Improving the Performance of Hospital Information Systems Using Six Sigma for Kermanshah Province Hospitals

Mohammad Javad Jamshidi, M. Hosseinpour, Hamed Heshmati, Bahareh Fathi Zolmabadi
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引用次数: 1

Abstract

Background: Performance improvement in hospitals requires an appropriate model for performance evaluation. Because organizational goals cannot be achieved without a comprehensive model for evaluating and reviewing programs, organizations cannot apply effective management of programs without regard to the results of their activities. Objectives: The purpose of this study is to introduce a new model for improving the performance of hospital information systems using Six Sigma method in Kermanshah province hospitals. Methods: This is a qualitative research based on content analysis and Delphi method. The data are collected through semi-structured interviews and the participants are 19 experts in hospital performance systems which were selected by snowball sampling. After transcribing the interviews, three steps were done using content analysis: firstly, using line-by-line coding (or open coding) words and segments of interviews were coded, secondly, each code was conceptualized and categorized into some axial codes based on focused coding, and finally, selective coding was done in which categories were identified based on axial codes’ similarity, conceptual relationship and common characteristics. Results: The results of the coding of the interviews showed that variables such as reduction of medical errors, improvement of hospital quality of services, promotion of hospital efficiency and productivity, quick and easy access to information, increased patient satisfaction and safety, management and cost reduction, and time management and control influences the performance of hospital information systems. Conclusions: For improving hospital information systems, hospital managers and system developers should not only pay attention to variables which are controlled by the software and are least affected by the human resources of the organization; such as: cost control, quality control, information control and time control but also human based variables such as specialization of the staffs, their motivation, reduce errors and etc., which are sometimes neglected.
利用六西格玛改进克尔曼沙赫省医院信息系统的性能
背景:医院绩效改善需要一个合适的绩效评估模型。因为如果没有一个全面的评估和审查计划的模型,组织的目标就不能实现,组织就不能在不考虑其活动的结果的情况下对计划进行有效的管理。目的:本研究的目的是在克尔曼沙赫省的医院引入一个新的模型,以提高医院信息系统的性能使用六西格玛方法。方法:采用内容分析法和德尔菲法进行定性研究。数据采用半结构化访谈的方式收集,参与者是采用滚雪球抽样的方式选出的19位医院绩效系统专家。访谈转录完成后,采用内容分析的方法进行三步操作:首先,采用逐行编码(或开放编码)对访谈中的单词和片段进行编码;其次,基于重点编码对每个编码进行概念化,并将其分类为一些轴向编码;最后进行选择性编码,根据轴向编码的相似性、概念关系和共同特征进行分类。结果:访谈编码结果显示,减少医疗差错、提高医院服务质量、提高医院效率和生产力、快速方便地获取信息、提高患者满意度和安全性、管理和降低成本、时间管理和控制等变量影响着医院信息系统的性能。结论:医院管理者和系统开发人员在改进医院信息系统时,不仅要关注由软件控制、受组织人力资源影响最小的变量;例如:成本控制,质量控制,信息控制和时间控制,还有人为的变量,如员工的专业化,他们的动机,减少错误等,这些有时被忽视。
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