Document Detail


Issue orders and discontinued EPR.
MedLine Citation:
PMID:  20543377     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Users gave us 104 different reasons for the failure of implementing an EPR in a surgical clinic. We classify the reasons with the issue order model, where the first issue level is for simple and technical issues, the second one for more complex and combined issues, and the third one for political or ideological issues. However, what appears as a first order issue to a manager might be seen as an insurmountable third order issue for a worker and vice versa. The issues are interrelated, and solving one issue might have a substantial influence on other issues. Also, the issues seemed to accumulate and concentrate on points. The analysis helps focus on key problems, with consideration to related issues.
Authors:
Anne Forsell; Helena Karsten; Riikka Vuokko
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Studies in health technology and informatics     Volume:  157     ISSN:  0926-9630     ISO Abbreviation:  Stud Health Technol Inform     Publication Date:  2010  
Date Detail:
Created Date:  2010-06-14     Completed Date:  2010-09-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9214582     Medline TA:  Stud Health Technol Inform     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  118-26     Citation Subset:  T    
Affiliation:
Abo Akademi University, Finland.
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MeSH Terms
Descriptor/Qualifier:
Attitude to Computers
Diffusion of Innovation*
Efficiency, Organizational*
Humans
Medical Records Systems, Computerized*
Program Development
Surgicenters*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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