Abstract
In this paper we challenge the predominant technical focus on integration in healthcare. We suggest that organisational and social factors have been overlooked in many integration efforts. Based on a work practice perspective, a principal aim of our paper is therefore to contribute to the development of a socio-technical understanding and a robust implementation strategy of integration in health care. We analyse how clinical practice and the history of existing systems play a crucial role in integration efforts. Empirically our project draws on the implementation and integration of a large-scale Electronic Medication Management System (EMMS) in the Health Authority Northern Norway, which was initiated in 2012.
Keywords
- Integration
- Electronic Medication Management System
- Electronic Patient Records
- Work practice
This is a preview of subscription content, access via your institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Gibbons, P., Artz, N., Burke-Beebe, S., Chute, C., Dickinson, G., Flewelling, T., et al.: Coming to Terms: Scoping Interoperability for Health Care. Health Level Seven. EHR Interoperability Work Group, pp. 1–31 (2007)
Viangteeravat, T., Anyanwu, M.N., Nagisetty, V.R., Kuscu, E., Sakauye, M.E., Wu, D.: Clinical data integration of distributed data sources using Health Level Seven (HL7) v3-RIM mapping. J. Clin. Bioinf. 1(1), 32 (2011)
Ellingsen, G., Monteiro, E., Røed, K.: Integration as interdependent workaround. Int. J. Med. Inform. 82, e161–e169 (2012). Elsevier Ireland Ltd.
Singletary, L.A.: Applications integration: is it always desirable? In: 37th Annual Hawaii International Conference System Science 2004, vol. 0, no. C, pp. 265–273. IEEE Proceedings (2004)
Giuse, D.: Health information systems challenges: the Heidelberg conference and the future. Int. J. Med. Inform. 69(2–3), 105–114 (2003)
Berg, M.: Implementing information systems in health care organizations: myths and challenges. Int. J. Med. Inform. 64(2–3), 143–156 (2001)
Ellingsen, G., Monteiro, E.: The slight surprise of integration. In: Sørensen, C., Yoo, Y., Lyytinen, K., DeGross, J.I. (eds) Designing Ubiquitous Information Environments: Socio-Technical Issues and Challenges. IFIPAICT, vol. 185, pp. 265–278. Springer, Boston (2005). doi:10.1007/0-387-28918-6_20
Tun, Z., Bird, L.J., Goodchild, A.: Validating Electronic Health Records Using Archetypes and XML (2001)
Bernstein, K., Bruun-Rasmussen, M., Vingtoft, S., Andersen, S.K., Nøhr, C.: Modelling and implementing electronic health records in Denmark. Int. J. Med. Inform. 74(2–4), 213–220 (2005)
Pahl, C., Zare, M., Nilashi, M., de Faria Borges, M.A., Weingaertner, D., Detschew, V., et al.: Role of OpenEHR as an open source solution for the regional modelling of patient data in obstetrics. J. Biomed. Inform. 55, 174–187 (2015). Elsevier Inc.
Christensen, B., Ellingsen, G.: Evaluating model-driven development for large-scale EHRs through the openEHR approach. Int. J. Med. Inform. 89, 43–54 (2016). Elsevier Ireland Ltd.
Martínez-Costa, C., Menárguez-Tortosa, M., Fernández-Breis, J.T., Maldonado, J.A.: A model-driven approach for representing clinical archetypes for Semantic Web environments. J. Biomed. Inform. 42(1), 150–164 (2009). Elsevier Inc.
Cross, M.: Information technology will connecting for health deliver its promises? Br. Med. J. 332, 599–601 (2006)
Black, A.D., Car, J., Pagliari, C., Anandan, C., Cresswell, K., Bokun, T., et al.: The Impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med. 8(1), e1000387 (2011). Djulbegovic B, editor
Berg, M.: Patient care information systems and health care work: a sociotechnical approach. Int. J Med. Inform. 55(2), 87–101 (1999)
Aarts, J., Ash, J., Berg, M.: Extending the understanding of computerized physician order entry: implications for professional collaboration, workflow and quality of care. Int. J. Med. Inform. 76(Suppl. 1), S4–S13 (2007)
Silsand, L., Ellingsen, G.: Generification by translation: designing generic systems in context of the local. J. Assoc. Inf. Syst. 15, 177–196 (2014)
Aanestad, M., Jensen, T.B.: Building nation-wide information infrastructures in healthcare through modular implementation strategies. J. Strateg. Inf. Syst. 20(2), 161–176 (2011). Elsevier B.V.
Hanseth, O., Lundberg, N.: Designing work oriented infrastructures. Comput. Support Coop. Work. 10(3), 347–372 (2001). Springer
Latour, B.: Reassembling the Social. An Introduction to Actor-Network-Theory. Oxford University Press, Oxford (2005)
Edwards, P.N., Jackson, S.J., Bowker, G.C., Williams, R.: Introduction: an agenda for infrastructure studies. J. Assoc. Inf. Syst. 10, 364–374 (2009)
Johannessen, L.K., Ellingsen, G.: Lightweight design methods in integrated practices. Des. Issues 28(3), 22–23 (2012)
Walsham, G.: Interpretive case studies in IS research: nature and method. Eur. J. Inf. Syst. 4(2), 74–81 (1995)
Klein, H.K., Myers, M.D.: A set of principles for conducting and evaluating interpretive field studies in information systems. MIS Q. 23(1), 67 (1999)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this paper
Cite this paper
Bjørnstad, C., Ellingsen, G. (2017). Integration and Medication in Hospitals. In: Rocha, Á., Correia, A., Adeli, H., Reis, L., Costanzo, S. (eds) Recent Advances in Information Systems and Technologies. WorldCIST 2017. Advances in Intelligent Systems and Computing, vol 570. Springer, Cham. https://doi.org/10.1007/978-3-319-56538-5_82
Download citation
DOI: https://doi.org/10.1007/978-3-319-56538-5_82
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-56537-8
Online ISBN: 978-3-319-56538-5
eBook Packages: EngineeringEngineering (R0)