Exploring Control in Health Information Systems Implementation

被引：4

作者：

Ali, Maryam ^{[1
]}

Cornford, Tony ^{[1
]}

Klecun, Ela ^{[1
]}

机构：

[1] London Sch Econ, Dept Management, Informat Syst & Innovat Grp, London, England

来源：

MEDINFO 2010, PTS I AND II | 2010年 / 160卷

关键词：

Information systems; Medical informatics; Medical records systems; Computerized; Hospital information systems; Electronic prescribing; Implementation; Healthcare practice; Workarounds; TECHNOLOGY; CARE; RECORD;

D O I：

10.3233/978-1-60750-588-4-681

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

100404 [儿少卫生与妇幼保健学];

摘要：

Health information systems promise opportunities for improved healthcare. However, these opportunities may become challenges and obstacles to practice. This research reflects on the outcomes of implementing healthcare information systems in three English hospitals. In each case qualitative methods were used to observe and interview doctors, nurses and pharmacists as they carried out their daily healthcare routines. The changes that the implementation of health information systems brought for both the clinical encounter, as well as health care professionals' work flow, were explored. We argue that such technologies have become a central orchestrator of the clinical setting, to the extent that they often impose control on healthcare practices. Using a socio-technical approach we seek to understand how information systems technology and healthcare professionals can work together rather than apart, or around one another.

引用

页码：681 / 685

页数：5

共 26 条

[1]

Extending the understanding of computerized physician order entry: Implications for professional collaboration, workflow and quality of care [J].

Aarts, Jos ;

Ash, Joan ;

Berg, Marc .

International Journal of Medical Informatics, 2007, 76 (SUPPL. 1) :S4-S13

[2]

A qualitative study of the implementation of a bioinformatics tool in a biological research laboratory [J].

Anderson, Nicholas R. ;

Ash, Joan S. ;

Tarczy-Hornoch, Peter .

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2007, 76 (11-12) :821-828

[3]

[Anonymous], 2006, SAFER FASTER BETTER

[4]

[Anonymous], TO DO NO HARM

[5]

Some unintended consequences of information technology in health care: The nature of patient care information system-related errors [J].

Ash, JS ;

Berg, M ;

Coiera, E .

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2004, 11 (02) :104-112

[6]

Avgerou C., 2017, Information Technology in Context: Studies from the Perspective of Developing Countries: Studies from the Perspective of Developing Countries

[7]

Considerations for sociotechnical design: experiences with an electronic patient record in a clinical context [J].

Berg, M ;

Langenberg, C ;

vander Berg, I ;

Kwakkernaat, J .

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 1998, 52 (1-3) :243-251

[8]

The contextual nature of medical information [J].

Berg, M ;

Goorman, E .

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 1999, 56 (1-3) :51-60

[9]

Contextual Implementation Model: A framework for assisting clinical information system implementations [J].

Callen, Joanne L. ;

Braithwaite, Jeffrey ;

Westbrook, Johanna I. .

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2008, 15 (02) :255-262

[10]

Types of unintended consequences related to computerized provider order entry [J].

Campbell, Emily M. ;

Sittig, Dean F. ;

Ash, Joan S. ;

Guappone, Kenneth P. ;

Dykstra, Richard H. .

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2006, 13 (05) :547-556

← 1 2 3 →