Agility obstacles in Medical centers with a hospital information system (HIS)

Considering the states about the importance of organizational agility, as a means to overcome the
challenges of the third millennium, surveying the agility obstacles in the hospitals can be a big jump in agility
development and their high performance. Survey-analytic method is used in this study in which Urmia University
Medical Centers that established Hospital Information Systems (HIS) have been analyzed in terms of agility
obstacles. In the study, information related to the human agility factors and system-related agility factors were
gathered using the comments list designed by academics and experts of HIS in two ways of hospitals visiting and
using the information contained in the database of hospitals. Analysis of the collected data is done by SPSS-17
software using descriptive (frequency and percentage) and inferential tests (chi-square). Alpha level of 0.05 was
considered as significant. Results: Of the 198 samples collected, 129 (65.2%) were human factors, and 69 (34.8%)
were systematic. The maximum agility were occurred in laboratory sections 37 (18.7%) and clinical 31 (15.7%),
respectively. Also there was no significant difference between human and systemic barriers for agility and studied
hospitals ( P>0.05). The most human obstacles on the agility were reported for inobservance and speed of data entry,
no complete awareness of users about system and no training for new users to be attracted to the University. The
most important obstacles of the system agility were: lack of proper reporting of system, no statistical separation for
different working shifts, low-resolution radiology images in the system, multiple file numbers for one patient in the
system and the problem of data about patients' bed to bed transfer