Implementation of an electronic medical record system in previously
computer-naïve primary care centres: a pilot study from Cyprus

Samoutis, George; Soteriades, Elpidoforos S.; Kounalakis, Dimitris K; Zachariadou, Theodora; Philalithis, Αnastas; Lionis, Christos

doi:10.14236/jhi.v15i4.660

Cited by 27 publications

(41 citation statements)

References 15 publications

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“…Difficulty of getting technological support was also found to be the principal barrier faced by nurses while using the EHR system in Samoutis et al's study in Cyprus [13] and Chang et al's study in Taiwan. [22] Likewise, the support of information technology team along with offering education/training on the EHR system were reported as facilitators of the EHR system use.…”

Section: Discussionmentioning

confidence: 92%

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Nurses’ characteristics and perceptions toward using the electronic health record system as predictors of clinical nursing performance improvement

Raddaha

2017

CNS

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Objective: Little and inconclusive knowledge is known about nurses' perceptions toward electronic health record (EHR) systems and how nurses role performance has been affected after using such systems. This study assessed the relationships between nurses' sociodemographic characteristics, history and pattern of computer technology use, and perceptions toward the EHR system with their perceptions regarding improvement of clinical nursing performance after using the system. Predictors of nurses' perception regarding the effect of the EHR system on improving their clinical nursing performance were delineated. Methods: Descriptive correlational design was used. A standardized self-administered questionnaire was used to collect data from nurses working at a governmental teaching hospital in Muscat, Oman. Nurses were selected randomly from a sampling frame, which consisted of a comprehensive list of employment numbers of nurses at the hospital. Results: With a response rate of 84.5%, 169 nurses returned completed questionnaires. The majority had highly positive perceptions toward the EHR system. A weakly negative correlation was observed between perceiving that EHR system is improving work performance with increasing level of academic nursing education (rho = 0.17, p = .02). Nurses who reported that it was easy to know how to request a test, record etc. using the EHR system [OR: 3.89 (95% CI: 1.54, 9.87), p < .01] were more likely perceive the EHR system as an improver to their clinical nursing performance. While, nurses who had completed at least baccalaureate nursing education [OR: 0.41 (95% CI: 0.19, 0.89), p = .02] were less likely to perceive the EHR system had improved their performance. Conclusions: Nurses should be able to demonstrate basic nursing informatics competencies when dealing with computers and software applications used in healthcare settings. Future qualitative studies are encouraged to explore the lived experiences of nurses, in order to develop better understanding to the impact of the EHR system on nursing practice.

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Section: Discussionmentioning

confidence: 92%

“…[11,27] Besides, Samoutis et al [13] found that lack of organizational support and inadequate education and training decreased the likelihood of effective use of EHR system by nurses. Training on using the EHR system is necessary and nursing administrators should ensure that such training would be completed by all nurses.…”

Section: Literature Reviewmentioning

confidence: 99%

Nurses’ characteristics and perceptions toward using the electronic health record system as predictors of clinical nursing performance improvement

Raddaha

2017

CNS

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“…Paré et al (2006) demonstrate that encouraging and cultivating a positive attitude towards the new system significantly improves doctors' overview of patients' current status in different clinical situations during the clinical process, based on the doctors' actual needs (Møller-Jensen et al, 2006), and organisational issues within hospitals that cause problems and delays during the transmission of reports came to light (Machan et al, 2006), generating more and new work for doctors. Generation of new kinds of errors (Ash et al, 2007) was also in evidence, and doctors' have the perceptions that IS/IT usage negatively affected their workflow (Samoutis et al, 2007).…”

Section: The Healthcare Sectormentioning

confidence: 99%

Investments in information systems and technology in the healthcare: Project management mediation

Gomes

Rom�ão

2016

Journal of Information Systems Engineering & Management

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Healthcare organisations must improve their business practices and internal procedures in order to answer the increasing demand of health professionals and the general public for more and better information. Hospitals invest massively in information systems and technology (IS/IT) in the hope that these investments will improve healthcare and meet patients' demands. The main objective of our research is to study how organisational maturity, enhanced by investments in IS/IT, project management and best practices, leads to successful projects in public healthcare organisations. The rational of our model is that organisational maturity has a positive effect on IS/IT project success, and that this success is also positively enhanced by the use of project management practices. We emphasise that this combination of approaches can increase the effectiveness of projects. Furthermore, it can also improve the confidence that the results of investments will meet stakeholders' expectations. Keywordshealth information systems, IT healthcare, health IS/IT projects, project success, project management, maturity models.

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“…However, such overviews have to employ and aggregate data from a large and diverse set of separate clinical systems and information from different care givers. To implement such ‗general-purpose' HIS that meets the needs of both clinical planning and patient practice has been found difficult (20,31). The strengths and weakness of a system implementation depends upon the value they offer to end-users, and important trade-offs between tasks and user groups must be consciously considered.…”

Section: ( -) (-) ( -) ( -) ( -) ( -) ( -)mentioning

confidence: 99%

“…In the day-to-day operational domain, it was observed in cases when the motivation for implementing the HIS was other than improving the quality of patient care that practitioners tended to resist using the system (26,30,31). Such resistance was also related to whether clinicians had been involved in the design and implementation or not.…”

Section: ( -) (-) ( -) ( -) ( -) ( -) ( -)mentioning

confidence: 99%

Health Information System Implementation: A Qualitative Meta-analysis

2008

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Abstract:Healthcare information systems (HISs) are often implemented to enhance the quality and patient-centeredness of care, as well as to improve the efficiency and safety of the services. However, the outcomes of HISs implementations in both primary care and hospital settings have not met expectations. Research reports indicate that there is a need to study HISs implementation process and its organizational consequences.The aim of this paper has been to organize the knowledge gained in qualitative studies performed in association to HIS implementations and to use this knowledge to outline an updated structure for implementation planning. We found that the main action implication that could be drawn from the meta-analysis was that merely implementing a HIS will not automatically increase the organizational efficiency. We used a multi-disciplinary team for the analyses in order to cover as many aspects of the primary studies as possible. Nevertheless, our results should be interpreted as a high-order scheme, and not a predictive theory and the action recommendation need to be investigated in prospective studies.The results obtained shown that when implementing HISs in hospital and primary care environments, at a minimum, strategic, tactical, and operational actions have to be taken into consideration, through management involvement, integration in healthcare workflow and specially user involvement, education and training and through establishing compatibility between software and hardware. The results show also that many of the most important failures seem still to emerge from the absence of feedback from end-users to developers during the development process. What it is needed is the use of an implementation methodology that minimizes the information asymmetry in the implementation process, and that allows the accumulation of the knowledge capital needed to prevent rejection of the final system Keywords: health information system, implementation, failure IntroductionHealthcare information systems (HISs), such as computerized physician order entry (CPOE) and computer-based patient records (CPRs) have been implemented to enhance the quality and patient-centeredness of care, as well as to improve the efficiency and safety of the services (1). However, the outcomes of HIS implementations in both primary care and hospital settings have not met expectations. A number of research reports indicate undesired consequences (2, 3, 4, 5), also pointing out that implementation failures affect negatively the return of investments (6). In consequence, hospital managers have today realized that they may overlook interplays between the HIS and organizational performance, and in particular individual users' needs, problems, and demands, if they uncritically trust the promises made by vendors (7). This situation implies that there is an urgent need to make the best possible use of the scientific knowledge available about HIS implementation processes and their organizational consequences. Starting with a number of groundbreaking s...

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Implementation of an electronic medical record system in previously computer-naïve primary care centres: a pilot study from Cyprus

Cited by 27 publications

References 15 publications

Nurses’ characteristics and perceptions toward using the electronic health record system as predictors of clinical nursing performance improvement

Nurses’ characteristics and perceptions toward using the electronic health record system as predictors of clinical nursing performance improvement

Investments in information systems and technology in the healthcare: Project management mediation

Health Information System Implementation: A Qualitative Meta-analysis

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