Lytle K S, Bailey D W, Dorman K F, Moos M K
University of North Carolina Hospitals, Chapel Hill, USA.
Proc AMIA Symp. 1999:580-4.
Traditional implementation of clinical information systems follows a predictable project management process. The selection, development, implementation, and evaluation of the system and the project management aspects of those phases require considerable time and effort. The purpose of this paper is to describe the beta site implementation of a knowledge-based clinical information system in a specialty area of a southeastern hospital that followed a less than traditional approach to implementation. Highlighted are brief descriptions of the hospital's traditional process, the nontraditional process, and key findings from the experience. Preliminary analysis suggests that selection of an implementation process is contextual. Selection of elements from each of these methods may provide a more useful process. The non-traditional process approached the elements of communication, areas of responsibility, training, follow-up and leadership differently. These elements are common to both processes and provide a focal point for future research.
临床信息系统的传统实施遵循可预测的项目管理流程。系统的选择、开发、实施和评估以及这些阶段的项目管理方面需要大量的时间和精力。本文旨在描述一家东南部医院某专科领域基于知识的临床信息系统的试用点实施情况,该实施采用了非传统的方法。文中重点简要描述了医院的传统流程、非传统流程以及该经验的关键发现。初步分析表明,实施流程的选择是视具体情况而定的。从这些方法中的每一种选择要素可能会提供一个更有用的流程。非传统流程在沟通、责任领域、培训、跟进和领导等要素方面采取了不同的方式。这些要素在两个流程中都很常见,并为未来的研究提供了一个重点。