Page - 92 - in Applied Interdisciplinary Theory in Health Informatics - Knowledge Base for Practitioners

Box 3: Summary of an evaluation of hospital EHR introduction in the NPfIT [23] Figure 1. Illustration of an Actor-Network in evaluating the introduction of EHRs in English hospitals as part of the National Programme for Information Technology (based on and partly reproduced from [19]. • National implementation of centrally procured software in hospitals • Qualitative longitudinal investigation in three purposefully selected hospitals which were implementing early functionality (conceptualized as case studies) • Collected data between 2009 and 2011 • Dataset: 66 interviews with hospital staff, 14 interviews with stakeholders from outside case study sites, 38.5 hours of non-participant observation, 149 pages of press statements, 31 pages of field notes, and a range of national and local documents • Key findings: users found it difficult to integrate the software with their everyday work practices as the software was perceived to be not fit-for-purpose, implementation had significant consequences for organizational functioning (hampered by local restrictions in software customizability) K.Cresswell /UsingActor-NetworkTheory toStudyHealth InformationTechnology Interventions92