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电子健康记录项目失败或停滞的原因:对沙特阿拉伯电子健康记录项目的研究。

Causes of EHR projects stalling or failing: A study of EHR projects in Saudi Arabia.

机构信息

Department of Health Informatics, College of Public Health & Health Informatics, King Saud Bin Abdul-Aziz University for Health Sciences, Riyadh, Saudi Arabia.

出版信息

Comput Biol Med. 2017 Dec 1;91:372-381. doi: 10.1016/j.compbiomed.2017.10.032. Epub 2017 Nov 3.

DOI:10.1016/j.compbiomed.2017.10.032
PMID:29127903
Abstract

BACKGROUND

Electronic Medical Records (EMRs) are designed to automatically collect, store, and retrieve patients' information from healthcare providers within an organization. They assist clinicians in deciding the future course of treatment. The primary objective of this study is to investigate the practices of Electronic Health Record (EHR) project managers regarding the causes of EHR projects getting stalled or failing in Saudi Arabia.

METHODS

Three focus groups were identified across three main cities of Saudi Arabia, namely Riyadh, Jeddah, and Dammam during the years 2013 and 2014. Each group consisted of 10-15 experienced EHR project managers. Qualitative analysis consisted of immersion and crystallization to develop a coding scheme that included both preconceived and emergent themes.

RESULTS AND CONCLUSION

The findings of this study highlight the difficulties, which ensue between EHR and project management practice as well as the issues that can arise from the common use of these terms. It highlights how the aims of an EHR project and its management are transformed, and how the reputation of the project management is to achieve the exact and short-term objectives associated with the comprehensive aims of an EHR project.

摘要

背景

电子病历(EMR)旨在自动收集、存储和检索医疗机构内患者的信息。它们有助于临床医生决定未来的治疗方案。本研究的主要目的是调查电子健康记录(EHR)项目经理在沙特阿拉伯导致 EHR 项目停滞或失败的原因方面的做法。

方法

在 2013 年至 2014 年期间,在沙特阿拉伯的三个主要城市利雅得、吉达和达曼确定了三个焦点小组。每个小组由 10-15 名有经验的 EHR 项目经理组成。定性分析包括沉浸和结晶,以制定一个编码方案,其中包括预设和新兴主题。

结果与结论

本研究的结果强调了 EHR 和项目管理实践之间随之而来的困难,以及这些术语的常见使用可能引发的问题。它强调了 EHR 项目及其管理目标的转变方式,以及项目管理的声誉如何实现与 EHR 项目全面目标相关的准确和短期目标。

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