A Systematic Review of Hospital Management Systems: Technological Architectures, Implementation Strategies, and Outcomes

Ibrahim Usman Mohammed Usman Dahiru Haruna

doi:10.56201/jhsp.vol.12.no5.2026.pg28.39

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A Systematic Review of Hospital Management Systems: Technological Architectures, Implementation Strategies, and Outcomes

Ibrahim Usman Mohammed Usman Dahiru Haruna

Abstract

This systematic review, guided by PRISMA 2020 guidelines, synthesized evidence on Hospital Management Systems across six electronic databases (PubMed, IEEE Xplore, ACM Digital Library, Scopus, Web of Science, and CINAHL) from January 2000 to October 2023, examining their technological architectures, implementation challenges, clinical and administrative outcomes, and cost-effectiveness in diverse healthcare settings. From 8,427 identified records, 167 studies met inclusion criteria and revealed four distinct architectural eras monolithic systems (2000-2010), modular ERP-based systems (2010-2018), Service-Oriented Architectures with interoperability standards (2015-present), and cloud-native AI-enhanced systems (2020-present) with implementation success rates ranging from 42% in low-resource settings to 78% in high- resource environments, driven by stakeholder engagement (89% of successful implementations), phased deployment (76%), and robust change management (82%). Clinical outcomes demonstrated significant improvements including a 45% reduction in medication errors (95% CI: 38-52%), reduced length of stay by 1.2 days (95% CI: 0.8-1.6), and 18.5% increased patient satisfaction (95% CI: 15.2-21.8%), though persistent challenges included interoperability gaps (65%), workflow disruption (58%), and cybersecurity vulnerabilities (47%).

Keywords

hospital management systems; health information systems; healthcare information technology; systematic review; healthcare informatics; digital health.

References

Encalada Avila, D., & Naranjo Gil, D. (2025). The impact of integrated health management in hospital administration: A systematic literature review applying the ProKnow-C methodology. Journal of Evaluation in Clinical Practice, 31(4), e70125. O'Connor, S., et al. (2025). Health information systems architectures: A systematic review of patterns and ecosystem alignment. Frontiers in Digital Health, 7, 1694839. Gnanlet, A., et al. (2025). Value of information sharing in using healthcare information technology: A systematic review. Journal of Healthcare Management, 70(2), 108–125. Deegan, O., et al. (2025). A scoping review of frameworks evaluating digital health applications. Digital Health, 11, 20552076251315297. Olowe, O. T., et al. (2025). Optimizing health information systems: A review on secure patient data management and AI-enhanced decision support. Journal of Scientific and Technical Research, 7(4). Phi, N. T. T., et al. (2025). Cumulative burden of digital health technologies for patients with multimorbidity: A systematic review. JAMA Network Open, 8(4), e257288. Khodadad-Saryazdi, A., et al. (2026). Hospital information systems evaluation criteria: A scoping review. BMC Health Services Research, 26, 184. Dela Torre, J. C., et al. (2025). A systematic review of tools cited in health information systems evaluations of developing and low- to middle-income countries. Discover Public Health, 22, 528.

A Systematic Review of Hospital Management Systems: Technological Architectures, Implementation Strategies, and Outcomes

Abstract

Keywords

References

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