BACKGROUND The purpose of this paper is to illustrate the Elementally Entangled Organisational Communication (EEOC) framework by drawing on a set of three case studies which assessed the impact of new Health Information Technology (HIT) on a pathology service. The EEOC framework was empirically developed as a tool to tackle organisational communication challenges in the implementation and evalu...

Healthcare organizations are investing in healthcare information technology (HIT) to improve quality and outcomes. However, HIT has also been known to introduce unintended consequences and adverse effects. The adverse effects range from process changes to serious clinical errors. In order to ensure the safety of healthcare information technologies, we propose a usability analysis framework for ...

BACKGROUND The Department of Veterans Affairs (VA) has developed health information technologies (HIT) and resources to improve veteran access to health care programs and services, and to support a patient-centered approach to health care delivery. To improve VA HIT access and meaningful use by veterans, it is necessary to understand their preferences for interacting with various HIT resources ...

BACKGROUND Institutions have tried to replace the use of numeric pagers for clinical communication by implementing health information technology (HIT) solutions. However, failing to account for the sociotechnical aspects of HIT or the interplay of technology with existing clinical workflow, culture, and social interactions may create other unintended consequences. OBJECTIVE To evaluate a Web-...

Non communicable diseases (NCDs) impose the greatest burden on global health. Any technology that helps making treatment more effective or efficient can potentially benefit humanity at a grand scale. Health information technology (HIT) has been identified as offering such potential, and indeed, existing HIT-based interventions are targeting NCD-related specific diseases such as diabetes, asthma...

Introduction: Primary care organizations are the entities through which clinical governance is developed at local level. To implement clinical governance in primary care, awareness about principles, prerequisites and barriers of this quality improvement paradigm is necessary. The aim of this study is to pool evidence about implementing clinical governance in primary care organizations. Data so...

Many policymakers, industry experts, and medical practitioners contend that the U.S. health care system—in both the public and private sectors— is in crisis. Among the numerous policy issues associated with the provision of US healthcare is the call for increased adoption and use of health care information technology (HIT) to address structural inefficiencies and care quality issues [11, p. 33]...

PURPOSE Our objective was to identify and examine studies of collaboration in relation to the use of health information technologies (HIT) in the biomedical informatics field. METHODS We conducted a systematic literature review of articles through PubMed searches as well as reviewing a variety of individual journals and proceedings. Our search period was from 1990-2015. We identified 98 artic...

Implementing health information technology (HIT) is a challenge because of the complexity and multiple interactions that define HIT implementation. Much of the research on HIT implementation is descriptive in nature and has focused on distinct processes such as order entry or decision support. These studies fail to take into account the underlying complexity of the processes, people and setting...

UNLABELLED Measures of provider success are the centerpiece of quality improvement and pay-for-performance programs around the globe. In most nations, these measures are derived from administrative records, paper charts and consumer surveys; increasingly, electronic patient record systems are also being used. We use the term 'e-QMs' to describe quality measures that are based on data found with...