An evaluation of the risk factors associated with implementing projects of health information technology by fuzzy combined ANP-DEMATEL

Roxana Sharifian; Farzane Ghasemi; Erfan Kharazmi; Payam Farhadi; Hossein Monem; Nasrin Shokrpour

doi:10.1371/journal.pone.0279819

An evaluation of the risk factors associated with implementing projects of health information technology by fuzzy combined ANP-DEMATEL

PLoS One. 2023 Feb 6;18(2):e0279819. doi: 10.1371/journal.pone.0279819. eCollection 2023.

Authors

Roxana Sharifian¹, Farzane Ghasemi², Erfan Kharazmi³, Payam Farhadi⁴, Hossein Monem⁵, Nasrin Shokrpour⁶

Affiliations

¹ Health Information Management, Faculty of Management and Information Sciences, Health Human Resource Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
² Department of Health Information Management and Technology, Medical Informatics, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
³ Department of Health Management, Health Management, Faculty of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
⁴ Operational Research, Faculty of Management, Zand Higher Education Institute, Shiraz, Iran.
⁵ Dept. of Computer Science, Faculty of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
⁶ Dept. of English Language, Faculty of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

Abstract

Background: Application of a Clinical Information System (CIS) like Electronic Patient Record (EPR), PACS system and CPOE has turned into one of the most important criteria of priorities of health care systems. The aims of the clinical information system include improving the physicians' efficiency level, integrating the caring process, and expanding the fuzzy quality of the services offered to patients. Achievement of these benefits in reality is not an easy task, and there are lots of plans in this field which are doomed to failure. About 50% of the implementation plans of clinical information systems in health care organizations have failed, and this trend is significantly affecting industrial countries. Proper implementation of hospital information systems lies in identifying and assessing the relationships among the most important risk factors of fuzzy. The present study aimed to provide an applicable model for identifying, ranking and evaluating the risk factors associated with projects of clinical information technology in hospitals of Shiraz University of Medical Sciences.

Method: This is an applied study which evaluates the risk factors associated with implementation of clinical information technology projects in hospitals of Shiraz Medical Sciences University. The participants consisted of professionals and senior experts of clinical information technology. Fuzzy logic was used in this study. We also applied ANP-DEMATEL combined model with fuzzy procedure to provide the analytic model of the study.

Results: According to the study findings, lack of top-executive supports, and unstable organizational environment were the two most important risk factors, while the main organizational factors and technology were also highly important. In addition, the factors associated with technology had the highest influence on the other studied risk factors.

Conclusion: Hospital authorities can benefit from this proposed model to reduce the risk of implementing the projects of clinical information technology and improve the success coefficient of the risk of such projects.

Copyright: © 2023 Sharifian et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Fuzzy Logic
Hospital Information Systems*
Hospitals
Humans
Industry
Information Science
Medical Informatics*

Grants and funding

The Research Vice-Chancellor of Shiraz University of Medical Sciences financially supported the research (Contract No. 93-01-07-9066). The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. No author received any salary for this research.