Staff expectations for the implementation of an electronic health record system: a qualitative study using
Carolyn McCrorie1, Jonathan Benn2, Owen Ashby Johnson3
1Patient Safety Translational Research Centre, Bradford Institute of Health Research, Bradford Royal Infirmary, Duckworth Lane, Bradford, BD9 6RJ, UK. carolyn.mccrorie@bthft.nhs.uk.
BMC Medical Informatics and Decision Making
|November 16, 2019
Summary
Implementing electronic health records (EHR) in UK hospitals shows staff have mixed expectations. Preparedness and user involvement are key to realizing EHR benefits for patient care quality and safety.
Area of Science:
- Health Informatics
- Healthcare Management
- Sociology of Health
Background:
- Electronic health record (EHR) systems offer potential benefits for patient care but face slow uptake in the UK.
- Implementation of EHR in healthcare organizations is complex, necessitating further research into success factors.
- This study examined staff expectations regarding EHR implementation in a UK academic acute hospital.
Purpose of the Study:
- To explore UK hospital staff expectations for change and outcomes following the procurement of a commercial EHR system.
- To identify factors influencing the successful implementation of EHR systems in a complex healthcare setting.
Main Methods:
- Qualitative interviews were conducted with 14 hospital staff members from diverse specialties.
- Normalisation Process Theory (NPT) components (Coherence, Cognitive participation, Collective action, Reflexive monitoring) provided the analytical framework.
Main Results:
- Staff shared a common understanding of the rationale for EHR implementation (Coherence).
- Willingness to engage with EHR varied individually, professionally, and organizationally (Cognitive participation).
- Collective action was influenced by context and user involvement in design and planning; staff anticipated benefits but also potential negative impacts on care, highlighting the need for preparedness.
Conclusions:
- Health professionals anticipate EHR benefits, but engagement levels indicate a need for greater user involvement in implementation strategies.
- Understanding differential staff and service interactions with EHR is crucial for successful adoption.
- Findings can inform pre-implementation actions in other healthcare systems to mitigate concerns and improve EHR success rates.
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