Date

6-1-2009

Document Type

Thesis

Degree Name

M.B.I.

Department

Dept. of Medical Informatics and Clinical Epidemiology

Institution

Oregon Health & Science University

Abstract

Objective: To understand the impact experienced by users in the dental school setting of integrating clinical information systems (CIS) into patient care. Design: We used qualitative research methods, including interviews, observations and focus groups, to capture the experiences of CIS users at a single institution. The data were analyzed using the grounded theory approach. Results: Nine themes emerged from the data: 1) CIS benefits were disproportionate among users, 2) Communicating about the CIS was challenging, 3) Users experienced a range of strong emotions, 4) The instructor persona diminished, 5) There was variation in how users’ time was impacted, 6) The training and support needs of end-users were significant, 7) There were shifts in the school’s power structure, 8) Lack of CIS usability made documentation cumbersome, and 9) Clinicians’ workflow was disrupted. Conclusion: By identifying the issues experienced by users as the CIS was integrated into patient care, administrat

Comments

This document has been embargoed indefinitely and consequently is not available in full text electronic format. A circulating bound text of the document is available in the stacks of the Library.

Identifier

doi:10.6083/M4PR7SZB

School

School of Medicine

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