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BACKGROUND Concerns with the usability of electronic prescribing (ePrescribing) systems can lead to the development of workarounds by users. OBJECTIVES To investigate the types of workarounds users employed, the underlying reasons offered and implications for care provision and patient safety. METHODS We collected a large qualitative data set,(More)
BACKGROUND Substantial sums of money are being invested worldwide in health information technology. Realising benefits and mitigating safety risks is however highly dependent on effective integration of information within systems and/or interfacing to allow information exchange across systems. As part of an English programme of research, we explored the(More)
BACKGROUND ePrescribing systems have considerable potential for improving healthcare quality and safety. With growing expectations about the benefits of such systems, there is evidence of widespread plans to implement these systems in hospitals in England where hitherto they have had a low uptake. Given the international drive away from developing(More)
OBJECTIVE Hospital electronic prescribing (ePrescribing) systems offer a wide range of patient safety benefits. Like other hospital health information technology interventions, however, they may also introduce new areas of risk. Despite recent advances in identifying these risks, the development and use of ePrescribing systems is still leading to numerous(More)
OBJECTIVE To identify approaches of using stand-alone and more integrated hospital ePrescribing systems to promote and support the appropriate use of antibiotics, and identify gaps in order to inform future efforts in this area. METHODS A systematic scoping review of the empirical literature from 1997 until 2015, searching the following databases:(More)
OBJECTIVE To understand the evolving market of commercial off-the-shelf Computerized Physician Order Entry (CPOE) and Computerized Decision Support (CDS) applications and its effects on their uptake and implementation in English hospitals. METHODS Although CPOE and CDS vendors have been quick to enter the English market, uptake has been slow and uneven.(More)
Today, user training and adoption is one of the greatest hassles faced by companies implementing ERP. In case of inappropriate training program, users fail to appreciate the consequences of their actions. Hence, practices that worked fine in the era of standalone systems can have catastrophic effects on integrated ERP environments. Consequently appropriate(More)