KNOWLEDGE, SKILLS, AND UTILIZATION OF ELECTRONIC HEALTH RECORD IN IMPROVING THE QUALITY OF HEALTH CARE DELIVERY SYSTEM: A CASE STUDY OF USMANU DANFODIO UNIVERSITY TEACHING HOSPITAL (UDUTHS) SOKOTO, SOKOTO STATE, NIGERIA

Abstract

ABSTRACT:Electronic health record is becoming the global standard for clinical practice. This provides the needed data for healthcare planning. It can also improve quality of care, accuracy of patient information and interdisciplinary communication among other benefits. The study therefore, aimed at evaluating electronic health record in improving the quality of healthcare delivery system among health staffin Usman Danfodiyo University Teaching Hospital Sokoto (UDUTHS).The target population was188 health records staffin UDUTHS. Adescriptive survey was adopted for the study. Data was collected using questionnaire as the instrument for the study,which was validated and found reliable.Sample size of 150 was obtained using stratified and simple random sampling.150 questionnaires were distributed and only 106 were retrieved. This formed are sponse of 90%. Data generated from the study were analyzed and presented using descriptive statistic such as frequency table,percentage and the mean of age of respondent and inferential statistic were chisquare was used to test the hypothesis. Respondents professionare Health information manager shaving the highest number of frequency of (39) 36.8%,followed by Nursing (25)23.6%,laboratory science with(15)14.2%,physicians and others with (10)9.4% each, followed by ward servant (3)2.8%,followed by radiology and CHO with (2)1.9% each. Educational qualification of there spondents were14 (13.2%) had HND, and 20 (18.9%) had B.sc, followed by 64 (60.4%) had ND and8 (7.6%) had SSCE. On the question"ARE YOU A COMPUTERLITERATE?" the distribution of the respondents on computerliteracy were 96 (90.6%), had said Yes and those that said Nowere10 (9.4%).On the level of their computer knowledge the participants were70 (66.0) said average, followed by those that said lowest who were 22 (20.8%), and those that said highest are14 (13.2%). On computerization of their organization were those that said yes were 50 (47.2%),followed by those that said no have only 56 respondent (52.8%) On how long have the reorganization been computerized the responsesare those that said 2 years have 26 (24.5%),followed by those that said 5years 77 (72.6%) and those that said others had 3 (2.8%). The distribution of electronic health record available in their organization were those that said hospital care are 91(85.8%),and those that said others are15(14.2%).On the distribution of there spondent on whether information processing is effective,efficient and uptodate for decision making with EHRs were those that said yes are 99 (93.4%) and those that said no were 7 (6.6%).On the question"IS MANUAL SYSTEM OF HEALTH RECORD KEEPING EFFECTIVE THAN ELECTRONIC HEALTHRE CORDSYSTEMS?"the distribution of there spondent on the effective of manual and electronic health record system were those that said yes had 47(44.3%) and those that yes said no were 59 (55.7%).Conclusively,this work revealed that,the majority of the healthworkers that handle health record in the hospital have good under standing of the need for recording patients informatione lectronically.