The aging of a clinical information system
The senescence of a clinical information system is more likely to have administrative than technical bases. Supporting this claim is a case study of one aging oncology information system. The case study is qualitative, as behooves the subject matter. Content analysis of several documents suggests th...
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| Veröffentlicht in: | Journal of biomedical informatics 2004-10, Vol.37 (5), p.319-324 |
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| container_title | Journal of biomedical informatics |
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| creator | Rada, Roy Finley, Scott |
| description | The senescence of a clinical information system is more likely to have administrative than technical bases. Supporting this claim is a case study of one aging oncology information system. The case study is qualitative, as behooves the subject matter. Content analysis of several documents suggests that the change in job description of the data coordinator led to a workflow breakdown. Next, twenty-two individuals were interviewed. Notes from the interviews were coded, and the resulting patterns led to
•
partial support for the workflow breakdown conjecture,
•
refutation of the hypothesis that users disliked the character-based, human–computer interface,
•
support of the conjecture that political rather than technical factors drive the usage patterns of the system, and
•
evidence that ‘political’ activity will determine the future of the information system.
A
stakeholder matrix is proposed that addresses administrative concerns. Also, the issue of the uniqueness of any oncology clinical information system is linked to the plans for this legacy system. |
| doi_str_mv | 10.1016/j.jbi.2004.06.003 |
| format | Article |
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•
partial support for the workflow breakdown conjecture,
•
refutation of the hypothesis that users disliked the character-based, human–computer interface,
•
support of the conjecture that political rather than technical factors drive the usage patterns of the system, and
•
evidence that ‘political’ activity will determine the future of the information system.
A
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•
partial support for the workflow breakdown conjecture,
•
refutation of the hypothesis that users disliked the character-based, human–computer interface,
•
support of the conjecture that political rather than technical factors drive the usage patterns of the system, and
•
evidence that ‘political’ activity will determine the future of the information system.
A
stakeholder matrix is proposed that addresses administrative concerns. 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Supporting this claim is a case study of one aging oncology information system. The case study is qualitative, as behooves the subject matter. Content analysis of several documents suggests that the change in job description of the data coordinator led to a workflow breakdown. Next, twenty-two individuals were interviewed. Notes from the interviews were coded, and the resulting patterns led to
•
partial support for the workflow breakdown conjecture,
•
refutation of the hypothesis that users disliked the character-based, human–computer interface,
•
support of the conjecture that political rather than technical factors drive the usage patterns of the system, and
•
evidence that ‘political’ activity will determine the future of the information system.
A
stakeholder matrix is proposed that addresses administrative concerns. Also, the issue of the uniqueness of any oncology clinical information system is linked to the plans for this legacy system.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>15488746</pmid><doi>10.1016/j.jbi.2004.06.003</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1532-0464 |
| ispartof | Journal of biomedical informatics, 2004-10, Vol.37 (5), p.319-324 |
| issn | 1532-0464 1532-0480 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; ScienceDirect Journals (5 years ago - present) |
| subjects | Administration Clinical information system Databases, Factual Hospital Information Systems - classification Hospital Information Systems - organization & administration Human–computer interface Legacy Medical Informatics - methods Medical Informatics - organization & administration Medical Records Systems, Computerized Oncology Politics Retirement Software life cycle Stakeholder matrix Technology Assessment, Biomedical - methods Technology Assessment, Biomedical - organization & administration Time Factors Workflow management |
| title | The aging of a clinical information system |
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