Biomedical subjects

R E Nikula

Publications and source records attributed to R E Nikula.

5 recordsLinked to original sources

PubMed2001

Why implementing EPR's does not bring about organizational changes--a qualitative approach.

Politicians and hospital management in Sweden and Denmark focus on IT and especially Electronic Patient Record, EPR as a tool for changes that will lead to better economy as well as better quality and service for the patients. These changes are not direct effects of the new medium for patient records but indirect effects due to the possibilities embedded in the new technology. This paper describes how clinicians as well as management in two hospitals interpret and uses the EPR. The findings clearly show that the intended changes i.e. the objectives for the implementation, never occurred. The interpretation of the interviews makes it possible to understand that one of the reasons is the lack of correlation between the conception and use of the EPR on one hand and the fact that the management and the clinicians do not share the same vision and mental picture of the future organization on the other.

Attitude to Computers↗

PubMed2000

Informed decisions by clinicians are fundamental for EPR implementation.

Most often the investment in electronic patient records (EPR) is decided upon on the basis of descriptions of all the advantages this new technology will bring. We argue that an exchange of a paper-based patient record (PPR) with an EPR is an efficient way to automate manual routine work and distribute information but the real benefits from EPR depend on how clinicians use an EPR application to improve the quality of care. We introduce the 'price to pay' concept in order to illustrate that it takes a human effort to create better health care and that clinicians therefore play a very important role when implementing EPR systems.

Computer Literacy↗

PubMed1999

Organisational learning within health care organisations.

The demands on the health care sector are increasing both from the outside, e.g. political push for cost containment, improved service and quality, and from within as new technologies and procedures are introduced. This calls for an organisation that can adjust to new conditions through flexibility and creativeness. The concept of organisational learning has been introduced as a potential way to meet these challenges. The objectives for this paper are to focus on central topics within the concept of organisational learning relevant for health care organisations and discuss the consequences of these applied to health care organisations.

Decision Making, Organizational↗

PubMed1999

Organizational and technological insight as important factors for successful implementation of IT.

Politicians and hospital management in Sweden and Denmark focus on IT and especially Electronic Patient Record, EPR as a tool for changes that will lead to better economy as well as better quality and service to the patients. These changes are not direct effects of the new medium for patient records but indirect effects due to the possibilities embedded in the new technology. To ensure that the implementation is successful, i.e. leads to changes in organization structure and workflow, we need tools to prepare clinicians and management. The focus of this paper is the individual insight in technology and organization and it proposes a model to assess and categorize the possibilities of individuals and groups to participate in and make an implementation process powerful.

Computer Literacy↗

PubMed1999

Clinicians must invest resources when implementing electronic patient records.

Most often the investment in Electronic Patient Records (EPR) is decided upon on the basis of descriptions of all the advantages this new technology will bring. However, most of these advantages from EPR's are only obtainable if the clinicians are motivated to invest their knowledge and resources in this implementation process. This paper proposes a simple method to qualify the decision making process by introducing the "price to pay" concept.

Computer Literacy↗