Literature DB >> 10471239

Lessons from a failed information systems initiative: issues for complex organisations.

G Southon1, C Sauer, K Dampney.   

Abstract

Organisational issues are now recognised as key factors in the effective use of information technology (IT). This paper extends our knowledge of these issues for large complex distributed organisations. It is based on an analysis of the failure of a large IT system selected by a major state public health service for Statewide implementation. The system selected was well proven overseas, was implemented through a pilot process, yet was withdrawn because it did not meet requirements. The issues which are dealt with include the nature of the organisation and its interaction with the implementation strategy, the nature of decision-making, the contrast between the incentives and perspectives at different levels, ownership of the program, management of skills and the impact of instability and complexity. The option of decentralised IT management is raised and the advantages of common systems discussed. A proposal is ventured for managing such developments while maintaining essential commonality. The paper demonstrates that the environment of large complex distributed organisations introduces a complex of issues that are not normally considered in implementation strategy.

Mesh:

Year:  1999        PMID: 10471239     DOI: 10.1016/s1386-5056(99)00018-0

Source DB:  PubMed          Journal:  Int J Med Inform        ISSN: 1386-5056            Impact factor:   4.046


  18 in total

Review 1.  Determinants of success of inpatient clinical information systems: a literature review.

Authors:  M J Van Der Meijden; H J Tange; J Troost; A Hasman
Journal:  J Am Med Inform Assoc       Date:  2003-01-28       Impact factor: 4.497

2.  Developing and validating a model to predict the success of an IHCS implementation: the Readiness for Implementation Model.

Authors:  Kuang-Yi Wen; David H Gustafson; Robert P Hawkins; Patricia F Brennan; Susan Dinauer; Pauley R Johnson; Tracy Siegler
Journal:  J Am Med Inform Assoc       Date:  2010 Nov-Dec       Impact factor: 4.497

3.  Challenges to implementing the national programme for information technology (NPfIT): a qualitative study.

Authors:  Jane Hendy; Barnaby C Reeves; Naomi Fulop; Andrew Hutchings; Cristina Masseria
Journal:  BMJ       Date:  2005-08-06

4.  Getting physicians to accept new information technology: insights from case studies.

Authors:  Liette Lapointe; Suzanne Rivard
Journal:  CMAJ       Date:  2006-05-23       Impact factor: 8.262

5.  From the front line, report from a near paperless hospital: mixed reception among health care professionals.

Authors:  Jan-Tore Lium; Hallvard Laerum; Tom Schulz; Arild Faxvaag
Journal:  J Am Med Inform Assoc       Date:  2006-08-23       Impact factor: 4.497

6.  Contextual implementation model: a framework for assisting clinical information system implementations.

Authors:  Joanne L Callen; Jeffrey Braithwaite; Johanna I Westbrook
Journal:  J Am Med Inform Assoc       Date:  2007-12-20       Impact factor: 4.497

7.  Reasons for declining computerized insulin protocol recommendations: application of a framework.

Authors:  K Sward; J Orme; D Sorenson; L Baumann; A H Morris
Journal:  J Biomed Inform       Date:  2008-04-11       Impact factor: 6.317

8.  A near miss: the importance of context in a public health informatics project in a New Zealand case study.

Authors:  Stewart Wells; Chris Bullen
Journal:  J Am Med Inform Assoc       Date:  2008-06-25       Impact factor: 4.497

9.  Methods to identify, study and understand end-user participation in HIT development.

Authors:  Anna Marie Høstgaard; Pernille Bertelsen; Christian Nøhr
Journal:  BMC Med Inform Decis Mak       Date:  2011-09-28       Impact factor: 2.796

10.  Integration of a nationally procured electronic health record system into user work practices.

Authors:  Kathrin M Cresswell; Allison Worth; Aziz Sheikh
Journal:  BMC Med Inform Decis Mak       Date:  2012-03-08       Impact factor: 2.796

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