Abstract
The senescence of a clinical information system is more likely to have administrative than technical bases. Supporting this claim is a case study of one aging oncology information system. The case study is qualitative, as behooves the subject matter. Content analysis of several documents suggests that the change in job description of the data coordinator led to a workflow breakdown. Next, twenty-two individuals were interviewed. Notes from the interviews were coded, and the resulting patterns led topartial support for the workflow breakdown conjecture,refutation of the hypothesis that users disliked the character-based, human-computer interface,support of the conjecture that political rather than technical factors drive the usage patterns of the system, andevidence that 'political' activity will determine the future of the information system.A stakeholder matrix is proposed that addresses administrative concerns. Also, the issue of the uniqueness of any oncology clinical information system is linked to the plans for this legacy system.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 319-324 |
| Number of pages | 6 |
| Journal | Journal of Biomedical Informatics |
| Volume | 37 |
| Issue number | 5 |
| DOIs | |
| State | Published - Oct 2004 |
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Keywords
- Administration
- Clinical information system
- Human-computer interface
- Legacy
- Oncology
- Politics
- Retirement
- Software life cycle
- Stakeholder matrix
- Workflow management
ASJC Scopus subject areas
- Computer Science Applications
- Health Informatics
Cite this
The aging of a clinical information system. / Rada, Roy; Finley, Scott.
In: Journal of Biomedical Informatics, Vol. 37, No. 5, 10.2004, p. 319-324.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The aging of a clinical information system
AU - Rada, Roy
AU - Finley, Scott
PY - 2004/10
Y1 - 2004/10
N2 - The senescence of a clinical information system is more likely to have administrative than technical bases. Supporting this claim is a case study of one aging oncology information system. The case study is qualitative, as behooves the subject matter. Content analysis of several documents suggests that the change in job description of the data coordinator led to a workflow breakdown. Next, twenty-two individuals were interviewed. Notes from the interviews were coded, and the resulting patterns led topartial support for the workflow breakdown conjecture,refutation of the hypothesis that users disliked the character-based, human-computer interface,support of the conjecture that political rather than technical factors drive the usage patterns of the system, andevidence that 'political' activity will determine the future of the information system.A stakeholder matrix is proposed that addresses administrative concerns. Also, the issue of the uniqueness of any oncology clinical information system is linked to the plans for this legacy system.
AB - The senescence of a clinical information system is more likely to have administrative than technical bases. Supporting this claim is a case study of one aging oncology information system. The case study is qualitative, as behooves the subject matter. Content analysis of several documents suggests that the change in job description of the data coordinator led to a workflow breakdown. Next, twenty-two individuals were interviewed. Notes from the interviews were coded, and the resulting patterns led topartial support for the workflow breakdown conjecture,refutation of the hypothesis that users disliked the character-based, human-computer interface,support of the conjecture that political rather than technical factors drive the usage patterns of the system, andevidence that 'political' activity will determine the future of the information system.A stakeholder matrix is proposed that addresses administrative concerns. Also, the issue of the uniqueness of any oncology clinical information system is linked to the plans for this legacy system.
KW - Administration
KW - Clinical information system
KW - Human-computer interface
KW - Legacy
KW - Oncology
KW - Politics
KW - Retirement
KW - Software life cycle
KW - Stakeholder matrix
KW - Workflow management
UR - http://www.scopus.com/inward/record.url?scp=5644289498&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=5644289498&partnerID=8YFLogxK
U2 - 10.1016/j.jbi.2004.06.003
DO - 10.1016/j.jbi.2004.06.003
M3 - Article
C2 - 15488746
AN - SCOPUS:5644289498
VL - 37
SP - 319
EP - 324
JO - Journal of Biomedical Informatics
JF - Journal of Biomedical Informatics
SN - 1532-0464
IS - 5
ER -