Student Dissertation

Agency : Laboratory Information System; Hospital Laboratory Systems; Employees Training; Hospital Information Systems

Objective : • To understand workflow for laboratory in order to train the users during training. • To train the users to adequately learn them to use the new system

Background : Laboratory information system has evolved over past 30 years from simple system designed to generate accurate reports to complete system that can link laboratory data end to end across “total testing process”, including the clinical related pre and post analytical activities .Health information technology and web based applications have enabled dramatic improvements in the ways in which laboratory communicate ,provide services ,educate their workforce and client, market themselves to client and track clinical data and information .Health care organisations have played a key role in advancing such communication by linking the LIS with hospital information system, pharmacy database systems etc. In order to implement successfully the new HIS, it is necessary to conduct change management process that will help hospitals in preparing its organization for the usage of new tools and working environment. The factors that influence mostly the successfulness of HIS implementation are in the direct or indirect relation with the change management, pointing out to the necessity of setting up the effective communication channels and the vision for change, among both hospital management and staff. Two factors are involved in HIS implementation through change management process: social and technical factors. The relationship between the technical and social factors is determined by four components: structure, people, technology and processes. Although each of the four components can result in success or failure of the HIS implementation, social factors are more crucial than the technical ones, as people play the vital role in the success or failure of any change process. A hospital may not achieve the necessary goals only by implementing HIS. Such system cannot work properly until proper training is provided to the people who will use this. On-site technical support and trainings is must for user so that they can feel comfort while using the system successfully. Before implementing the LIS, make sure that the requirements of the physicians will be fulfilled by new system. When implementation of new LIS is completed then for the success, proper training is required to reduce failure rate.

Methodology : Location- MGM hospital,Vashi Duration- 2 months, 9th march-9th may Study type- Analytical Sample size-30 laboratory staff Study area- Pathology Study population- Laboratory technicians (key and end users), doctors Sources of data 1. Primary data- • Informal interviews of five key users and twenty five end users, informal conversations, study and observations of lab process carried out over the study period.The selection criterion for the key users was that they have been involved with the • project from its initiation to the present. Focus group discussions- a good amount of quality data was collected with focus group discussions with laboratory head,IT support staff,lab technicians and doctors. 2. Secondary data • Books, journals, internet searches, reviewliterature Data collection tools and techniques • questionnaire

Findings : 1. Most of the staff were involved and participated actively involved in design and development of new system and suggested changes while few staff was less involved as they did not participated much in hands on training. 2. User acceptance was high among the staff and there was no resistance to change. 3. Knowledge and skills among users was found to be lacking as they were less confident about using the system. 4. Most of the key users and IT staff were efficient in training of end users but few were unable to do so. 5. There was delay in implementation plan and training was one the main reason as users were not giving much time for learning the system. 6. Solution mapping was not done properly and there were problems faced during application designing.

Recommendations : A hospital may not achieve the necessary goals only by implementing LIS. Such system cannot work properly until proper training is provided to the people who will use this. On-site technical support and trainings is must for user so that they can feel comfort while using the system


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