“Computers can land people on Mars, why can’t they get them to work in a hospital?”: Implementation of an Electronic Patient Record System in a UK Hospital
Abstract
Summary: Objectives: This paper aims to describe and interpret the implementation of a hospital information system in a large UK hospital. Methods: The paper is based on a longitudinal case study over a three-year period in which a cross section of hospital staff involved with the information system were interviewed. Results and Conclusions: Ambitious government targets for the use of Information Technology in the UK National Health Service sit alongside a history of notable project failures. The decision by a UK hospital to install an advanced, integrated electronic patient record system therefore faced conflicting demands and expectations. This paper suggests that its simple categorisation as either a success or failure is problematic. Rather, the differing viewpoints that lead some clinicians to express “disappointment” with its performance, while others described its features as “tremendous” and managers suggested that the system had become “taken for granted” are explored. A number of broader phenomena relating to the organisational processes surrounding information systems implementation are also identified.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
All software solutions had to be configured to a greater or lesser extent in order to meet local purposes and needs.
“All software solutions in any case had to be configured (to a greater or lesser extent) in order to meet local purposes and needs [10,46].”
Cites
Still being checked.
Cited by
Sorted by citations
GREENHALGH, T., POTTS, H. W. W., WONG, G., BARK, P., & SWINGLEHURST, D. (2009) · The Milbank Quarterly · doi:10.1111/j.1468-0009.2009.00578.x · Cited by 541 · see citing works
Constantinides, P., & Barrett, M. I. (2005) · Information and Organization · doi:10.1016/j.infoandorg.2005.07.001 · Cited by 106 · see citing works
Petrakaki, D., Klecuń, E., & Cornford, T. (2014) · Organization · doi:10.1177/1350508414545907 · Cited by 94 · see citing works
Yusof, M. M. (2015) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2015.03.001 · Cited by 92 · see citing works
Takian, A., Sheikh, A., & Barber, N. (2012) · BMC Health Services Research · doi:10.1186/1472-6963-12-484 · Cited by 94 · see citing works
A systematic review of the evidence for telemedicine in burn care: With a UK perspective
Wallace, D. L., Hussain, A., Khan, N., & Wilson, Y. T. (2012) · Burns · doi:10.1016/j.burns.2011.09.024 · Cited by 75 · see citing works
Ayatollahi, H., Bath, P. A., & Goodacre, S. W. (2009) · Health Informatics Journal · doi:10.1177/1460458209337433 · Cited by 59 · see citing works
Takian, A., Petrakaki, D., Cornford, T., Sheikh, A., & Barber, N. (2012) · BMC Health Services Research · doi:10.1186/1472-6963-12-105 · Cited by 51 · see citing works
“We collected views on the implementation as seen by a diverse set of stakeholders [28,54] and sought to explain how their understandings and actions shaped NHS CRS [46].”
BackgroundMethodFactors influencing the use of IT in the emergency department: A qualitative study
Ayatollahi, H., Bath, P. A., & Goodacre, S. W. (2010) · Health Informatics Journal · doi:10.1177/1460458210377480 · Cited by 48 · see citing works
Priestman, W., Sridharan, S., Vigne, H., Collins, R., Seamer, L., & Sebire, N. J. (2018) · BMJ Health & Care Informatics · doi:10.14236/jhi.v25i2.1007 · Cited by 47 · see citing works
Requirements engineering in health care: the example of chemotherapy planning in paediatric oncology
Sebastian Garde, A., & Knaup, P. (2006) · Requirements Engineering · doi:10.1007/s00766-006-0029-6 · Cited by 42 · see citing works
Infrastructures in healthcare: The interplay between generativity and standardization
Grisot, M., & Vassilakopoulou, P. (2012) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2012.08.010 · Cited by 29 · see citing works
User interpretations of future information system use: A snapshot with technological frames
Karsten, H., & Laine, A. (2006) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2006.05.013 · Cited by 26 · see citing works
Petrakaki, D., & Klecuń, E. (2014) · Social Science & Medicine · doi:10.1016/j.socscimed.2014.11.047 · Cited by 24 · see citing works
Using electronic health record systems in diabetes care
Veinot, T. C., Zheng, K., Lowery, J. C., Souden, M., & Keith, R. E. (2010) · International Health Informatics Symposium · doi:10.1145/1882992.1883026 · Cited by 19 · see citing works
Electronic Health Records: Cure‐All or Chronic Condition?
Kimble, C. (2014) · Global Business and Organizational Excellence · doi:10.1002/joe.21554 · Cited by 19 · see citing works
Practice-centred evaluation and the privileging of care in health information technology evaluation
Darking, M., Anson, R., Bravo, F., Davis, J., Flowers, S., Gillingham, E., GOLDBERG, L. C., Helliwell, P., Henwood, F., Hudson, C., et al. (2014) · BMC Health Services Research · doi:10.1186/1472-6963-14-243 · Cited by 16 · see citing works
“Remain Faithful to the Earth!”*: Reporting Experiences of Artifact-Centered Design in Healthcare
Cabitza, F. (2011) · Computer Supported Cooperative Work (CSCW) · doi:10.1007/s10606-011-9143-1 · Cited by 14 · see citing works
Development of an instrument for measuring clinicians’ power perceptions in the workplace
Bartos, C. E., Fridsma, D. B., Butler, B. S., Penrod, L. E., Becich, M. J., & Crowley, R. S. (2008) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2008.02.004 · Cited by 13 · see citing works
Rational quality requirements for medical software
Paech, B., & Wetter, T. C. (2008) · ACM/IEEE International Conference on Software Engineering: Companion Proceedings (ICSE-Companion) · doi:10.1145/1368088.1368176 · Cited by 8 · see citing works
Tactics for Constructing Visions about Electronic Health Records (EHRs)
Boulus-Rødje, N. (2019) · Canadian Journal of Communication · doi:10.22230/cjc.2019v44n1a2961 · Cited by 4 · see citing works
Understanding National Culture Effects on User Behavior in Integrative IS Implementations
Locker, N. K., Vos, J. F. J., & Boonstra, A. (2016) · Procedia Computer Science · doi:10.1016/j.procs.2016.09.157 · Cited by 3 · see citing works
Trends of Factors and Theories in Health Information Systems Acceptance
Sezgın, E., & Özkan, S. (2016) · IGI Global eBooks · doi:10.4018/978-1-4666-9978-6.ch085 · Cited by 4 · see citing works
Goff, M. (2014) · IFIP advances in information and communication technology · doi:10.1007/978-3-662-44208-1_26 · Cited by 1 · see citing works
Why is medical software so hard?
Wetter, T. C. (2008) · Informatik - Forschung und Entwicklung · doi:10.1007/s00450-008-0043-7
Best Practices for the Effective Implementation of Telerounding
Heyne, K., Lazzara, E. H., Keebler, J. R., Benishek, L. E., & Eduardo Salas, A. (2012) · Proceedings of the Human Factors and Ergonomics Society Annual Meeting · doi:10.1177/1071181312561348
Sustainable Virtual, Probabilistic Technologies for Managing the Partition TablePreprint
MacKey, A., & Destefanos, B. (2018) · SSRN Electronic Journal · doi:10.2139/ssrn.3144251
Retracted
- Authors
- Jones, M. R.
- Affiliations
- University of Cambridge (GB)
- Corresponding author
- Jones, M. R.
- Venue
- Methods of Information in Medicine
- Publisher
- Georg Thieme Verlag KG
- Published
- 2003
- Volume
- 42
- Issue
- 04
- Pages
- 410-405
- ISSN
- 0026-1270 (ISSN-L)
- 2511-705X
- OpenAlex
- W4323873017
- Cited by
- 27
- References
- 0
- Citations by year
- 2019: 1 · 2018: 2 · 2016: 2 · 2015: 1 · 2014: 5 · 2012: 4
- FWCI
- 2.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Methods of Information in Medicine (publishedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Social Sciences › Sociology and Political Science › Information Systems Theories and Implementation
- Social Sciences › Business, Management and Accounting › Management Information Systems › ERP Systems Implementation and Impact
- Keywords
- hospital information systems, electronic health records, information system implementation, National Health Service, clinician perceptions, organizational processes, health information technology, large hospitals
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
