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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
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book Applied Interdisciplinary Theory in Health Informatics - Knowledge Base for Practitioners"
Applied Interdisciplinary Theory in Health Informatics
Knowledge Base for Practitioners
- Title
- Applied Interdisciplinary Theory in Health Informatics
- Subtitle
- Knowledge Base for Practitioners
- Authors
- Philip Scott
- Nicolette de Keizer
- Andrew Georgiou
- Publisher
- IOS Press BV
- Location
- Amsterdam
- Date
- 2019
- Language
- English
- License
- CC BY-NC 4.0
- ISBN
- 978-1-61499-991-1
- Size
- 16.0 x 24.0 cm
- Pages
- 242
- Category
- Informatik