Where is patient in EHR project?

Tuikka, Anne-Marie; Rantanen, Minna M.; Heimo, Olli I.; Koskinen, Jani; Sachdeva, Neeraj; Kimppa, Kai K.

doi:10.1145/2874239.2874250

Cited by 8 publications

(6 citation statements)

References 12 publications

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“…The authors concluded that EHR implementation in the cloud is an important step toward better health management across the population with the end‐goal of better health outcomes. Tuikka et al described their preliminary study about patient participation in EHR projects. The authors noticed that some academic articles recognized patients as the stakeholder group of EHR projects, whereas other articles did not.…”

Section: Literature Reviewmentioning

confidence: 99%

“…In conclusion, most of the related works consider different ICT aspects in the health care domain but not the reasons for implementation failure. These aspects include technology acceptance/adoption, patient satisfaction/participation, and smartphone/cloud‐based applications . Other works have focused on the financial impact of EHR on hospitals .…”

Section: Literature Reviewmentioning

confidence: 99%

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Healthcare software design and implementation—A project failure case

Ebad

2020

Softw Pract Exp

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Electronic health records (EHRs) are implemented by many health care organizations as a potential service solution. Despite the appeal of EHRs, failure in their implementation can lead to negative consequences, ranging from the loss of money to reputation damage, for health care providers. However, the causes of this problem have not attracted the attention of a sufficient number of researchers. This paper aims to investigate this phenomenon objectively and subjectively in a public context using an interview-based qualitative approach supported by archival data and records of a real-world failed EHR project. The results show that the factors influencing failure are divergent and include technical and managerial issues. In particular, the timing and duration of the training as well as the integration of EHR with the enterprise systems were found to be the strongest influencing factors, followed by reasons related to the software design (eg, a lack of required pharmacy functionality) and software people management (eg, resistance to change). The paper also discusses points related to EHR development and design, such as the development paradigm, data quality and validation, architecture for security, and source code naming convention. K E Y W O R D S electronic health record, software design, software project management, failure, software security 1 1258 1259While increased adoption and growth of EHR have been observed, there is a surprising lack of studies regarding the reasons why EHR implementation fails. Such studies could help prevent past implementation mistakes and reduce the overall risk involved in implementation. The benefits of EHR, if it is properly implemented, are far more substantial than the risks. The benefits include higher patient and doctor satisfaction, real-time information tracking, fewer handwritten forms, fewer preventable errors, fewer dosage errors, and increased quality of care. 6,7 However, due to several factors, including technological barriers and poor infrastructure, these benefits are not always achieved, especially in developing countries. 8 Additionally, each health service has particularities that should be considered to facilitate adoption. 9 Adoption may involve diverse changes in the different phases of the work of health professionals. Once EHR is implemented, the process is continually changing and evolving. EHR implementation is thus a challenging development stage, especially in developing countries characterized by a lack of information and communication technology (ICT) adoption. 8,10 The consequences of implementation failure not only affect patient satisfaction but also can cause tremendous economic loss and reputation damage for health care providers.The contribution of our study is the identification of the reasons for EHR implementation failure in real-world environments. To the best of our knowledge, this area has received less research attention than different aspects related to EHR systems. 1,6,[11][12][13][14] Conducting such real-world-based studies is harder i...

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Healthcare software design and implementation—A project failure case

Ebad

2020

Softw Pract Exp

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“…Although this phenomenon has tended to contract, it is still a critical issue for many European countries (Tuikka et al, 2016;Grossman et al, 2016). The ICT is in close correlation with EHR implementation, and use the chance to access this tool efficiently represents, on the one hand, the countries' ability to provide innovative digital services through adequate infrastructures and, on the other, to guarantee all patients, full access to the opportunities offered by ICT tools.…”

Section: Introductionmentioning

confidence: 99%

Information and communication technology: electronic health record as sustainable choice in Southern Europe in the European context

Marino,

Pariso,

Picariello

2023

JESI

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Following the European outlook, in the reform context, as declared by the European Government Law related to National Health Service, the countries are implementing Information and Communication Technology (ICT) and Electronic Health Records (EHR). The present research assesses the degree of ICT and EHR and its sustainability in diffusion and adoption across southern Europe cities' hospitals. It outlines the framework of European ICT to evaluate the different degrees of EHR present in southern Europe. The evaluation of the degree of diffusion and adoption of EHR is based on the Southern Europe Inpatient Dataset. It shows how the EHR is in close correlation with ICT policies and how it can also affect such policies.

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“…In addition, the patient will also need interpreter's help in order to translate the information that is recorded in the EHR. This procedure will be more costly and time-consuming, and the patient will not be motivated to use the electronic system as long as they don't possess the necessary skills [18,19]. This paper is based on the primary author's Master's thesis, which investigated how the EHRs could be improved to motivate non-Swedish speaking refugees in Sweden to use their EHRs.…”

Section: Introductionmentioning

confidence: 99%

Electronic Health Records: Non-Swedish Speaking Refugee’s Perspective

Kadhim

Iqbal

Jokela

2022

Proceedings of the 18th International Symposium on Health Information Management Research

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Electronic health record (EHR) is a ubiquitous e-health tool that includes both Electronic Medical Record (EMR) and personal health record (PHR). EHR is aimed to be a versatile digital tool that can benefit both caregivers and patients through Quick and easy access to medical information at any time from hospitals or primary care. However, the fact that the bulk of core records, including self-service data for patients, is only available in Swedish may limit the scope, availability and feasibility of self service through EHRs access for refugee patients who are non-Swedish speakers. Research results suggest that the EHRs should be meaningful, modified, and improved based on patient’s needs, by actively involving patients in their healthcare. The issues such as EHRs an information sharing communication System, lack of Information about using EHR, language barrier a hinderance in using EHR, EHRs as medical recommendation system, better instructions about EHRs, presenting medical information in diagnosis part in EHRs in other languages and presenting medical information in diagnosis part in EHRs by sound are very important to address non-Swedish speaking refugee patients’ needs to use EHRs.

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Where is patient in EHR project?

Cited by 8 publications

References 12 publications

Healthcare software design and implementation—A project failure case

Healthcare software design and implementation—A project failure case

Information and communication technology: electronic health record as sustainable choice in Southern Europe in the European context

Electronic Health Records: Non-Swedish Speaking Refugee’s Perspective

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