• 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 ...
    • Challenges and Best Practices in Ethical Review of Human and Organizational Factors Studies in Health Technology: a Synthesis of Testimonies 

      Peute, Linda W.; Lichtner, Valentina; Baysari, Melissa T.; Hägglund, Maria; Homco, Juell; Jansen-Kosterink, Stephanie; Jauregui, Ignacio; Kaipio, Johanna; Kuziemsky, Craig E.; Lehnbom, Elin; Leite, Francisca; Lesselroth, Blake; Luna, Daniel; Otero, Carlos; Pedersen, Rune; Pelayo, Sylvia; Santos, Raquel; Silva, Nuno-André; Tyllinen, Mari; Van Velsen, Lex; Zheng, Wu Yi; Jaspers, Monique; Marcilly, Romaric (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-04-17)
      <i>Objective</i>: Human and Organizational Factors (HOF) studies in health technology involve human beings and thus require Institutional Review Board (IRB) approval. Yet HOF studies have specific constraints and methods that may not fit standard regulations and IRB practices. Gaining IRB approval may pose difficulties for HOF researchers. This paper aims to provide a first overview of HOF study ...
    • Clinical Nursing Terminology as Information Infrastructure : a socio-technical approach towards process oriented systems 

      Pedersen, Rune (Doctoral thesis; Doktorgradsavhandling, 2013-10-30)
      Abstract This work deals with a socio-technical approach towards the implementation and use of ICT systems in health care. I have highlighted important initiatives that support the development of process oriented EPR systems in Norway through interpretive case studies with focus on standards in nursing and the secondary use of information. In short, information infrastructure has been used as a ...
    • Exploring the Emergence of Open Platforms in Healthcare: Design Considerations and Experiences from an Initial Case in Norwegian Primary Care 

      Malm-Nicolaisen, Kristian; Fagerlund, Asbjørn Johansen; Pedersen, Rune (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-01-03)
      Despite significant efforts on improving interoperability of health information and lowering socio-technical cost of replacing clinical applications, healthcare organizations and professionals struggle with fragmented and non-interoperable Health Information Technologies. This paper describes the emergence of open platforms, which may alleviate challenges related to interoperability issues, weak ...
    • 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 ...
    • How does users of modern EHR perceive the usability, user resistance and productivity five years or more after implementation? 

      Malm-Nicolaisen, Kristian; Fagerlund, Asbjørn Johansen; Pedersen, Rune (Journal article; Tidsskriftartikkel; Peer reviewed, 2022)
      The Electronic Health Record (EHR) has been a principal component in transforming healthcare from traditional pen-and-paper documentation procedures to highly digitalized and interoperable environments. Implementation of EHR is complicated, and success is dependent on the users accepting and utilizing the system to its potential. The present qualitative multi-center study investigated health ...
    • 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 ...
    • The Knowledge of Implementation Strategies: Impact of the Installed Base 

      Pedersen, Rune; Nordheim, Espen Solbakken; Lintvedt, Ove Kumetz Bomhoff; Fagerlund, Asbjørn Johansen; Severinsen, Gro-Hilde; Malm-Nicolaisen, Kristian (Journal article; Tidsskriftartikkel; Peer reviewed, 2023)
      This study uses three case studies to investigate how the installed base affects Electronic Health Records (EHR) implementation in European hospitals: i) transition from paper-based records to EHRs; ii) replacement of an existing EHR with a similar system; and iii) replacing existing EHR system with a radically different one. Using a meta-analysis approach, the study employs the theoretical framework ...