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Software engineering risk factors in the implementation of a small electronic medical record system: the problem of scalability.

机译:小型电子病历系统实施中的软件工程风险因素:可伸缩性问题。

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摘要

The successful implementation of clinical information systems is difficult. In examining the reasons and potential solutions for this problem, the medical informatics community may benefit from the lessons of a rich body of software engineering and management literature about the failure of software projects. Based on previous studies, we present a conceptual framework for understanding the risk factors associated with large-scale projects. However, the vast majority of existing literature is based on large, enterprise-wide systems, and it unclear whether those results may be scaled down and applied to smaller projects such as departmental medical information systems. To examine this issue, we discuss the case study of a delayed electronic medical record implementation project in a small specialty practice at Columbia-Presbyterian Medical Center. While the factors contributing to the delay of this small project share some attributes with those found in larger organizations, there are important differences. The significance of these differences for groups implementing small medical information systems is discussed.
机译:临床信息系统的成功实施是困难的。在研究该问题的原因和可能的解决方案时,医学信息学界可能会从大量的软件工程和有关软件项目失败的管理文献中吸取教训。基于以前的研究,我们提出了一个概念框架,用于理解与大型项目相关的风险因素。但是,现有的绝大多数文献都基于大型的企业级系统,尚不清楚这些结果是否可以按比例缩小并应用于较小的项目,例如部门医疗信息系统。为了研究此问题,我们在哥伦比亚-长老会医学中心的一个小型专业机构中讨论了延迟电子病历实施项目的案例研究。尽管导致此小项目延迟的因素与大型组织中的因素具有某些共同之处,但仍存在重要差异。讨论了这些差异对实施小型医疗信息系统的小组的重要性。

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