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Eliciting end-user expectations to guide the implementation process of a new electronic health record: A case study using concept mapping
University of Amsterdam, Netherlands.
Linköping University, Department of Biomedical Engineering, Medical Informatics. Linköping University, Faculty of Science & Engineering. University of Amsterdam, Netherlands.
Vrije University of Amsterdam, Netherlands.
University of Amsterdam, Netherlands.
2016 (English)In: International Journal of Medical Informatics, ISSN 1386-5056, E-ISSN 1872-8243, Vol. 87, 111-117 p.Article in journal (Refereed) PublishedText
Abstract [en]

Objective: To evaluate the usability of concept mapping to elicit the expectations of healthcare professionals regarding the implementation of a new electronic health record (EHR). These expectations need to be taken into account during the implementation process to maximize the chance of success of the EHR. Setting: Two university hospitals in Amsterdam, The Netherlands, in the preparation phase of jointly implementing a new EHR. During this study the hospitals had different methods of documenting patient information (legacy EHR vs. paper-based records). Method: Concept mapping was used to determine and classify the expectations of healthcare professionals regarding the implementation of a new EHR. A multidisciplinary group of 46 healthcare professionals from both university hospitals participated in this study. Expectations were elicited in focus groups, their relevance and feasibility were assessed through a web-questionnaire. Nonmetric multidimensional scaling and clustering methods were used to identify clusters of expectations. Results: We found nine clusters of expectations, each covering an important topic to enable the healthcare professionals to work properly with the new EHR once implemented: usability, data use and reuse, facility conditions, data registration, support, training, internal communication, patients, and collaboration. Average importance and feasibility of each of the clusters was high. Conclusion: Concept mapping is an effective method to find topics that, according to healthcare professionals, are important to consider during the implementation of a new EHR. The method helps to combine the input of a large group of stakeholders at limited efforts. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

Place, publisher, year, edition, pages
ELSEVIER IRELAND LTD , 2016. Vol. 87, 111-117 p.
Keyword [en]
Concept mapping; Electronic health record; Implementation; Healthcare professional; Expectation
National Category
Medical Biotechnology
URN: urn:nbn:se:liu:diva-125291DOI: 10.1016/j.ijmedinf.2015.12.014ISI: 000368769900013PubMedID: 26806718OAI: diva2:906443
Available from: 2016-02-24 Created: 2016-02-19 Last updated: 2016-08-18

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The full text will be freely available from 2016-12-24 15:46
Available from 2016-12-24 15:46

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