The implementation of an electronic health record: Comparing preparations for Epic in Norway with experiences from the UK and Denmark.
作者： Morten Hertzum , Gunnar Ellingsen
DOI: 10.1016/J.IJMEDINF.2019.06.026
关键词: Norwegian 、 Political science 、 Electronic health record 、 Continuity of care 、 Public relations 、 Document analysis 、 Health records 、 EPIC
摘要: Abstract Background The implementation of electronic health records (EHRs) requires careful preparations but may still cause trouble. In this study we focus on one EHR – Epic. Purpose We compare the experiences from implementing Epic in UK and Denmark with for it Norway. Method is based document analysis (UK Denmark) interviews (Norway). Results had a troubled start both malfunctions interfaces to other clinical systems, disruptions continuity care, drops performance. While state routine use has subsequently been reached UK, transition process ongoing Denmark. Norway from, especially, are heeded planning Epic, which expected deliver better care more efficiently. discuss six pitfalls achieving these benefits. Conclusion Experiences inform Norwegian preparations, point toward challenges than solutions. currently considerable uncertainty.
sci-hub.se 参考文章(9)
A. Abu-Hanna, E. Joukes, R. Cornet, N. de Keizer, M.C. de Bruijne, End-User Experiences and Expectations Regarding Data Registration and Reuse Before the Implementation of a (New) Electronic Health Record: A Case Study in Two University Hospitals. Studies in health technology and informatics. ,vol. 216, pp. 997- 997 ,(2015) , 10.3233/978-1-61499-564-7-997
Line Silsand, , Gunnar Ellingsen, , Generification by Translation: Designing Generic Systems in Context of the Local Journal of the Association for Information Systems. ,vol. 15, pp. 3- ,(2014) , 10.17705/1JAIS.00358
A. O'Dowd, New e-records system leads to 20% drop in emergency department performance at Addenbrooke’s BMJ. ,vol. 349, ,(2014) , 10.1136/BMJ.G7537
Joel D. Aberbach, Bert A. Rockman, Conducting and Coding Elite Interviews Political Science & Politics. ,vol. 35, pp. 673- 676 ,(2002) , 10.1017/S1049096502001142
L. Poissant, The Impact of Electronic Health Records on Time Efficiency of Physicians and Nurses: A Systematic Review Journal of the American Medical Informatics Association. ,vol. 12, pp. 505- 516 ,(2005) , 10.1197/JAMIA.M1700
Matthew Limb, Addenbrooke's ordered to improve after "inadequate" rating. BMJ. ,vol. 351, ,(2015) , 10.1136/BMJ.H5066
Christine Sinsky, Lacey Colligan, Ling Li, Mirela Prgomet, Sam Reynolds, Lindsey Goeders, Johanna Westbrook, Michael Tutty, George Blike, Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties Annals of Internal Medicine. ,vol. 165, pp. 753- 760 ,(2016) , 10.7326/M16-0961
Jamie Ross, Fiona Stevenson, Rosa Lau, Elizabeth Murray, Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) Implementation Science. ,vol. 11, pp. 146- 146 ,(2016) , 10.1186/S13012-016-0510-7
Ward Priestman, Shankar Sridharan, Helen Vigne, Richard Collins, Loretta Seamer, Neil J. Sebire, What to expect from electronic patient record system implementation; lessons learned from published evidence Journal of innovation in health informatics. ,vol. 25, pp. 92- 104 ,(2018) , 10.14236/JHI.V25I2.1007