The findings indicate that preparedness for EHR use could mitigate perceived threats to the quality and safety of care. Some staff perceived that use of the system may negatively impact patient care.
Staff perceived that quality and safety of patient care would be improved with EHR implementation, but that these benefits may not be immediate. When appraising EHR (Reflexive monitoring), staff anticipated short and long-term benefits. Collective action (whether staff feel able to use the EHR) was influenced by context and perceived user-involvement in EHR design and planning of the implementation strategy.
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There was variation in willingness to engage with and invest time into EHR (Cognitive participation) at an individual, professional and organisational level. Health professionals had a common understanding for the rationale for EHR implementation (Coherence). The four components of Normalisation Process Theory (Coherence, Cognitive participation, Collective action and Reflexive monitoring) provided a theoretical framework to interpret and report study findings. Qualitative interviews were conducted with 14 members of hospital staff who represented a variety of user groups across different specialities within the hospital. This study explored staff expectations for change and outcome following procurement of a commercial EHR system by a large academic acute NHS hospital in the UK. More research is needed to explore factors influencing successful implementation. However, implementing EHR within healthcare organisations is complex and, in the United Kingdom (UK), uptake has been slow.
Global evidence suggests a range of benefits for introducing electronic health record (EHR) systems to improve patient care.
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