The NHS Care Record Service (NHS CRS): recommendations from theliterature on successful implementation and adoption
Journal of Innovation in Health InformaticsPublished 1 September 2009Open access
Kathrin Cresswell, Aziz Sheikh
Citations67
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Building on a recent systematic review of the eHealth literature, critically reflect on factors that can facilitate the implementation of the NHS CRS and suggest recommendations for a way forward to facilitate implementation efforts.
Abstract
The implementation of the National Health Service's Care Record Service (NHS CRS) is the most ambitious information technology innovation ever undertaken in healthcare. This electronic health record system represents the key component of the National Programme for Information Technology. Its implementation is however proving extremely challenging. Building on a recent systematic review of the eHealth literature, we critically reflect on factors that can facilitate the implementation of the NHS CRS and suggest recommendations for a way forward to facilitate implementation efforts.
Keywords
Health ProfessionsBusiness, Management and Accounting
Milbank QuarterlyDiffusion of Innovations in Service Organizations: Systematic Review and Recommendations
7,519 Citations2004Trisha Greenhalgh, Glenn Robert +3 more
A parsimonious and evidence-based model for considering the diffusion of innovations in health service organizations, clear knowledge gaps where further research should be focused, and a robust and transferable methodology for systematically reviewing health service policy and management are discussed.
BMJ Quality & SafetyOrganisational culture and quality of health care
612 Citations2000Huw Davies, Sandra M Nutley +1 more
This paper addresses the issue of how cultural change needs to be wrought alongside structural reorganisation and systems reform to bring about a culture in which excellence can flourish in such a complex system as health care.
Sociological QuarterlyThe Multiple Bodies of the Medical Record: Toward a Sociology of an Artifact
392 Citations1997Marc Berg, Geoffrey C. Bowker
International Journal of Medical InformaticsEvaluating informatics applications—some alternative approaches: theory, social interactionism, and call for methodological pluralism
379 Citations2001Bonnie Kaplan
Although the discussion is about social interactionism, the more important point is the need to broaden evaluation through a variety of methods and approaches that investigate social, cultural, organizational, cognitive, and other contextual concerns.
Sociology of Health & IllnessPractices of reading and writing: the constitutive role of the patient record in medical work
340 Citations1996Marc Berg
The medical record is portrayed as an artefact which mediates the social relations that act and work through it through practices of reading and writing, which figures as a fundamental, constitutive element of medical practice.
Methods of Information in MedicineICT in Health Care: Sociotechnical Approaches
266 Citations2003M. Berg, José Aarts +1 more
Socio-technical approaches increase the authors' understanding of how ICT applications are developed, introduced and become a part of social practices, and through in-depth, formative evaluation, can help improve system design and implementation.
International Journal of Medical InformaticsConsiderations for sociotechnical design: experiences with an electronic patient record in a clinical context
182 Citations1998Marc Berg, Chris J. M. Langenberg +2 more
This paper argues that the process of IT design should be understood as the development of sociotechnical configurations, and that designing IT should include being aware of the socio political nature of seemingly 'neutral' tools as EPRs.
International Journal of Medical InformaticsLessons from a failed information systems initiative: issues for complex organisations☆
155 Citations1999Gray Southon, Christian Sauer +1 more
It is demonstrated that the environment of large complex distributed organisations introduces a complex of issues that are not normally considered in implementation strategy.
Edward Elgar Publishing eBooksThe Wrong Trousers? Beyond the Design Fallacy: Social Learning and the User
148 Citations2005James Stewart, Robin Williams
BMJPatients’ attitudes to the summary care record and HealthSpace: qualitative study
142 Citations2008Trisha Greenhalgh, Gary W. Wood +3 more
The public remains unclear about current policy on shared electronic records, though most people view these as a positive development and the “implied consent” model for creating and accessing a person’s SCR should be revisited.
Journal of Engineering and Technology ManagementOut of machine age?: complexity, sociotechnical systems and actor network theory
109 Citations2001William N. Kaghan, Geoffrey C. Bowker
Journal of Telemedicine and TelecareUnderstanding the implementation and integration of e-health services
85 Citations2007Frances S Mair, Carl May +7 more
A multicentre, mixed methods study to examine the attitudes of health professionals to e-health in order to identify strategies to support increased uptake and utilization of e- health services.
Journal of Information TechnologyThe Biggest Computer Programme in the World Ever! How's it Going?
61 Citations2007Sean Brennan
This paper attempts to provide an unbiased commentary on the National Programme for IT (NPfIT), and both the programme and the agency NHS Connecting for Health (NHS CfH) set up to deliver the programme, have received considerable, and sustained criticism since their inception.
Journal of Biomedical InformaticsComputerized physician order entry and medication errors: Finding a balance
60 Citations2005David W. Bates
A main limitation of Koppel et al s study is that it did not count errors or adverse events, but instead measured only perceptions of errors, which may or may not correlate with actual error rates.
The Journal of Applied Behavioral ScienceLarge-Scale ICT Innovation, Power, and Organizational Change
60 Citations2006Panos Constantinides, Michael Barrett
The authors'analytical approach draws on the concept of networks of power to examine the changing interrelationships between institutional arrangements, people, ICTs, and work practices and how each plays a role in the adjustment, coordination, and integration of diverse interests and goals.
Journal of Medical SystemsThe Computer Based Patient Record: A Strategic Issue in Process Innovation
57 Citations1998Claude Sicotte, Jean‐Louis Denis +1 more
This project was a good opportunity to understand better the intricate complexity of introducing technology in professional work where the usefulness of information is short lived and where it is difficult to predetermine the relevancy of information.
Journal of Advanced NursingAdopting a personal digital assistant system: application of Lewin's change theory
51 Citations2006Ting‐Ting Lee
Nurses initially resisted using the personal digital assistant system, then came around to using it, and finally adopted the system in their daily practice, which could serve as a feedback mechanism to improve the system for current and future use.
BMJImplementation of computerised physician order entry (CPOE) and picture archiving and communication systems (PACS) in the NHS: quantitative before and after study
50 Citations2008Simon M. Collin, Barnaby C Reeves +4 more
The impact of components of the national programme for information technology (NPfIT) on measures of clinical and operational efficiency and CPOE and PACS were associated with both increases and reductions in tests and examinations.
International Journal of Medical InformaticsPredicting computerized physician order entry system adoption in US hospitals: Can the federal mandate be met?
49 Citations2007Eric W. Ford, Ann Scheck McAlearney +3 more
This study estimates C POE market penetration rates applying technology diffusion theory and Bass modeling techniques for three future CPOE adoption scenarios-'Optimistic,' 'Best estimate', and 'Conservative' are empirically derived.
PubMedMeasuring the success of electronic medical record implementation using electronic and survey data.
44 Citations2001Karim Keshavjee, Sue Troyan +3 more
Survey tools were developed to measure medical office processes, including administrative and physician tasks pre- and post-EMR implementation, including time required for most administrative tasks decreased within six months of EMR implementation and time spent on charting increased with time.
The Political QuarterlyIS Success and Failure—The Problem of Scale
39 Citations2007David Kreps, Helen Richardson
Information Systems (IS) failure, and how social and technical factors combine and contribute to project setbacks are considered, suggesting that good practice should be built on and that trust should be a key word for future IS project developments.
Journal of Innovation in Health InformaticsImplementing the National Programme for IT: what can we learn fromthe Scottish experience?
24 Citations2005Claudia Pagliari
Key messages and recommendations derived from a comparable electronic clinical communications programme in Scotland, and elsewhere, are offered as a means to aid the implementation process of NPfIT.
International Journal of Medical InformaticsIT, Change and evaluation: an overview of the role of evaluation in health services
17 Citations1999Gray Southon
The nature of these processes needs to be effectively understood to enable the most appropriate types of evaluations to be undertaken and a number of different scenarios are explored to demonstrate the types of roles that evaluation may need to take.
Academic RadiologyRadiology Residency eCurriculum Developed In-House
8 Citations2003Eric Bartlett, Joan E. Maley +1 more
The CD-ROM has not been fully integrated into the residency program, and the greatest obstacle to its use is the lack of computer resources in the department.