Evaluating the implementation of computerized prescriber order entry (CPOE) for systemic treatment (ST) in Ontario.

2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 54-54
Author(s):  
Sharon Gradin ◽  
Nancy Wolf ◽  
Marta Yurcan ◽  
Tim Yardley ◽  
Leonard Kaizer ◽  
...  
Keyword(s):  
Success Factors ◽  
Systemic Treatment ◽  
Peer Group ◽  
Implementation Process ◽  
Error Rates ◽  
Lessons Learned ◽  
Professional Communication ◽  
Successful Implementation ◽  
Qualitative Feedback ◽  
Transcription Error

54 Background: A successful effort was led in Ontario to increase ST CPOE adoption from 73% to 92% to support safety of patients receiving complex systemic treatment. This work included implementation at 19 hospitals from 2011-2013. The implementation process included identification of multidisciplinary team champions, baseline workflow analysis and development of a future desired state. Findings from this project’s benefits evaluation are presented. Methods: Each hospital was required to collect pre and post implementation measurements for medication errors, transcription errors and order clarity/completeness. Six months post implementation, a semi-structured telephone interview was conducted with representative hospitals (9/19) to obtain qualitative feedback on how implementation impacted workflow, inter-professional practice and workload. Results: Hospitals that implemented showed: 1) decrease in overall medication error rates. 2) decrease in transcription error rates and 3) decrease in number of unclear or incomplete orders. Qualitative feedback from hospital leads indicated that the “future desired” workflow was achieved by all. Most hospital respondents indicated that clarity of inter-professional communication regarding orders improved and in most cases overall workload did not increase. Conclusions: The findings reinforce the benefit associated with implementation of ST CPOE in outpatient settings. Lessons learned in Ontario can be leveraged to support successful implementation of ST CPOE in other jurisdictions. Critical implementation success factors included: 1) leadership and multi-disciplinary involvement; 2) provision of funding and cost sharing; 3) facilitation of process improvement through established methodologies, 4) knowledge transfer and peer group led education and training sessions. [Table: see text]

scholarly journals The implementation process of the Confident Birth method in Swedish antenatal education: opportunities, obstacles and recommendations

2020 ◽  
Author(s):  
Sofia Jansson ◽  
Sepideh Farahshoor ◽  
Karolina Linden ◽  
Malin Bogren
Keyword(s):  
Implementation Process ◽  
Lessons Learned ◽  
Successful Implementation ◽  
First Line ◽  
Line Managers ◽  
Antenatal Education ◽  
Individual Interviews ◽  
Information And Communication ◽  
Antenatal Clinics ◽  
Inner Setting

Summary Antenatal clinics in western Sweden have recently invested in a birth method called Confident Birth. In this study, we investigate midwives’ and first line managers’ perceptions regarding the method, and identify opportunities and obstacles in its implementation. Semi-structured individual interviews were conducted with ten midwives and five first line managers working in 19 antenatal clinics in western Sweden. The Consolidated Framework for Implementation Research was used in a directed content analysis approach. Intervention Characteristics—such as perceptions about the Confident Birth method—were found to have equipped the midwives with coping strategies that were useful for expecting parents during birth. Outer Setting—the method was implemented to harmonize the antenatal education, and provided a mean for a birth companionship of choice. Inner setting—included time-consuming preparations and insufficient information at all levels, which affected the implementation. Characteristics of individuals—, such as knowledge and believes in the method, where trust in the method was seen as an opportunity, while long experience of teaching other birth preparatory methods, affected how the Confident Birth method was perceived. Process—such as no strategy for ensuring that the core of the method remained intact or plans for guiding its implementation were major obstacles to successful implementation. The findings speak to the importance of adequate planning, time, information and communication throughout the process to have a successful implementation. Based on lessons learned from this study, we have developed recommendations for successful implementation of interventions, such as the Confident Birth, in antenatal care settings.

ICT Implementation Considerations for Public Service Delivery in the Digital Era

2019 ◽  
pp. 269-306
Keyword(s):  
Service Delivery ◽  
Public Service ◽  
Critical Success Factors ◽  
Success Factors ◽  
Implementation Process ◽  
Successful Implementation ◽  
Public Service Delivery ◽  
Strategic Objectives ◽  
Critical Success ◽  
Digital Era

The focus of this chapter is on various concepts that need to be carefully considered when defining an information systems strategic plan (ISSP) for enhancing public service delivery in the digital era. The first concept discussed is the critical success factors framework. This framework ensures that the ISSP strategic objectives are aligned with the corporate strategic objectives. The aim is to identify those critical success factors that ensure the successful implementation of the ISSP and to determine whether these factors are being achieved in the implementation process. Secondly, the chapter will consider the general implementation philosophy, including the IS application acquisition methods and the key IS features. This ensures the implementation of value for money IS applications. The third concept considered is related to the justification methods for undertaking IS applications. Finally, the chapter will discuss a number of ICT planning issues that may be applicable to the public sector.

scholarly journals Special Topic Interoperability and EHR: Combining openEHR, SNOMED, IHE, and Continua as approaches to interoperability on national eHealth

2017 ◽  
Vol 08 (03) ◽  
pp. 810-825
Author(s):  
Dalibor Stanimirović ◽  
Mate Beštek
Keyword(s):  
Success Factors ◽  
Implementation Process ◽  
Special Topic ◽  
Special Focus ◽  
Successful Implementation ◽  
Methodological Framework ◽  
Construction Process ◽  
Efficient Manner ◽  
Healthcare Environment ◽  
Depth Analysis

SummaryObjectives: The main aims of the paper comprise the characterization and examination of the potential approaches regarding interoperability. This includes openEHR, SNOMED, IHE, and Continua as combined interoperability approaches, possibilities for their incorporation into the eHealth environment, and identification of the main success factors in the field, which are necessary for achieving required interoperability, and consequently, for the successful implementation of eHealth projects in general.Methods: The paper represents an in-depth analysis regarding the potential application of openEHR, SNOMED, IHE and Continua approaches in the development and implementation process of eHealth in Slovenia. The research method used is both exploratory and deductive in nature. The methodological framework is grounded on information retrieval with a special focus on research and charting of existing experience in the field, and sources, both electronic and written, which include interoperability concepts and related implementation issues.Results: The paper will try to answer the following inquiries that are complementing each other:1. Scrutiny of the potential approaches, which could alleviate the pertinent interoperability issues in the Slovenian eHealth context.2. Analyzing the possibilities (requirements) for their inclusion in the construction process for individual eHealth solutions.3. Identification and charting the main success factors in the interoperability field that critically influence development and implementation of eHealth projects in an efficient manner.Conclusions: Provided insights and identified success factors could serve as a constituent of the strategic starting points for continuous integration of interoperability principles into the healthcare domain. Moreover, the general implementation of the identified success factors could facilitate better penetration of ICT into the healthcare environment and enable the eHealth-based transformation of the health system especially in the countries which are still in an early phase of eHealth planning and development and are often confronted with differing interests, requirements, and contending strategies.Citation: Beštek M, Stanimirovic D. Special Topic Interoperability and EHR: Combining openEHR, SNOMED, IHE, and Continua as approaches to interoperability on national eHealth. Appl Clin Inform 2017; 8: 810–825 https://doi.org/10.4338/ACI-2017-01-RA-0011

scholarly journals Successful Implementation of Clinical Information Technology

2015 ◽  
Vol 06 (04) ◽  
pp. 698-715 ◽  
Author(s):  
V. Hill ◽  
K. Bruner ◽  
G. Maciaz ◽  
L. Saucedo ◽  
L. Catzoela ◽  
...  
Keyword(s):  
Information Technology ◽  
Health Informatics ◽  
Information Technologies ◽  
Success Factors ◽  
De Novo ◽  
Clinical Information ◽  
Lessons Learned ◽  
Successful Implementation ◽  
Allied Health Professionals ◽  
Clinical Information Technology

SummaryObjectives: To identify and describe the most critical strategic and operational contributors to the successful implementation of clinical information technologies, as deployed within a moderate sized system of U.S. community hospitals.Background and Setting: CHRISTUS Health is a multi-state system comprised of more than 350 services and 60 hospitals with over 9 000 physicians. The Santa Rosa region of CHRISTUS Health, located in greater San Antonio, Texas is comprised of three adult community hospital facilities and one Children’s hospital each with bed capacities of 142–180. Computerized Patient Order Entry (CPOE) was first implemented in 2012 within a complex market environment. The Santa Rosa region has 2 417 credentialed physicians and 263 mid-level allied health professionals.Methods: This report focuses on the seven most valuable strategies deployed by the Health Informatics team in a large four hospital CHRISTUS region to achieve strong CPOE adoption and critical success lessons learned. The findings are placed within the context of the literature describing best practices in health information technology implementation.Results: While the elements described involved discrete de novo process generation to support implementation and operations, collectively they represent the creation of a new customer-centric service culture in our Health Informatics team, which has served as a foundation for ensuring strong clinical information technology adoption beyond CPOE.Conclusion: The seven success factors described are not limited in their value to and impact on CPOE adoption, but generalize to – and can advance success in – varied other clinical information technology implementations across diverse hospitals. A number of these factors are supported by reports in the literature of other institutions’ successful implementations of CPOE and other clinical information technologies, and while not prescriptive to other settings, may be adapted to yield value elsewhere.

Critical Success Factors in Electronic Health Records (EHR) Implementation

2017 ◽  
Vol 12 (2) ◽  
pp. 1-17 ◽  
Author(s):  
Navneet Kaur Bajwa ◽  
Harjot Singh ◽  
Kalyan Kumar De
Keyword(s):  
Electronic Health Records ◽  
Critical Success Factors ◽  
Success Factors ◽  
Implementation Process ◽  
Successful Implementation ◽  
Health Records ◽  
Implementation Phase ◽  
Critical Success ◽  
Electronic Health ◽  
The Impact

Electronic Health Records (EHR) has been the subject of much academic discussion in recent times. The impact that a successful implementation of EHR can have on a hospital cannot be overstated. Factors which are crucial to successful implementation of an EHR system are commonly known as Critical Success Factors (hereinafter referred to as CSFs). Purpose: The present study investigates the role of CSFs in implementation process of EHR systems in north Indian multispecialty hospitals. Design: The questionnaire has been distributed to 12 hospitals which have been using EHR technology. Findings: It has been concluded that three out of the five CSFs included in the study, play a more important role than the other two factors. Research limitations: The factors have not been considered separately based upon pre-implementation scenario and post-implementation phase. Originality: The study attempts to outline the impact of EHR systems on successful operational performance of hospitals.

Development and Implementation of Computerized Clinical Guidelines: Barriers and Solutions

2002 ◽  
Vol 41 (05) ◽  
pp. 435-442 ◽  
Author(s):  
M. H. Trivedi ◽  
J. K. Kern ◽  
A. Marcee ◽  
B. Grannemann ◽  
B. Kleiber ◽  
...  
Keyword(s):  
User Satisfaction ◽  
Clinical Performance ◽  
Implementation Process ◽  
User Feedback ◽  
Lessons Learned ◽  
Successful Implementation ◽  
End User ◽  
Computerized Decision Support ◽  
Technical Problems ◽  
Implementation Guidelines

SummaryNext, the article discusses the need to incorporate the use of surveys, questionnaires, or rating instruments for the collection of end-user feedback during and after the implementation process. A description of the types of rating instruments that will facilitate the assessment of user satisfaction is provided. Initial results from physician feedback during the implementation of our prototype are discussed. Research indicates that computerized decision support systems (CDSSs) can improve clinical performance and patient outcomes, and yet CDSSs are not in widespread use. Physician guidelines, in general, face barriers in implementation. Guidelines in a computerized format can overcome some of the barriers to conventional text-form guidelines; however, computerized programs have novel aspects that have to be considered, aspects such as technical problems/support and user interface issues that can act as barriers. Though the literature points out that human, organizational, and technical issues can act as barriers in the implementation of CDSSs, studies clearly indicate that there are methods that can overcome these barriers and improve CDSS acceptance and use. These methods come from lessons learned from a variety of CDSS implementation ventures. Notably, most of the methods that improve acceptance and use of a CDSS require feedback and involvement of end-users. Measuring and addressing physician or user attitudes toward the computerized support system has been shown to be important in the successful implementation of a CDSS. This article discusses: 1) the barriers of implementation of guidelines in general and of CDSSs; 2) the importance of the physician’s role in development, implementation, and adherence; 3) methods that can improve CDSS acceptance and use; and 4) the types of tools needed to obtain end-user feedback.

Analisis Benchmarking Terhadap Kinerja Perusahaan Kontraktor Di Dinas Pupr Kota Blitar

REVITALISASI ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 56
Author(s):  
Dessy Kusuma Wardani ◽  
Edy Swasono
Keyword(s):  
Consumer Satisfaction ◽  
Success Factors ◽  
Successful Implementation ◽  
Company Performance ◽  
Community Satisfaction ◽  
Construction Work ◽  
Acquisition Rate ◽  
One Year ◽  
Construction Product

This study aims to identify the dominant factors of the successful implementation of benchmarking on the performance of contracting companies and test the significance of the application of benchmarking on the performance of contracting companies. The research sample was saturated samples of 65 qualified contractor companies. The method and type of research used were correlational methods of multiple regression analysis using SPPS. The results of the study concluded that 1.Benchmarking significantly influences the performance of contracting companies in the Blitar City DPUPR; 1. The ranking of success factors for the Blitar City contractor companies in the process of implementing benchmarking (1) planning, (2) data collection, (3) acception and action and (4) analysis; 2.Benchmarking has proven to significantly improve company performance as measured by increasing (1) Corporate Finance (2) Company productivity, (3) DPUPR Consumer Satisfaction, (4) Community Satisfaction, (5) Quality of the company's construction technical personnel, (6) Satisfaction employee work, (7) Project acquisition rate in one year, (8) Effective completion of construction work, (9) Construction product quality.

Evidence-based eHealth interventions for caregivers of people with dementia (Myinlife and Partner in Balance): Evaluation of implementations in municipality contexts (Preprint)

2020 ◽  
Author(s):  
Hannah Liane Christie ◽  
Lizzy Mitzy Maria Boots ◽  
Huibert Johannes Tange ◽  
Frans Rochus Josef Verhey ◽  
Marjolein Elizabeth de Vugt
Keyword(s):  
Self Efficacy ◽  
Measurement Instrument ◽  
Implementation Process ◽  
Successful Implementation ◽  
Evidence Based ◽  
Multiple Sources ◽  
Target Groups ◽  
Face To Face ◽  
People With Dementia ◽  
Implementation Context

BACKGROUND Very few evidence-based eHealth interventions for caregivers of people with dementia are implemented into practice. Municipalities are one promising context to implement these interventions, due to their available policy and innovation incentives regarding (dementia) caregiving and prevention. In this study, two evidence-based eHealth interventions for caregivers of people with dementia (Partner in Balance and Myinlife) were implemented in eight municipalities in the Euregion Meuse-Rhine. OBJECTIVE This study’s objectives were to (1.) evaluate this implementation and (2.) investigate determinants of successful implementation. METHODS This study collected eHealth usage data, Partner in Balance coach evaluation questionnaires, and information on implementation determinants. This was done by conducting interviews with the municipality officials, based on the Measurement Instrument for Determinants of Implementation (MIDI). This data from multiple sources and perspectives was integrated and analysed to form a total picture of the municipality implementation process. RESULTS The municipality implementation of Partner in Balance and Myinlife showed varying levels of success. In the end, three municipalities planned to continue the implementation of Partner in Balance, while none planned to continue the implementation of Myinlife. The two Partner in Balance municipalities that did not consider the implementation to be successful, viewed the implementation as an external project. For Myinlife, it was clear that more face-to-face contact was needed to engage the implementing municipality and the target groups. Successful implementations were linked to implementer self-efficacy CONCLUSIONS The experiences of implementing these interventions suggested that this implementation context was feasible regarding the required budget and infrastructure. The need to foster sense of ownership and self-efficacy in implementers will be integrated into future implementation protocols, as part of standard implementation materials for municipalities and organisations implementing Myinlife and Partner in Balance.

scholarly journals Implementation and effectiveness of drive-through medication pick-up and home delivery services. A patient safety initiative during COVID-19 pandemic

2021 ◽  
pp. 251604352110090
Author(s):  
Haneen K AlAbbasi ◽  
Shabeer A Thorakkattil ◽  
Syed I Mohiuddin ◽  
Habib S Nemr ◽  
Rita Jabbour ◽  
...  
Keyword(s):  
Patient Safety ◽  
Implementation Process ◽  
Home Delivery ◽  
Successful Implementation ◽  
Social Distancing ◽  
Pharmacy Department ◽  
Ensure Patient Safety ◽  
Number Of Patients ◽  
Delivery Services ◽  
Safety Initiative

Introduction With the emergence of the first COVID-19 case in Saudi Arabia, Johns Hopkins Aramco Healthcare has immediately executed the appropriate protocols in response to this severe global crisis. The pharmacy department at Johns Hopkins Aramco Healthcare continues to play an essential role in providing the safest, efficient, and effective service to its eligible patients. In response to the COVID-19 pandemic, the pharmacy department acted by implementing a drive-through pharmacy and home delivery services as new person-centered services to ensure patient safety. These two new services were initiated to protect both the pharmacist and the patient from COVID-19 infections as they ensure social distancing and reduce patients’ visits to the walk-in pharmacies, hence providing valuable and convenient services during this pandemic. Objective This article aims to describe the implementation processes and effectiveness of drive-through medication pick-up and home-delivery services as a patient safety initiative during the COVID-19 pandemic. Method The implementation process of the drive-through and home delivery services are explained in detail. The utilization of these two services is evaluated by measuring the number of patients and prescriptions between April 2020 and August 2020. Result The increased utilization of drive-through medication pick-up and home delivery services in terms of the number of patients and prescriptions ensures patient safety by minimizing infection risk. Conclusion The increase in the utilization of drive-through medication pick-up and home delivery services reflects its successful implementation during the COVID-19 pandemic. Both services meet the pandemic’s social-distancing requirements and minimize risks of infections, which will ensure patient safety during the COVID-19 pandemic.

Knowledge management

2014 ◽  
Vol 14 (1) ◽  
pp. 108-134 ◽  
Author(s):  
Morteza Shokri-Ghasabeh ◽  
Nicholas Chileshe
Keyword(s):  
Knowledge Management ◽  
Success Factors ◽  
Research Study ◽  
South Australia ◽  
Lessons Learned ◽  
Extensive Literature ◽  
Management Support ◽  
Content Type ◽  
Critical Success ◽  
Methodological Triangulation

Purpose – A research study has been undertaken at the University of South Australia to introduce application of lessons learned process in construction contractors ' bidding process in the context of knowledge management. The study aims to identify barriers to effectively capture lessons learned in Australian construction industry and how knowledge management can benefit from lessons learned application. Design/methodology/approach – The research study has been undertaken through conducting a “methodological triangulation” and “interdisciplinary triangulation”. This involved an extensive literature review of knowledge management, organisation learning, lessons learned and associated processes and administration of a questionnaire to a sample of construction contractors operating in Australia to elicit opinions on the main barriers to capturing lessons learned, practices such as existence and retention of documentation procedures. A total of 81 useable responses were received from 450 organisations. Response data were subjected to descriptive and inferential statistics with correlation analysis to examine the strength of relationship among the barriers. Findings – The top-3 barriers to the effective capturing of lessons learned were “lack of employee time”, “lack of resources” and “lack of clear guidelines”, whereas, “lack of management support” was the least ranked barrier. The study established that despite the majority of the ACCs having formal procedures for recording the tenders submitted and their outcomes, only a minority actually retained the lessons learned documentation for each project. The larger contractors were found to be more aware of the importance of lessons learned documentation. A comparative analysis with previous studies also found a disparity in the ranking of the barriers. Research limitations/implications – The majority of the participants were small construction contractors in Australia. The reason is that the researchers were not aware of the contractors ' size prior to inviting them for participation in the research study. Second the findings may not generalize to other industries or to organisations operating in other countries. Originality/value – The findings of this survey help ACCs to understand the importance of lessons learned documentation as part of lessons learned implementation and identify the barriers to effectively document their lessons learned. The study provides insights on the barriers and proposes advocated solutions in form of drivers and enablers (critical success factors) of organisational learning capturing among the Australian construction contractors. By reviewing the current literature, “post-project reviews” and “lessons learned” as important elements of organisation learning knowledge transfer, are addressed. Finally, contribution of this study to knowledge and practice has been discussed in this paper.

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