Test the artefact - Develop the organization - The implementation of an electronic medication plan

被引:22
作者
Bossen, Claus [1 ]
机构
[1] Univ Aarhus, Dept Informat & Media Studies, DK-8200 Aarhus N, Denmark
关键词
electronic patient record; implementation; change management; organizational issues; information systems; sociotechnical systems;
D O I
10.1016/j.ijmedinf.2006.01.001
中图分类号
TP [自动化技术、计算机技术];
学科分类号
0812 ;
摘要
Objective and methods: The paper aims to develop further insights into the process of implementation of IT in health care by describing findings from a study of a trial implementation of a newly developed electronic medication plan (EMP) in three hospitals in a county in Denmark. A sociotechnical perspective is applied to data acquired by the qualitative methods of participant observation and semi-structured open-ended interviews. Conclusions: The achievement of fit between IT technology and work processes in health care involves the establishment of new organizational structures that cut across the existing divisionalized hospital organization and a detailed alignment of artefact, functionality and work process. This process can be furthered by supporting 'communities of practice', i.e. informal groups of engaged clinicians. A sociotechnical perspective is beneficial to the analysis of such processes. (c) 2006 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:13 / 21
页数:9
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