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Understanding key factors affecting electronic medical record implementation: a sociotechnical approach

Overview of attention for article published in BMC Health Services Research, July 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (78th percentile)

Mentioned by

policy
1 policy source
twitter
5 tweeters

Citations

dimensions_citation
17 Dimensions

Readers on

mendeley
258 Mendeley
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Title
Understanding key factors affecting electronic medical record implementation: a sociotechnical approach
Published in
BMC Health Services Research, July 2015
DOI 10.1186/s12913-015-0928-7
Pubmed ID
Authors

Maria Cucciniello, Irvine Lapsley, Greta Nasi, Claudia Pagliari

Abstract

Recent health care policies have supported the adoption of Information and Communication Technologies (ICT) but examples of failed ICT projects in this sector have highlighted the need for a greater understanding of the processes used to implement such innovations in complex organizations. This study examined the interaction of sociological and technological factors in the implementation of an Electronic Medical Record (EMR) system by a major national hospital. It aimed to obtain insights for managers planning such projects in the future and to examine the usefulness of Actor Network Theory (ANT) as a research tool in this context. Case study using documentary analysis, interviews and observations. Qualitative thematic analysis drawing on ANT. Qualitative analyses revealed a complex network of interactions between organizational stakeholders and technology that helped to shape the system and influence its acceptance and adoption. The EMR clearly emerged as a central 'actor' within this network. The results illustrate how important it is to plan innovative and complex information systems with reference to (i) the expressed needs and involvement of different actors, starting from the initial introductory phase; (ii) promoting commitment to the system and adopting a participative approach; (iii) defining and resourcing new roles within the organization capable of supporting and sustaining the change and (iv) assessing system impacts in order to mobilize the network around a common goal. The paper highlights the organizational, cultural, technological, and financial considerations that should be taken into account when planning strategies for the implementation of EMR systems in hospital settings. It also demonstrates how ANT may be usefully deployed in evaluating such projects.

Twitter Demographics

The data shown below were collected from the profiles of 5 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 258 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Italy 1 <1%
Brazil 1 <1%
Unknown 256 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 71 28%
Student > Ph. D. Student 27 10%
Student > Bachelor 22 9%
Researcher 21 8%
Student > Doctoral Student 19 7%
Other 53 21%
Unknown 45 17%
Readers by discipline Count As %
Medicine and Dentistry 45 17%
Computer Science 38 15%
Nursing and Health Professions 37 14%
Social Sciences 28 11%
Business, Management and Accounting 22 9%
Other 35 14%
Unknown 53 21%

Attention Score in Context

This research output has an Altmetric Attention Score of 7. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 January 2019.
All research outputs
#3,412,526
of 17,356,510 outputs
Outputs from BMC Health Services Research
#1,583
of 5,880 outputs
Outputs of similar age
#40,619
of 188,742 outputs
Outputs of similar age from BMC Health Services Research
#1
of 1 outputs
Altmetric has tracked 17,356,510 research outputs across all sources so far. Compared to these this one has done well and is in the 80th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 5,880 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.1. This one has gotten more attention than average, scoring higher than 72% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 188,742 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 78% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them