Socio-technical considerations in epilepsy electronic patient record implementation.

Hdl Handle:
http://hdl.handle.net/10147/127135
Title:
Socio-technical considerations in epilepsy electronic patient record implementation.
Authors:
Mc Quaid, Louise; Breen, Patricia; Grimson, Jane; Normand, Charles; Dunne, Mary; Delanty, Norman; Kalra, Dipak; Fitzsimons, Mary
Affiliation:
Epilepsy Programme, Department of Neurology, Beaumont Hospital, Dublin 9, Ireland.
Citation:
Socio-technical considerations in epilepsy electronic patient record implementation. 2010, 79 (5):349-60 Int J Med Inform
Journal:
International journal of medical informatics
Issue Date:
May-2010
URI:
http://hdl.handle.net/10147/127135
DOI:
10.1016/j.ijmedinf.2010.01.013
PubMed ID:
20181511
Abstract:
Examination of electronic patient record (EPR) implementation at the socio-technical interface. This study was based on the introduction of an anti-epileptic drug (AED) management module of an EPR in an epilepsy out-patient clinic. The objective was to introduce the module to a live clinical setting within strictly controlled conditions to evaluate its usability and usefulness.; Qualitative and quantitative methods were employed in an observational field study. A purposeful sample of specialists in epilepsy care (2 doctors and 2 nurses) was recruited. Perception of usefulness and ease of use of the AED module, impact on work processes, and accuracy of use were evaluated using feedback meetings, evaluation forms, ethnographic analysis and data validation techniques. Emerging issues were grouped into three key themes: human, organisational and technological.; The electronic patient record use was studied for 49 patients over the course of 18 out-patient clinics. While participants varied in their approach to interacting with the AED module, they expressed satisfaction with its usability and performance. The necessary co-existence of the paper and electronic record, and changes to customary work practice were considered the biggest challenges. 82% accuracy in the use of the electronic record was determined.; Achieving successful electronic patient record implementation is complex. While technical challenges exist, it is possibly more important to acknowledge the social considerations. Initially, an increase in medical record fragmentation and disruption to workflow can arise with the introduction of the technology. Realising the benefits of electronic patient records will require the management of a lengthy transition phase.
Item Type:
Article
Language:
en
MeSH:
Attitude to Computers; Documentation; Epilepsy; Health Plan Implementation; Humans; Medical Records Systems, Computerized; Pilot Projects; Social Environment
ISSN:
1872-8243

Full metadata record

DC FieldValue Language
dc.contributor.authorMc Quaid, Louiseen
dc.contributor.authorBreen, Patriciaen
dc.contributor.authorGrimson, Janeen
dc.contributor.authorNormand, Charlesen
dc.contributor.authorDunne, Maryen
dc.contributor.authorDelanty, Normanen
dc.contributor.authorKalra, Dipaken
dc.contributor.authorFitzsimons, Maryen
dc.date.accessioned2011-04-05T10:14:24Z-
dc.date.available2011-04-05T10:14:24Z-
dc.date.issued2010-05-
dc.identifier.citationSocio-technical considerations in epilepsy electronic patient record implementation. 2010, 79 (5):349-60 Int J Med Informen
dc.identifier.issn1872-8243-
dc.identifier.pmid20181511-
dc.identifier.doi10.1016/j.ijmedinf.2010.01.013-
dc.identifier.urihttp://hdl.handle.net/10147/127135-
dc.description.abstractExamination of electronic patient record (EPR) implementation at the socio-technical interface. This study was based on the introduction of an anti-epileptic drug (AED) management module of an EPR in an epilepsy out-patient clinic. The objective was to introduce the module to a live clinical setting within strictly controlled conditions to evaluate its usability and usefulness.-
dc.description.abstractQualitative and quantitative methods were employed in an observational field study. A purposeful sample of specialists in epilepsy care (2 doctors and 2 nurses) was recruited. Perception of usefulness and ease of use of the AED module, impact on work processes, and accuracy of use were evaluated using feedback meetings, evaluation forms, ethnographic analysis and data validation techniques. Emerging issues were grouped into three key themes: human, organisational and technological.-
dc.description.abstractThe electronic patient record use was studied for 49 patients over the course of 18 out-patient clinics. While participants varied in their approach to interacting with the AED module, they expressed satisfaction with its usability and performance. The necessary co-existence of the paper and electronic record, and changes to customary work practice were considered the biggest challenges. 82% accuracy in the use of the electronic record was determined.-
dc.description.abstractAchieving successful electronic patient record implementation is complex. While technical challenges exist, it is possibly more important to acknowledge the social considerations. Initially, an increase in medical record fragmentation and disruption to workflow can arise with the introduction of the technology. Realising the benefits of electronic patient records will require the management of a lengthy transition phase.-
dc.language.isoenen
dc.subject.meshAttitude to Computers-
dc.subject.meshDocumentation-
dc.subject.meshEpilepsy-
dc.subject.meshHealth Plan Implementation-
dc.subject.meshHumans-
dc.subject.meshMedical Records Systems, Computerized-
dc.subject.meshPilot Projects-
dc.subject.meshSocial Environment-
dc.titleSocio-technical considerations in epilepsy electronic patient record implementation.en
dc.typeArticleen
dc.contributor.departmentEpilepsy Programme, Department of Neurology, Beaumont Hospital, Dublin 9, Ireland.en
dc.identifier.journalInternational journal of medical informaticsen
dc.description.provinceLeinster-
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