University of Twente Student Theses


EPR in the Dutch hospitals - a decade of changes: a study about EPR system's success factors in the Dutch hospitals

Graaf, P.R. van der (2012) EPR in the Dutch hospitals - a decade of changes: a study about EPR system's success factors in the Dutch hospitals.

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Abstract:Objective: To review relevant topics about hospital Electronic Patient Record (EPR) systems in the Netherlands in the last decade. To measure how different orientations contribute to EPR system’s success and update a conceptual model proposed in 2002 by Spil and Michel-Verkerke. Methods: A literature study is done to provide the researcher with the body of knowledge enabling the identification of success factors and relevant topics. A second search was done into scientific literature, trade literature and interviews provided by the University of Twente to discover EPR system’s success factors. These success factors were grouped by orientation and placed in a concept matrix after which they were labelled with acknowledged system quality attributes. Highest scoring orientations and attributes are used to update a model characterizing a successful EPR system. Results: The following orientations were revealed contributing to EPR systems’ success: administration, care workflow, information management, integrated care, internal cooperation, strategy and medical technology. Accompanying system quality attributes in their respective orientations like: efficiency, interoperability, accessibility, relevance, timeliness and customizability, will provide an EPR system with the necessary attributes to be successful. Conclusion: Successful EPR systems support their users filtering, sorting and selecting relevant information aligned to the care process making information more accessible. They alleviate the administrative burden. EPR systems should comply to standards and should be interoperable supporting internal cooperation and integrated care. A successful EPR system should be aligned to the hospital’s strategy making the care process auditable and information traceable. Information from medical technology should be timely and accessed remotely. These orientations have been placed into a model depicting the focus for a successful EPR system and the main system quality aspects supporting these orientations. A first step enabling more successful EPR systems in the Netherlands would be agreeing on one default ‘information architecture’ per specialists. This would be a first step in the direction of making Dutch EPR systems more interoperable
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:85 business administration, organizational science
Programme:Business Information Technology MSc (60025)
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