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Why Electronic Patient Record Systems in Hospitals Can Go Wrong

A Systems Failures Study

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Critical Issues in Systems Theory and Practice
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Abstract

Over recent years, in various countries, many attempts have been made to develop electronic patient record systems for use in acute hospitals. Although the investment in such schemes has been high, evidence from the international literature appears to indicate that they have tended to be less than wholly successful. Expectations have not been met, and their introduction has typically been accompanied by varying degrees of disaffection on the part of certain key players. Whittome (1993), for example, states: “Despite significant technological advances over the past few years, manual paper-intensive systems have remained basically unchanged. Computer systems are fragmented and require multiple data entry points.” Young (1994) agrees: “Over the years many different computer-based medical-record systems have been developed. Few, if any, have had more than temporary success.”

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References

  • Campbell, J.R., Givner, N., Seelig, C.B., Greer, A.L., Patil, K., Wigton, R.S. and Tape, T., 1989, Computerized medical records and clinic function, M.D. Computing 6: 282–287.

    Google Scholar 

  • Carey, T.S., Thomas, D., Woolsey, A., Proctor, R., Philbeck, M. Bowen, G., Blish, C, and Fletcher, S., 1992, Half a loaf is better than waiting for the bread truck, Archives of Internal Medicine 152: 1845–1849.

    Article  Google Scholar 

  • Clayton, P.D., Pulver, G.E., and Hill, C.L., 1994, Physician use of computers: is age or value the predominant factor?, AMIA 301-305.

    Google Scholar 

  • Fortune, J., and Peters, G., 1990, The Formal System Paradigm for studying failures, Technology Analysis & Strategic Management 2: 383–390.

    Article  Google Scholar 

  • Fortune, J., and Peters, G., 1995, “Systems and Failures” in press, John Wiley & Sons, Chichester.

    Google Scholar 

  • Massaro, T. A., 1993, Introducing physician order entry at a major academic medical center, Academic Medicine 68: 20–30.

    Article  Google Scholar 

  • McDonald, C.J., Tierney, W.M., Overhage, J.M., Martin, D.K., and Wilson, G.A., 1992, The Regenstrief Medical Record System: 20 years of experience in hospitals, clinics, and neighbourhood health centers, M.D. Computing 9: 206–217.

    Google Scholar 

  • Rind, D.M., and Safran, C., 1994, Real and imagined barriers to an electronic medical record, AMIA 74-78.

    Google Scholar 

  • Sears Williams, L., 1992, Microchips versus stethoscopes: Calgary hospital, MDs face off over controversial computer system, Canadian Medical Association Journal 147: 1534–1547.

    Google Scholar 

  • Stewart, R., 1991, The use of social paradigms in the analysis of team behaviour during organizational change, in: “Systems Thinking in Europe”, Jackson, M.C., Mansell, G.J., Flood, R.L., Blackham, R.B. and Probert, S.V.E. eds., Plenum Press, New York.

    Google Scholar 

  • Whittome, H., 1993, Overview of electronic health record (EHR), Medical Records Institute 1: 13–15.

    Google Scholar 

  • Young, D., 1994, Consultants’ views on their use of a computer-based medical record system, in: Proceedings of Healthcare Computing 1994 217-222.

    Google Scholar 

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© 1995 Springer Science+Business Media New York

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Fortune, J., Peters, G., Stewart, R., Dodd, B. (1995). Why Electronic Patient Record Systems in Hospitals Can Go Wrong. In: Ellis, K., Gregory, A., Mears-Young, B.R., Ragsdell, G. (eds) Critical Issues in Systems Theory and Practice. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9883-8_94

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  • DOI: https://doi.org/10.1007/978-1-4757-9883-8_94

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4757-9885-2

  • Online ISBN: 978-1-4757-9883-8

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