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Related Experiment Videos

The computer based patient record: a strategic issue in process innovation

C Sicotte1, J L Denis, P Lehoux

  • 1Department of Health Administration, University of Montreal, Quebec, Canada.

Journal of Medical Systems
|January 1, 1999
PubMed
Summary

Implementing a computer-based patient record (CPR) system in hospitals failed due to poor synchronization between care and information processes, not user resistance. This highlights challenges in integrating technology with dynamic healthcare workflows.

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Area of Science:

  • Health Informatics
  • Information Technology in Healthcare
  • Hospital Management

Background:

  • Information Technology (IT) is crucial for hospital workplace reengineering.
  • Computer-based patient records (CPR) can significantly alter healthcare work routines.
  • IT adoption aims to improve care quality and reduce costs through better information management.

Purpose of the Study:

  • To investigate a large-scale CPR implementation project in four hospitals.
  • To analyze the impact of a fully electronic environment on nursing care processes.
  • To understand the complexities of integrating IT into professional healthcare work.

Main Methods:

  • A case study approach was used to analyze a $45 million CPR project.
  • The study focused on the patient nursing care process within hospitals.

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  • Implementation involved collaboration with two computer firms.

    • Main Results:

    • The CPR system was withdrawn due to boycotts from medical and nursing staff.
    • User resistance was explicitly ruled out as the cause of failure.
    • The project revealed significant challenges in synchronizing care and information processes.

    Conclusions:

    • Misconceptions regarding the fit between care and information processes were primary failure factors.
    • Integrating IT in healthcare is complex, especially with time-sensitive and context-dependent information.
    • The study underscores the need for better understanding of workflow-technology integration in hospitals.