OBJECTIVES: Two forms of participatory design (PD) management-dominated and end-users focused are described in the design and introduction of an electronic patient record (EPR) for a mental health care centre. METHODS: Qualitative research methods were used to achieve a fine-grained insight into the EPR development process and its impacts...
Keywords: User-involvement, participatory design (PD), health care, implementation, electronic patient record (EPR)
01/2003 | Methods of Information in Medicine, SchattauerOBJECTIVES: 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...
Keywords: Hospital Information Systems, electronic patient record system, implementation, implementation failure, National Health Service (NHS) ICT strategy
01/2003 | Methods of Information in Medicine, SchattauerOBJECTIVES: In order to implement clinical practice guidelines for the Department of Neonatology of the Heidelberg University Medical Center we developed a modular framework consisting of tools for authoring, browsing and executing encoded clinical practice guidelines (CPGs). METHODS: Based upon a comprehensive analysis of literature, we set up requirements for guideline representation systems...
Keywords: Clinical Practice Guidelines, representation, acquisition, implementation, local adaptation, execution, Decision Support
01/2004 | Methods of Information in Medicine, Schattauer