ArticleJournal of the American Medical Informatics Association : JAMIA
Contextual implementation model: a framework for assisting clinical information system implementations.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.
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Who cites it
33 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Failure to follow-up test results for ambulatory patients: a systematic review.Journal of general internal medicine · 2012Pooled it
- Systematic review of factors influencing the adoption of information and communication technologies by healthcare professionals.Journal of medical systems · 2012Pooled it
- A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review.BMC medical informatics and decision making · 2010Pooled it
- Integrating systems thinking and implementation science in biomedical informatics research.JAMIA open · 2026Review
- Exploring healthcare providers' perceptions of virtual reality in lung cancer treatment preparedness: a mixed-methods feasibility study for the development of EveryBreathMatters.Scientific reports · 2025Article
- Association between video consultation use and general practitioner and practice characteristics: a cross-sectional survey in Denmark.BJGP open · 2025Article
- A Clinical Decision Support System for Addressing Health-Related Social Needs in Emergency Department: Defining End User Needs and Preferences.Applied clinical informatics · 2024Article
- Acceptance of Automated Social Risk Scoring in the Emergency Department: Clinician, Staff, and Patient Perspectives.The western journal of emergency medicine · 2024Article
- Health-related social needs information in the emergency department: clinician and patient perspectives on availability and use.BMC emergency medicine · 2024Article
- Evaluation of a Health Information Exchange System for Geriatric Health Care in Rural Areas: Development and Technical Acceptance Study.JMIR human factors · 2022Article
- Article
- Primary Care Physicians' Experience Using Advanced Electronic Medical Record Features to Support Chronic Disease Prevention and Management: Qualitative Study.JMIR medical informatics · 2019Article
- Article
- Confirmation of Expectations and Satisfaction with Hospital Information Systems: A Nursing Perspective.Healthcare informatics research · 2016Article
- Review of Social and Organizational Issues in Health Information Technology.Healthcare informatics research · 2015Review
- Ten key considerations for the successful implementation and adoption of large-scale health information technology.Journal of the American Medical Informatics Association : JAMIA · 2013Article
- Article
- We are bitter, but we are better off: case study of the implementation of an electronic health record system into a mental health hospital in England.BMC health services research · 2012Article
- Users' perspectives of key factors to implementing electronic health records in Canada: a Delphi study.BMC medical informatics and decision making · 2012Article
- Building a house on shifting sand: methodological considerations when evaluating the implementation and adoption of national electronic health record systems.BMC health services research · 2012Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis paper presents a multiple perspectives model of clinical information system implementation, the CONTEXTual Implementation Model (CIM). Although other implementation models have been developed, few are grounded in data and others fail to take adequate account of the clinical environment and users' requirements.
designThe CIM arose from qualitative data collected from four clinical units in two large Australian teaching hospitals. The aim of the study was to explore physicians' test management work practices associated with the compulsory use of a hospital-wide, mandatory computerized provider order entry (CPOE) system.(1) The dataset consisted of non-participatory observations of physicians using CPOE (n=55 sessions) and interviews with health professionals (n=28) about test management work practices. Data were analyzed by two researchers independently using an iterative grounded approach.
resultsA core underlying theme of 'contextual differences' emerged which explained physicians' use of the CPOE system in the sites. The CIM focuses attention on diversity at three contextual levels: the organizational level; the clinical or departmental level, and the individual level. Within each of these levels there are dimensions for consideration (for example, organizational culture, leadership and diverse ways of working) which affect physicians' attitudes to, and use of, CPOE.
conclusionThe CIM provides a contextual differences perspective which can be used to facilitate the implementation of clinical information systems. Developing a clinical information system implementation model serves as a framework to guide future implementations to ensure their safe and efficient use and also improve the likelihood of uptake by physicians.
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