探討影響醫療機構導入麻醉資訊系統關鍵因素之研究

A Study on the Critical Factors for Affecting AIMS Implementation in Healthcare Organizations

黃維民(Wei-Min Huang) ； 陳琮華(Tsung-Hua Chen) ； 蘇清泉(Ching-Chyuan Su) ； 李育萱(Yu-Hsuan Li)

《安泰醫護雜誌》 27卷1期 (2021/06) Pp. 73-96

摘要

近二十年來，歐美地區各醫療院所之麻醉醫療單位開始導入麻醉資訊系統（Anest hesia Information Management Systems, AIMS），用以協助麻醉人員執行臨床醫療措施，降低麻醉醫療人員工作負擔、提升麻醉紀錄的完整性，進而確保麻醉安全，亦協助臨床人員日後追蹤與醫療研究使用。適當的運用資訊科技輔助臨床上的醫療行為，有效提升病人安全及醫療品質是當前醫療科技管理領域中重要的議題之一，以合適且安全的醫療資訊科技介入醫療行為，將傳統手寫紀錄轉變成為電子病歷資訊化，降低人員因醫療過程繁忙而造成的醫療疏失，進而達到麻醉安全性及病人安全的目的。本研究採用科技接受模式為研究架構之基礎，結合資訊系統成功模式，探討影響麻醉資訊系統導入之關鍵因素，針對麻醉科醫事人員進行問卷，回收有效樣本問卷共計為177份，並以統計軟體Smart PLS 3.2與SPSS 22.0去驗證各變數之間的假設關係及依變數間之解釋能力；研究結果發現，系統品質與資訊品質此兩項構面對於知覺有用性及知覺易用性具有顯著之影響；組織系統對於知覺有用性具正向的影響力，進而再影響使用意圖。

關鍵字

醫療機構 ； 麻醉資訊系統 ； 科技接受理論 ； 資訊系統成功模式

並列摘要

Anesthesia Information Management Systems have been introduced into the anesthesia unit in medical institutions in Europe and America for the past 20 years. Using AIMS to assist the anesthesia staff to nurse clinical medical measures, reduce the burden of anesthesia staff and enhance completely of the anesthesia record. Not only to ensure the anesthesia safety, but also to assist staff in the follow-up study and medical research. Appropriately use information technology to assist clinical behavior, improve patient safety and quality of medical care is an important issue in the field of medical technology management. With appropriate and safe medical information technology to intervene in medical behavior to transform the traditional handwritten records into electronic medical record information, to reduce the medical errors caused by busy medical procedures, and then achieve the purpose of anesthesia and patient safety. This research is mainly based on Technology Acceptance Model and puts it into Information System Successful model in order to know about what kind of factors affecting AIMS implementation. To have anesthesiology staff questionnaire distributed who use the AIMS. We have gathered 177 effective questionnaires and use the Statistics Software Smart PLS 3.2 and SPSS 22 to validate the assumption of relationship between each variable and explanation ability between variables. According to the survey, we found that system quality and information quality are positive affect perceived usefulness and perceived ease of use; organization system also positive affect perceived usefulness, and then affect the usage intentions.

並列關鍵字

Healthcare Organizations ； Anesthesia Information Management Systems ； Technology Acceptance Model ； Information Systems Success Model