Socio-technical considerations in epilepsy electronic patient record implementation.
Name:
Publisher version
View Source
Access full-text PDFOpen Access
View Source
Check access options
Check access options
Authors
Mc Quaid, LouiseBreen, Patricia
Grimson, Jane
Normand, Charles
Dunne, Mary
Delanty, Norman
Kalra, Dipak
Fitzsimons, Mary
Affiliation
Epilepsy Programme, Department of Neurology, Beaumont Hospital, Dublin 9, Ireland.Issue Date
2010-05MeSH
Attitude to ComputersDocumentation
Epilepsy
Health Plan Implementation
Humans
Medical Records Systems, Computerized
Pilot Projects
Social Environment
Metadata
Show full item recordCitation
Socio-technical considerations in epilepsy electronic patient record implementation. 2010, 79 (5):349-60 Int J Med InformJournal
International journal of medical informaticsDOI
10.1016/j.ijmedinf.2010.01.013PubMed ID
20181511Abstract
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
ArticleLanguage
enISSN
1872-8243ae974a485f413a2113503eed53cd6c53
10.1016/j.ijmedinf.2010.01.013
Scopus Count
Collections
Related articles
- Documentation and coding of ED patient encounters: an evaluation of the accuracy of an electronic medical record.
- Authors: Silfen E
- Issue date: 2006 Oct
- Factors influencing the quality of medical documentation when a paper-based medical records system is replaced with an electronic medical records system: an Iranian case study.
- Authors: Pourasghar F, Malekafzali H, Koch S, Fors U
- Issue date: 2008 Fall
- Paper versus computer: feasibility of an electronic medical record in general pediatrics.
- Authors: Roukema J, Los RK, Bleeker SE, van Ginneken AM, van der Lei J, Moll HA
- Issue date: 2006 Jan
- Optimising workflow in andrology: a new electronic patient record and database.
- Authors: Tüttelmann F, Luetjens CM, Nieschlag E
- Issue date: 2006 Mar
- The electronic locum record for general practitioners: outcome of an evaluation study in the Netherlands.
- Authors: Dumay AC, Haaker TI
- Issue date: 2010 Sep