CHAPTER 6
6. CONCLUSION AND RECOMMENDATION
7. Conclusion
Information and Communication technologies (ICT) used to
manage, generate and communicate health-related information have been widely
proved to be used as the way to improve the quality, safety, and efficiency of
health care delivery in both developed and developing countries. Health
Information Technologies tools provide a significant enhanced capabilities to
the traditional manual system. (Maslove et al., 2011)
Some common challenges has been recognized as obstacles to the
success of the implementation of the electronic medical record like the limited
computer literacy among the medical practitioners, lack of unique
identification numbers for patient, lack of skilled health information system
analyst. (Blaya et al., 2006) But a very important aspect to take into account
when a health information system is designed, is the integration in the
clinical workflow between services and the clinical relationship between
actors. (Maslove et al., 2011).
We have developed a computerized provider order entry system
for laboratory order data management that take into account the workflow of
information related to the laboratory data within a district hospital to help
the hospital to manage efficiently and effectively data related to laboratory
test. Adding the SMS and the e-mail notification of laboratory result to both
patient and clinician have the purpose to improve their communication
experience.
This study is the initial step of building a CPOE for the
district hospital in Ghana, we believe that the developed system will allow
medical staff in the district hospital to improve the laboratory order
management and provide satisfaction to patient.
5.5. Recommendation
To implement the system and get full benefits of it, the
following recommendations are necessary for the health informatician
(implementation team), the hospital administration and other health related
institutions:
1. The hospital administration and the implementation team
should plan a working meeting that will involve the laboratory techniciansand
the physicians, to identify the practical terminology used on the field to
order and record laboratory test, and map them to the standard terminology used
in the system, to allow smooth introduction and use of the system.
2. The hospital administration and the medical staff should
put in place a team to decide on the format and the content of information send
by email and SMS, to both patient and medical staff ;
3. The hospital administration should put in place a security
policy to ensure confidentiality of data inside and outside the clinical
setting, by implementing a Security Education Training and Awareness Program
(SETA) for both patient and medical staff. National Institute of Standards and
Technology (NIST) Special Publication (SP) 800-50 can be used to design and
implement the security program and it should be based as possible on National
Data Protection Acts.
4. The hospital should acquire a network environment
(wireless or wired) to get the full benefit of the system and, appoint a
network and system administrator to provide technical support in the health
facility.
5. Since the system used bulk SMS technology, the
implementation team should contact a GSM provider to allow the hospital to
acquire a short telephone number format and optimize the time out of SMS to
avoid the lost laboratory notification message with SMS.
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