Software engineering risk factors in the implementation of a small electronic medical record system: the problem of scalability.

摘要: The successful implementation of clinical information systems is difficult. In examining the reasons and potential solutions for this problem, medical informatics community may benefit from lessons a rich body software engineering management literature about failure projects. Based on previous studies, we present conceptual framework understanding risk factors associated with large-scale However, vast majority existing based large, enterprise-wide systems, it unclear whether those results be scaled down applied to smaller projects such as departmental systems. To examine issue, discuss case study delayed electronic record project in small specialty practice at Columbia-Presbyterian Medical Center. While contributing delay share some attributes found larger organizations, there are important differences. significance these differences groups implementing discussed.