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Reseach Article

A Fishbone Analysis of the Use of Electronic Health Records (EHR) in a Primary Healthcare Setting: The Case of University of Cape Coast Hospital

by Mohammed Najimudeen Abdulai, James Kojo Prah, Emmanuel Walker, Alex Darteh Afrifa
International Journal of Applied Information Systems
Foundation of Computer Science (FCS), NY, USA
Volume 12 - Number 33
Year of Publication: 2020
Authors: Mohammed Najimudeen Abdulai, James Kojo Prah, Emmanuel Walker, Alex Darteh Afrifa
10.5120/ijais2020451882

Mohammed Najimudeen Abdulai, James Kojo Prah, Emmanuel Walker, Alex Darteh Afrifa . A Fishbone Analysis of the Use of Electronic Health Records (EHR) in a Primary Healthcare Setting: The Case of University of Cape Coast Hospital. International Journal of Applied Information Systems. 12, 33 ( September 2020), 27-31. DOI=10.5120/ijais2020451882

@article{ 10.5120/ijais2020451882,
author = { Mohammed Najimudeen Abdulai, James Kojo Prah, Emmanuel Walker, Alex Darteh Afrifa },
title = { A Fishbone Analysis of the Use of Electronic Health Records (EHR) in a Primary Healthcare Setting: The Case of University of Cape Coast Hospital },
journal = { International Journal of Applied Information Systems },
issue_date = { September 2020 },
volume = { 12 },
number = { 33 },
month = { September },
year = { 2020 },
issn = { 2249-0868 },
pages = { 27-31 },
numpages = {9},
url = { https://www.ijais.org/archives/volume12/number33/1101-2020451882/ },
doi = { 10.5120/ijais2020451882 },
publisher = {Foundation of Computer Science (FCS), NY, USA},
address = {New York, USA}
}
%0 Journal Article
%1 2023-07-05T19:10:47.358792+05:30
%A Mohammed Najimudeen Abdulai
%A James Kojo Prah
%A Emmanuel Walker
%A Alex Darteh Afrifa
%T A Fishbone Analysis of the Use of Electronic Health Records (EHR) in a Primary Healthcare Setting: The Case of University of Cape Coast Hospital
%J International Journal of Applied Information Systems
%@ 2249-0868
%V 12
%N 33
%P 27-31
%D 2020
%I Foundation of Computer Science (FCS), NY, USA
Abstract

The scientific investigation was conducted at the University Health Services of the University of Cape Coast (UCC), which is a 70-bed capacity primary healthcare setting. The objective was to examine the reasons for the poor use of Electronic Health Records (HER) by Health Professionals in a University healthcare setting. The appropriate scientific method employed for the investigation was the Ishikawa or Fishbone diagram. The fishbone analysis is a tool for analyzing the organisational processes and its effectiveness. The analysis showed that the causes for poor use of EHR in the University healthcare Facility were due to factors related to the Facility Management, the healthcare professionals, the computer systems, the methods applied, the environment, and the materials. The investigations did not cover areas like sequencing the cause and also how to put more emphasis on the causes of higher magnitudes.

References
  1. Acharya S., Coats B., Saluja A., Fuller D. (2013). Secure Electronic Health Record Exchange: Achieving the Meaningful Use Objectives. Int Conf Sys Sci 46: 1-10.
  2. Ayverdia, L., Nakiboglu, C., & Aydin, S.Ö.Z. (2014). Usage of Graphic Organizers in Science and Technology Lessons?, Procedia - Social and Behavioral Sciences, 116, 4264-4269. doi. 10.1016/j.sbspro.2014.01.929
  3. Buyukdamgaci, G. (2003). Process of organizational problem definition: how to evaluate and how to improve, Omega, 31(4), 327-338.
  4. Caligtan C.A. (2011). Electronic health records and personal health records-seminars in oncology nursing. Semin Onco Nurs 27: 218-228.
  5. Ford E.W., Menachemi N., Phillips M.T. (2006). Predicting the adoption of electronic health records by physicians: When will health care be paperless? Journal of the American Medical Informatics Association.; 13: 106-112.
  6. Fraser H.S., Biondich P., Moodley D., Choi S., Mamlin B.W., Szolovits P. (2005). Implementing electronic medical record systems in developing countries. Informatics in Primary Care; 2005. 13(2): p. 83-95. PMID: 15992493
  7. Fraser HSF, Blaya J. Implementing medical information systems in developing countries, what works and what doesn’t. AMIA Annual Symposium Proceedings. 2010. American Medical Informatics Association. ISBN:1942-597X PMID: 21346975
  8. Gupta, K., Sleezer, C.M., & Russ-Eft, D.F. (2007). A Practical Guide to Needs Assessment. Pfeiffer
  9. Handel D.A., Hackman J.L. (2010) “Implementing electronic health records in the emergency department.” J Emerg Med 38: 257-263.
  10. Ishii, K., & Lee, B. (1996). Reverse fishbone diagram: a tool in aid of design for product retirement, Proceedings ASME design engineering technical conferences and computers in engineering conference, 96-DETC/DFM-1272. Ishikawa, K. (1990) Introduction to Quality Control, Taylor & Francis.
  11. Ishikawa, K (1986). Guide to Quality Control. Tokyo, Japan: Asian Productivity Organization.
  12. Ishikawa, K (1990); Introduction to Quality Control; ISBN 4-906224-61-X OCLC 61341428.
  13. Jones, C.I., & Williams, J.C. (1998). Measuring the social return to R&D, The Quarterly Journal of Economics, 113(4), 1119–1135. doi. 10.1162/003355398555856
  14. Kerina T. (2008). Designing and Implementing Health Management Information Systems.
  15. Le Pape, M.A., Núñez Suárez, J.C., Mhayi, A., Haazen, D., & Özaltin, E. (2017). Developing an HMIS Architecture Framework to Support a National Health Care eHealth Strategy Reform: A Case Study from Morocco. Health Systems & Reform, 3:1, 56-67. https://doi.org/10.1080/23288604.2017.1265041
  16. Lorenzi, N.M., & Robert, R.T. (2000). Managing change: an overview. J Am Med Inform Assoc, 7, 116-124.
  17. Meinert D.B. (2004). Resistance to Electronic Medical Records(EMRs): A Barrier to Improved Quality of Care Informing Science: International Journal of an Emerging Transdiscipline.; 2: 493 504.
  18. Morton M.E. (2008). Use and Acceptance of an Electronic Health Record: Factors Affecting Physician Attitudes: A Thesis Submitted to the Faculty of Drexel University
  19. Muldoon L. K., Hogg W. E., and Levitt M. (2005), Primary Care (PC) and Primary Health Care (PHC), Canadian Journal Of Public Health VOLUME 97, NO. 5
  20. Nocco L., Peigné V. (2014) “An empirical study of healthcare providers and patient’s perceptions of electronic health records.” Compu Bio Med 59: 194-201.
  21. Poli, C., Graves, J., and Sunderland, J.E. (1988) Computer-Aided Product Design for Economical Manufacture. ASME Computers in Engineering, 1(4), pp.23 37
  22. Public Health Infrastructure (2008), Fishbone (Ishikawa) Diagram (Example), Accessed From: http://www.phf.org/infras, html, Accessed by: March 4, 2011.
  23. Qazi, M.S., & Ali, M. (2009). Pakistan’s health management information system: health managers’ perspectives. JPMA: The Journal of the Pakistan Medical Association, 59,10-14. http://jpma.org.pk/full_article_text.php?article_id=1590
  24. Quia Y., Asan O., and Montague E. (2015) “Factors associated with patient trust in electronic health records used in a primary care setting: Results from a survey.” Health Policy and Technology4: 357-363.
  25. Rosenthal D.I. (2013) “Instant Replay.” Healthcare1: 52-54.
  26. Ross S. (2009) Results of a survey of an online physician community regarding use of electronic medical records in office practices. The Journal of medical practice management: MPM.m2009; 24: 254.
  27. Ruhm, K. H. (2004). Cause and Effect Diagram, Internet Portal "Measurement Science and Technology"; Retrieved from: www.mmm.ethz.ch/dok01/d0000538.pdf, Accessed by: March 5, 2011
  28. Smith M (2015) “Electronic health records and healthcare identifiers: legislation discussion paper.” Population Health and Research Network.
  29. Sturges, R., and Kilani, M. (1992) Towards an Integrated Design for an Assembly Evaluation and Reasoning System. Computer-Aided Design, 24(2), pp. 67-78.
  30. Tang P.C, Ash JS, Bates D.W. (2006) “Personal health records: definitions, benefits, and strategies for overcoming barriers to adoption.” J Ameri Med Informat Ass 13: 121-126.
  31. The Fishbone Diagram (from Six Sigma; has templates for making fishbone diagrams in Microsoft Word and Microsoft Excel): http://www.isixsigma.com/library/content/t000827.asp
  32. Use a Fishbone Diagram to help attack complex problems (from TechRepublic): http://articles.techrepublic.com.com/5100-10878_11-6092236.html?tag=nl.e053
  33. Watson, G. (2004). The Legacy of Ishikawa. Quality Progress, 37(4), pp. 54-47.
  34. Kpobiet al. (2018). Challenges in the use of the mental health information system in a resource-limited setting: lessons from Ghana BMC Health Services Research
Index Terms

Computer Science
Information Sciences

Keywords

Fishbone Electronic Health Records (EHR)