Next generation EHRs-what problems are these systems aiming to solve?

Thomas Schmidt*, Christian Nøhr, Søren Vingtoft, Paul Turner

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-review

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Abstract

EHRs elicit an array of different aspirations all underpinned by the widely held conviction that they can deliver benefits for patients, clinicians, researchers, IT vendors, policy-makers and society as a whole. While techno-centric visions abound, reflection on their history, the challenges evident in their design, implementation and evaluation and the limited evidence of their beneficial impacts over time is instructive. From a socio-technical perspective EHRs appear to be a set of 'wicked problems' unlikely to be resolved in favor of one position or another, but rather requiring judgement, nuance and negotiation around the kinds of problems we want these systems to solve. This paper presents some perspectives on important potential features for next generation EHRs and on the types of problems that these systems could aspire to solve. The focus is not on prediction but rather on actively shaping the kind of future that we desire and how EHRs will support its achievement.

Original languageEnglish
Title of host publicationImproving Usability, Safety and Patient Outcomes with Health Information Technology : From Research to Practice
EditorsAlex Mu-Hsing Kuo, Andre Kushniruk, Francis Lau, Elizabeth M. Borycki, Gerry Bliss, Helen Monkman, Abdul Vahabpour Roudsari, John A. Bartle-Clar, Karen L. Courtney
PublisherIOS Press
Publication date1. Jan 2019
Pages370-374
ISBN (Electronic)9781614999508
DOIs
Publication statusPublished - 1. Jan 2019
EventInformation Technology and Communications in Health conference, ITCH 2019: From Research to Practice: Improving Usability, Safety and Patient Outcomes with Health Information Technology - the Ocean Pointe Resort, Victoria, Canada
Duration: 14. Feb 201917. Feb 2019

Conference

ConferenceInformation Technology and Communications in Health conference, ITCH 2019
Locationthe Ocean Pointe Resort
CountryCanada
CityVictoria
Period14/02/201917/02/2019
SeriesStudies in Health Technology and Informatics
Volume257
ISSN0926-9630

Keywords

  • Electronic Health Records
  • Health Information Systems
  • Systems Integration

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