English
norskBlar i forfatter "Hertzum, Morten"
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Configuring Secretarial Workflows in the Epic EHR Suite
(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) ... -
Drivers of expectations: Why are Norwegian general practitioners skeptical of a prospective electronic health record?
(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 ... -
Implementing Electronic Health Records – Cases, Concepts, Questions
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023)Learning is inherently social. This raises several questions that relate to how contexts and spaces can mediate co-creative learning. In this workshop proposal, we refer to the interrelated aspects of space, learning, and embodiment and how these aspects mediate the human-robot interaction. Our assumption is that robots are interpreted variously and used in different ways. We are interested in the ... -
Infrastructural Complexity: A Mapping of Medication Management in Norway
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023)Medication is key to the effective treatment of diseases but requires careful management to avoid errors that may harm patients. This study maps the Norwegian infrastructure for medication management. This infrastructure interlinks hospitals, nursing homes, home care, general practitioners, and so forth into an increasingly integrated record of each citizen’s medication. In spite of its electronic ... -
Large-Scale EHR Suites and Path-Dependence
(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 ... -
National Integration Components Challenge the Epic Implementation in Central Norway
(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 ... -
Persuasion Tactics in the Implementation of f Large-Scale EHR Suites in Public Healthcare
(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 ... -
Suppliers of Existing Systems in Municipal Healthcare Facing the Arrival of Large-Scale EHR Suites
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-09)With backing from national health authorities, large-scale electronic health record (EHR) suites have increasingly entered the European healthcare market. The overall goal for these systems is to fulfill the needs of healthcare workers in hospitals, nursing homes, home-care service, and general practitioner (GP) clinics. The EHR suites will replace existing EHRs in their targeted area. However, ... -
The Tension between National and Local Concerns in Preparing for Large-Scale Generic Systems in Healthcare
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-03-16)Large-scale generic systems are typically adapted to local practice through confguration. This is especially important in healthcare, which involves a plurality of institutions and users. However, the decision to acquire a generic system in public healthcare is typically founded on regional and national health policy goals, which often are translated into various forms of standardization. As a ... -
User requirements meet large-scale EHR suites: Norwegian preparations for Epic
(Journal article; Tidsskriftartikkel; Peer reviewed, 2020)Electronic health records (EHRs) are becoming the norm in healthcare. Typically, these EHRs are large-scale suite systems. The up-front presence of ready-for-use EHR suites changes the role of user requirements and the conditions for deciding which requirements to include in the final contract. In this paper, we investigate how user requirements are negotiated in the ongoing preparations for the ...
