facility. Comparing the perceptions of clinical, non-clinical, administrative and information services staff revealed subtle differences in their perceptions of the HIS. These users were questioned about HIS content, accuracy, format, ease of use, and timeliness. An overall evaluation of the HIS was sought and users rated their expectations of accuracy. Additional areas of interest included job satisfaction, communication, changes in the organization and coworkers, goals, support for and resistance to implementation and importance of the HIS to users.; Several themes emerged from this study. The most important factor is taking the possible changes that might occur seriously. There is no magic formula for ensuring that the implementation of the HIS will be free of problems. There are, however, several important factors that will help to ensure a minimum of disruption and reduced productivity that will lessen the many advantages an integrated HIS can provide. Early involvement of all affected employees, adequate resources, highest level support from administration, and on-going training are all essential elements of HIS success. Hospitals considering implementation of a new HIS could benefit from the results of this study.