Perceived critical success factors of electronic health record system implementation in a dental clinic context: An organisational management perspective

Yusof Haji Sidek, Jorge Tiago Martins

Research output: Contribution to journalArticleScientificpeer-review

12 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)88-100
Number of pages13
JournalInternational Journal of Medical Informatics
Volume107
DOIs
Publication statusPublished - Nov 2017
MoE publication typeA1 Journal article-refereed

Keywords

  • Dental clinic
  • Electronic health record system
  • Grounded theory
  • Health information system
  • Health information technology
  • Organizational management

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