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Title: A qualitative study of an electronic health record : perspective on planning objectives and implementation at King Faisal Specialist Hospital & Research Centre (KFSH & RC), Saudi Arabia
Author: Alfarra, Najwa
ISNI:       0000 0004 5923 6456
Awarding Body: Glasgow Caledonian University
Current Institution: Glasgow Caledonian University
Date of Award: 2015
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The patient health record is an essential information source for the management and delivery of patient care services. Paper-based records are problematic with issues such as illegibility, missing data, double data entry and difficulty with information retrieval. With the advent of the Health Insurance Portability and Accountability Act (HIPAA) the Kingdom of Saudi Arabia introduces as part of healthcare reform, the Electronic Health Record (EHR) has been introduced in order to enhance accountability and efficiency. The King Faisal Specialist Hospital & Research Centre (KFSH&RC) was the first organization to implement the EHR. However, to date, the actual impact of ERR within KFSH &RC has not been explored or studied. Therefore, the aim of this study was explore and analyse the issues surrounding the implementation and impact of EHR. The study will also evaluate the role of senior managers towards the EHR planning. Qualitative research was chosen using interpretative phenomenology as the selected methodology. Information for the study was collected using semistructured interviews with four senior managers and six patients. Three focus group interviews were also conducted with six healthcare provider middle managers in each group. The total sample was twenty eight participants. Interpretative Phenomenological Analysis and an update DeLone & McLean and Petter IS Success Models were used as the theoretical framework for analysis. The study identified three categories of impact including positive and negative issues which impacted upon staff, patients, and KFSH&RC organization. The most frequently mentioned benefits were quick data retrieval, ease and speed of data input, ease of access, improved format and content of records, enhanced communication with external healthcare providers (i.e. nurses and physicians), more infotmation about patients, better communication among internal staff, and increased patient safety. Negative issues were related to the role of senior managers and inadequate training for healthcare providers, ignorance of the patient's voice, lack of initiate cultural change and the absence of pre-post test tools to measure the outcome of healthcare quality. The quality of the system related to slowness and shutdown plus organizational difficulties related to different software platforms. Those negative impacts discouraged staff members from using the system but the overall benefits led to a smooth organizational transition to EHR. All patients were satisfied with this transition.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Prof.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available