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A Fishbone Analysis of the Use of Electronic Health Records (EHR) in a Primary Healthcare Setting: The Case of University of Cape Coast Hospital

Mohammed Najimudeen Abdulai, James Kojo Prah, Emmanuel Walker, Alex Darteh Afrifa in Information Sciences

International Journal of Applied Information Systems
Year of Publication:2020
Publisher: Foundation of Computer Science (FCS), NY, USA
Authors:Mohammed Najimudeen Abdulai, James Kojo Prah, Emmanuel Walker, Alex Darteh Afrifa
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  1. Mohammed Najimudeen Abdulai, James Kojo Prah, Emmanuel Walker and Alex Darteh Afrifa. A Fishbone Analysis of the Use of Electronic Health Records (EHR) in a Primary Healthcare Setting: The Case of University of Cape Coast Hospital. International Journal of Applied Information Systems 12(33):27-31, September 2020. URL, DOI BibTeX

    	author = "Mohammed Najimudeen Abdulai and James Kojo Prah and Emmanuel Walker and Alex Darteh Afrifa",
    	title = "A Fishbone Analysis of the Use of Electronic Health Records (EHR) in a Primary Healthcare Setting: The Case of University of Cape Coast Hospital",
    	journal = "International Journal of Applied Information Systems",
    	issue_date = "September 2020",
    	volume = 12,
    	number = 33,
    	month = "September",
    	year = 2020,
    	issn = "2249-0868",
    	pages = "27-31",
    	url = "",
    	doi = "10.5120/ijais2020451882",
    	publisher = "Foundation of Computer Science (FCS), NY, USA",
    	address = "New York, USA"


The scientific investigation was conducted at the University Health Services of the University of Cape Coast (UCC), which is a 70-bed capacity primary healthcare setting. The objective was to examine the reasons for the poor use of Electronic Health Records (HER) by Health Professionals in a University healthcare setting. The appropriate scientific method employed for the investigation was the Ishikawa or Fishbone diagram. The fishbone analysis is a tool for analyzing the organisational processes and its effectiveness. The analysis showed that the causes for poor use of EHR in the University healthcare Facility were due to factors related to the Facility Management, the healthcare professionals, the computer systems, the methods applied, the environment, and the materials. The investigations did not cover areas like sequencing the cause and also how to put more emphasis on the causes of higher magnitudes.


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Fishbone, Electronic Health Records (EHR)