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    Socio-technical considerations in epilepsy electronic patient record implementation.

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    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.
    Issue Date
    2010-05
    MeSH
    Attitude to Computers
    Documentation
    Epilepsy
    Health Plan Implementation
    Humans
    Medical Records Systems, Computerized
    Pilot Projects
    Social Environment
    
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    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
    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
    ISSN
    1872-8243
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ijmedinf.2010.01.013
    Scopus Count
    Collections
    Beaumont Hospital

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