J Am Med Inform Assoc - A qualitative study identifying the cost categories associated with electronic health record implementation in the UK.

Tópicos

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Resumo

JECTIVE: We conducted a prospective evaluation of different forms of electronic health record (EHR) systems to better understand the costs incurred during implementation and the factors that can influence these costs.METHODS: We selected a range of diverse organizations across three different geographical areas in England that were at different stages of implementing three centrally procured applications, that is, iSOFT's Lorenzo Regional Care, Cerner's Millennium, and CSE's RiO. 41 semi-structured interviews were conducted with hospital staff, members of the implementation team, and those involved in the implementation at a national level.RESULTS: Four main overarching cost categories were identified: infrastructure (eg, hardware and software), personnel (eg, training team), estates/facilities (eg, space), and other (eg, training materials). Many factors were felt to impact on these costs, with different hospitals choosing varying amounts and types of infrastructure, diverse training approaches for staff, and different software applications to integrate with the new system.CONCLUSIONS: Improving the quality and safety of patient care through EHR adoption is a priority area for UK and US governments and policy makers worldwide. With cost considered one of the most significant barriers, it is important for hospitals and governments to be clear from the outset of the major cost categories involved and the factors that may impact on these costs. Failure to adequately train staff or to follow key steps in implementation has preceded many of the failures in this domain, which can create new safety hazards.

Resumo Limpo

jectiv conduct prospect evalu differ form electron health record ehr system better understand cost incur implement factor can influenc costsmethod select rang divers organ across three differ geograph area england differ stage implement three central procur applic isoft lorenzo region care cerner millennium cses rio semistructur interview conduct hospit staff member implement team involv implement nation levelresult four main overarch cost categori identifi infrastructur eg hardwar softwar personnel eg train team estatesfacil eg space eg train materi mani factor felt impact cost differ hospit choos vari amount type infrastructur divers train approach staff differ softwar applic integr new systemconclus improv qualiti safeti patient care ehr adopt prioriti area uk us govern polici maker worldwid cost consid one signific barrier import hospit govern clear outset major cost categori involv factor may impact cost failur adequ train staff follow key step implement preced mani failur domain can creat new safeti hazard

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