TY - JOUR
T1 - Perceived critical success factors of electronic health record system implementation in a dental clinic context
T2 - An organisational management perspective
AU - Sidek, Yusof Haji
AU - Martins, Jorge Tiago
N1 - Publisher Copyright:
© 2017 The Authors
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2017/11
Y1 - 2017/11
N2 - Background Electronic health records (EHR) make health care more efficient. They improve the quality of care by making patients’ medical history more accessible. However, little is known about the factors contributing to the successful EHR implementation in dental clinics. Objectives This article aims to identify the perceived critical success factors of EHR system implementation in a dental clinic context. Methods We used Grounded Theory to analyse data collected in the context of Brunei's national EHR − the Healthcare Information and Management System (Bru-HIMS). Data analysis followed the stages of open, axial and selective coding. Results Six perceived critical success factors emerged: usability of the system, emergent behaviours, requirements analysis, training, change management, and project organisation. The study identified a mismatch between end-users and product owner/vendor perspectives. Discussion Workflow changes were significant challenges to clinicians’ confident use, particularly as the system offered limited modularity and configurability. Recommendations are made for all the parties involved in healthcare information systems implementation to manage the change process by agreeing system goals and functionalities through wider consensual debate, and participated supporting strategies realised through common commitment.
AB - Background Electronic health records (EHR) make health care more efficient. They improve the quality of care by making patients’ medical history more accessible. However, little is known about the factors contributing to the successful EHR implementation in dental clinics. Objectives This article aims to identify the perceived critical success factors of EHR system implementation in a dental clinic context. Methods We used Grounded Theory to analyse data collected in the context of Brunei's national EHR − the Healthcare Information and Management System (Bru-HIMS). Data analysis followed the stages of open, axial and selective coding. Results Six perceived critical success factors emerged: usability of the system, emergent behaviours, requirements analysis, training, change management, and project organisation. The study identified a mismatch between end-users and product owner/vendor perspectives. Discussion Workflow changes were significant challenges to clinicians’ confident use, particularly as the system offered limited modularity and configurability. Recommendations are made for all the parties involved in healthcare information systems implementation to manage the change process by agreeing system goals and functionalities through wider consensual debate, and participated supporting strategies realised through common commitment.
KW - Dental clinic
KW - Electronic health record system
KW - Grounded theory
KW - Health information system
KW - Health information technology
KW - Organizational management
UR - http://www.scopus.com/inward/record.url?scp=85029700270&partnerID=8YFLogxK
U2 - 10.1016/j.ijmedinf.2017.08.007
DO - 10.1016/j.ijmedinf.2017.08.007
M3 - Article
C2 - 29029696
AN - SCOPUS:85029700270
SN - 1386-5056
VL - 107
SP - 88
EP - 100
JO - International Journal of Medical Informatics
JF - International Journal of Medical Informatics
ER -