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Issue orders and discontinued EPR.

Anne Forsell1, Helena Karsten, Riikka Vuokko

  • 1Abo Akademi University, Finland.

Studies in Health Technology and Informatics
|June 15, 2010
PubMed
Summary

Implementing electronic patient records (EPR) in surgical clinics faces 104 user-identified failure reasons. These issues, categorized by complexity and perspective, are interconnected and require holistic problem-solving approaches for successful adoption.

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Area of Science:

  • Health Informatics
  • Healthcare Management
  • Information Systems in Medicine

Background:

  • Electronic Patient Records (EPR) implementation is crucial for modern surgical clinics.
  • Numerous EPR projects encounter significant implementation failures.
  • Understanding user-reported failure reasons is vital for improving adoption rates.

Purpose of the Study:

  • To categorize and analyze the diverse reasons for EPR implementation failure in surgical clinics.
  • To apply the issue order model to understand the complexity and interrelation of these failure reasons.
  • To identify key problem areas and their influence on overall EPR adoption.

Main Methods:

  • Collected 104 distinct reasons for EPR implementation failure from users in a surgical clinic.
  • Classified failure reasons using a three-level issue order model (simple/technical, complex/combined, political/ideological).
  • Analyzed the interrelationships and accumulation patterns of identified issues.

Main Results:

  • Identified 104 unique user-reported reasons for EPR implementation failure.
  • Demonstrated that issue perception varies significantly between management and staff.
  • Highlighted the interconnectedness of issues, where solving one can impact others.
  • Observed issue accumulation and concentration points within the implementation process.

Conclusions:

  • EPR implementation failures in surgical clinics stem from a complex interplay of technical, combined, and political/ideological issues.
  • The issue order model effectively reveals how different perspectives influence the perceived severity of implementation challenges.
  • A comprehensive approach considering interrelated issues and varying user perspectives is essential for successful EPR adoption in surgical settings.