• 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 ...
    • 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 ...
    • 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 ...
    • Preservation of person-centered care through videoconferencing for patient follow-up during the covid-19 pandemic:case study of a multidisciplinary care team 

      Silsand, Line; Severinsen, Gro-Hilde; Berntsen, Gro (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-03-05)
      Background: The Patient-Centered Team (PACT) focuses on the transitional phase between hospital and primary care for older patients in Northern Norway with complex and long-term needs. PACT emphasizes a person-centered care approach whereby the sharing of power and the patient’s response to “What matters to you?” drive care decisions. However, during the COVID-19 pandemic, videoconferencing was the ...
    • Procurement of artificial intelligence for radiology practice 

      Silsand, Line; Severinsen, Gro-Hilde; Linstad, Line Helen; Ellingsen, Gunnar (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-03-22)
      The development of artificial intelligence (AI) technology for radiology has accelerated in the past decade, but its deployment in radiology practices has been slow. We take a sociotechnical approach and suggest that the limited use of AI in radiology practices can be attributed to a recurring tension between planned and emergent change. The paper contributes with a conceptualization and understanding ...
    • Scaling AI Projects for Radiology– Causes and Consequences 

      Ellingsen, Gunnar; Silsand, Line; Severinsen, Gro-Hilde; Linstad, Line Helen (Journal article; Tidsskriftartikkel; Peer reviewed, 2022)
      Artificial intelligence (AI) for radiology has the potential to handle an ever-increasing volume of imaging examinations. However, the implementation of AI for clinical practice has not lived up to expectations. We suggest that a key problem with AI projects in radiology is that high expectations associated with new and unproven AI technology tend to scale the projects in ways that challenge their ...
    • User-centred Design of a Digital Care Plan for Patients and Professionals in Cross-organisational Teams 

      Smaradottir, Berglind; Severinsen, Gro-Hilde; Steinsbekk, Aslak; Berntsen, Gro Karine Rosvold (Journal article; Tidsskriftartikkel; Peer reviewed, 2021)
      Care for patients with multimorbidity and long-term complex needs is costly and with demographic changes this group is growing. The research project Dignity Care addresses how to improve the care for this patient group by studying how a conceptual shared digital care plan for complex clinical pathways can guide and support cross-organisational care teams. This paper presents the user-centred design ...