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Successful systems sustaining change.

Sheila Bullas1, John Bryant

  • 1Princess Alexandra Hospital NHS Trust, UK.

Studies in Health Technology and Informatics
|October 4, 2007
PubMed
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IT project failures persist despite extensive research. This study assessed failure risks and success factors in acute care hospitals, integrating Lean, Six Sigma, PRINCE2, and Benefits Management for sustainable improvements.

Area of Science:

  • Health Informatics
  • Information Technology Management
  • Healthcare Administration

Background:

  • Despite numerous publications on IT project successes and failures, project failure remains a persistent issue in healthcare.
  • Acute care hospitals present unique challenges for IT system implementation, demanding rapid and sustainable improvements in clinical and administrative processes.

Purpose of the Study:

  • To prospectively assess the risk of failure in IT projects within an acute care hospital setting.
  • To identify and address critical success factors for IT implementations, particularly those within the English National Programme for IT.
  • To integrate established methodologies for pragmatic systems implementation and achieve desired clinical and administrative outcomes.

Main Methods:

  • Prospective study design focused on risk assessment and critical success factors from the project's inception.

Related Experiment Videos

  • Integration of Lean, Six Sigma, PRINCE2, and Benefits Management methodologies for systems implementation.
  • Application of these integrated tools in a challenging acute care hospital environment.

    • Main Results:

    • The study describes the outcomes of IT project implementations in a healthcare setting, highlighting insights into success and failure.
    • Specific lessons learned are identified concerning the crucial role of the business need for the project.
    • Emphasis is placed on the successful achievement of required benefits and the facilitation of necessary business change.

    Conclusions:

    • Successful IT project implementation in healthcare requires a pragmatic approach integrating multiple established methodologies.
    • Addressing the fundamental business need and ensuring the realization of intended benefits and business change are critical for project success.
    • Lessons learned from this study offer valuable insights for future IT projects in acute care settings.