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Implementation and adoption of nationwide electronic health records in secondary care in England: final qualitative results from prospective national evaluation in “early adopter” hospitals
- A. Sheikh, T. Cornford, K. Cresswell
- Political Science, MedicineBMJ : British Medical Journal
- 17 October 2011
Implementation of the NHS Care Records Service in “early adopter” sites proved time consuming and challenging, with as yet limited discernible benefits for clinicians and no clear advantages for patients.
Implementation and adoption of nationwide electronic health records in secondary care in England: qualitative analysis of interim results from a prospective national evaluation
- A. Robertson, K. Cresswell, A. Sheikh
- Medicine, Political ScienceBMJ : British Medical Journal
- 1 September 2010
Experiences from the early implementation sites indicate that delivering improved healthcare through nationwide electronic health records will be a long, complex, and iterative process requiring flexibility and local adaptability both with respect to the systems and the implementation strategy.
A critical approach to evaluation
This paper develops an approach to evaluation broadly based on critical theory, and argues that such an approach, while not offering a solution to all the problems of evaluation, does bring into focus fundamental questions relating to evaluation process and content.
Project Research in Information Systems: A Student's Guide
Aimed at final year undergraduates and Masters students undertaking research projects in information systems, this text offers a blend of practical guidelines and conceptual insight that will help…
Collective agility, paradox and organizational improvisation: the development of a particle physics grid
The ongoing construction of the UK's computing grid for particle physics (GridPP), a grid that is itself part of the world's largest grid, the Large Hadron Collider Computing Grid, is studied.
Experience with a structure, process and outcome framework for evaluating an information system
The State and Democracy After New Public Management: Exploring Alternative Models of E-Governance
The evolving role of information and communication technology within the modern liberal state is considered and alternative models for e-government are outlined and successful cases of projects based on such models are illustrated.
NHS information: Revolution or evolution?
Changes in healthcare professional work afforded by technology: The introduction of a national electronic patient record in an English hospital
It is argued that electronic patient record affords changes through its materiality as it interacts with healthcare professional practice, and frames the level and extent to which technology can and cannot afford restructuring of work and redistribution of power across professional groups.
Building a house on shifting sand: methodological considerations when evaluating the implementation and adoption of national electronic health record systems
- A. Takian, Dimitra I. Petrakaki, T. Cornford, A. Sheikh, N. Barber
- MedicineBMC Health Services Research
- 30 April 2012
An approach is argued for which moves away from seeing EHR systems as Information and Communication Technologies projects requiring an essentially outcome-centred assessment towards a more interpretive approach that reflects the situated and evolving nature of EHR seen within multiple specific settings and reflecting a constantly changing milieu of policies, strategies and software.