Blar i forfatter "Ellingsen, Gunnar"

Viser treff 1-20 av 26

    • Ambivalently awaiting: Norwegian general practitioners' expectations towards a cross-Institutional Electronic health record 

      Melby, Line; Andreassen, Hege Kristin; Torsvik, Torbjørn; Ellingsen, Gunnar; Severinsen, Gro-Hilde; Silsand, Line; Ekeland, Anne Granstrøm; Saadatfard, Omid; Pedersen, Rune (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-11)
      A cross-institutional Electronic Health Record (EHR) where all healthcare workers can access a patient's record, is seen as an important means to improved access to information, better patient care, and increased efficiency. In Norway, the first EHR of this type (US based Epic EHR) is to be implemented in the Central Norway Regional Health Authority. General practitioners (GPs) are central actors ...

    • Assessing and Improving EHRs Data Quality through a Socio-technical Approach 

      Darko-Yawson, Samuel; Ellingsen, Gunnar (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-09-21)
      The implementation of Electronic Health Records (EHRs) in developing countries is considered a means for improving data quality and high quality care. However, existing research, indicate that EHRs have recorded greater quantity of bad data instead of improving the quality of data. The reasons for this is not exactly clear. Accordingly, this paper takes a broader socio-technical approach to explore ...

    • A Common Electronic Health Record for Norwegian Municipalities 

      Ellingsen, Gunnar; Christensen, Bente; Wynn, Rolf (Chapter; Bokkapittel, 2022)
      Large-scale electronic health record (EHR) systems have increasingly become a staple of the European healthcare market. The Norwegian health care authorities are planning for the acquisition of a common large-scale EHR system for 291 of Norway’s 356 municipalities. This has resulted in much controversy among the stakeholders. We explore the key contested areas.

    • Configuring Secretarial Workflows in the Epic EHR Suite 

      Ellingsen, Gunnar; Hertzum, Morten; Anthun, Kirsti Sarheim; Melby, Line Kari (Journal article; Tidsskriftartikkel; Peer reviewed, 2023)
      The primary goal of large-scale electronic health record (EHR) suites is to meet the needs of a broad range of users in healthcare institutions. EHR suites are extensively configurable, which makes it possible to tailor them to diverse professional practices and users. However, while users such as physicians and nurses may have clearly defined responsibilities, clerical personnel (i.e. secretaries) ...

    • Data work in healthcare: An Introduction 

      Bossen, Claus; Pine, Katie; Cabitza, Federico; Ellingsen, Gunnar; Piras, Enrico Maria (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-08-12)
      Why data work in healthcare?<p> <p>Healthcare organizations across the globe are currently grappling to implement tools and practices to transform data from “refuse to riches,” a movement propelled by mass adoption of electronic health records (EHRs), sensors, and servers that can hold an ever-expanding volume of digital data. Allegedly, “By digitizing, combining and effectively using big data, ...

    • Data work: A condition for integrations in health care 

      Bjørnstad, Camilla Hilda; Ellingsen, Gunnar (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-03-28)
      Integration and interoperability between different information and communication technology (ICT) systems are crucial for efficient treatment and care in hospitals. In this article, we are particularly interested in the daily local work conducted by health-care personnel to maintain integrations. A principal aim of our article is, therefore, to contribute to a sociotechnical understanding of the ...

    • Designing digital systems for rehabilitation practices 

      Ellingsen, Gunnar; Arntzen, Cathrine; Forslund, Lina; Nikolaisen, Morten; Eliassen, Marianne; Gramstad, Astrid; Manskow, Unn Sollid (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-09-22)
      The trajectories of patients in need of long-term rehabilitation services are extremely complex. Therefore, strengthening the rehabilitation field requires increasing organizational resilience to ensure robust processes and efficient collaboration and communication. In this study, we explored how digital systems can promote organizational resilience in rehabilitation practices. Methodologically, ...

    • Developing Large-scale Electronic Patient Records Conforming to the openEHR Architecture 

      Ellingsen, Gunnar; Christensen, Bente; Silsand, Line (Journal article; Tidsskriftartikkel; Peer reviewed, 2014)

    • Documents in medicine. From paper documents to quality-healthcare? 

      Lund, Niels Windfeld; Bellika, Johan G; Årsand, Eirik; Olsen, Bernt I; Hasvold, Per; Ellingsen, Gunnar; Horsch, Alexander; Hartvigsen, Gunnar (Chapter; Bokkapittel, 2007)

    • Drivers of expectations: Why are Norwegian general practitioners skeptical of a prospective electronic health record? 

      Hertzum, Morten; Ellingsen, Gunnar; Melby, Line (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-01-13)
      While expectations are well-known drivers of electronic health record (EHR) adoption, the drivers of expectations are more elusive. On the basis of interviews with general practitioners (GPs), we investigate how the early implementation process drives their expectations of an EHR that is being implemented in Norway. The GPs’ expectations of the prospective EHR are driven by (a) satisfying experiences ...

    • From Free-Text to Structure in Electronic Patient Records 

      Severinsen, Gro-Hilde; Silsand, Line; Ellingsen, Gunnar; Pedersen, Rune (Journal article; Tidsskriftartikkel; Peer reviewed, 2019)
      We report from the initial steps of a collaboration project between two post-doctoral projects, both using a qualitative action research approach to address challenges related to shifting from a free text to a structured EPR system constituting important preconditions for establishing advanced decision support and reuse of healthcare data. We have started to explore three areas that may influence ...

    • Generification by Translation: Designing Generic Systems in Context of the Local 

      Silsand, Line; Ellingsen, Gunnar (Journal article; Tidsskriftartikkel; Peer reviewed, 2014)

    • Infrastructural arrangement for integrated care : implementing an electronic nursing plan in a psychogeriatric ward 

      Munkvold, Glenn; Ellingsen, Gunnar (Journal article; Tidsskriftartikkel; Peer reviewed, 2007)

    • The interplay between global standards and local practice in nursing 

      Meum, Torbjørg; Ellingsen, Gunnar; Monteiro, Eric; Wangensteen, Gro; Igesund, Harald (Journal article; Tidsskriftartikkel; Peer reviewed, 2013-05-17)
      <p><i>Purpose</i>: The paper assesses the extent, form, and transformation of global nursing classifications (NANDA) in a nursing practice during a period of 5 years.</p> <p><i>Method</i>: A longitudinal case study was used to trace implementation, adoption and use of nursing classifications as an integral part of an electronic nursing module. A mixed method of data collection was used, including ...

    • Introducing Lightweight IT – A Way to Build Flexibility for Healthcare Organizations? 

      Severinsen, Gro-Hilde; Silsand, Line; Malm-Nicolaisen, Kristian; Pedersen, Rune; Ellingsen, Gunnar (Journal article; Tidsskriftartikkel; Peer reviewed, 2022)
      The paper addresses socio technical relations of implementing a lightweight IT app in Norway. The focus is on how such technology will influence the possibilities for an organization connected to a large-scale heavyweight IT infrastructure to provide more rapid changes in line with healthcare worker’s needs. The research question is therefore: How can lightweight IT support rapid organizational ...

    • Large-Scale EHR Suites and Path-Dependence 

      Ellingsen, Gunnar; Hertzum, Morten; Christensen, Bente; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-06-29)
      Large-scale electronic health record (EHR) suites are expected to cover a broad range of use scenarios for healthcare workers in hospitals, nursing homes, home-care services, and general practitioner (GP) clinics. However, preparation for the implementation of EHR suites requires years of detailed planning and consumes considerable financial and human resources. A key problem, then, is that there ...

    • The Master Study in Telemedicine and E-health at the University of Tromsø, Norway, 2005-2018 

      Wynn, Rolf; Ellingsen, Gunnar (Journal article; Tidsskriftartikkel; Peer reviewed, 2020)
      In this paper we describe the Master Study in Telemedicine and E-health at the University of Tromsø, Norway. The study enrolled its first students in 2005 and was closed in 2018. We describe and discuss the background of the programme, its development and accomplishments and why it was closed. Hopefully, this narrative will be of use to other programmes focusing on e-health.

    • National Integration Components Challenge the Epic Implementation in Central Norway 

      Ellingsen, Gunnar; Hertzum, Morten; Christensen, Bente; Wynn, Rolf (Chapter; Bokkapittel, 2022)
      Electronic health record (EHR) suites cover a broad range of cross-sectoral use scenarios. Thereby, they streamline information flows but also require that healthcare professionals with diverse responsibilities must adapt to one and the same system. In the region of Central Norway, the EHR suite from Epic is being implemented at hospitals as well as in municipal healthcare. However, the 64 municipalities ...

    • Opportunities and Challenges of a Rural-telemedicine Program in Nepal 

      Bhatta, Ramesh; Aryal, Kabita; Ellingsen, Gunnar (Journal article; Tidsskriftartikkel; Peer reviewed, 2015)
      Background:Telemedicine services are considered essential for improving the accessibility, quality and efficiency of the healthcare services in developing countries. With these expectations, government of Nepal has implemented a rural-telemedicine program in thirty peripheral district hospitals to improve the accessibility of specialist health services. Telemedicine can be appropriate to the ...

    • Persuasion Tactics in the Implementation of f Large-Scale EHR Suites in Public Healthcare 

      Ellingsen, Gunnar; Christensen, Bente; Hertzum, Morten (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-11-08)
      Large-scale electronic health record (EHR) suites have the potential to cover a broad range of use needs across various healthcare domains. However, a challenge that must be solved is the distributed governance structure of public healthcare: Regional health authorities regulate hospitals, municipalities are responsible for first-line healthcare services, and general practitioners (GPs) have an ...