ArticleHealth services research2015
The journey through grief: insights from a qualitative study of electronic health record implementation.
Article in Health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- From interface to outcome: a 4I framework for AI-linked functionality in electronic health records.BMC medical informatics and decision making · 2026Pooled it
- Effectiveness and Challenges of Electronic Health Record Use in the Bosomtwe District, Ashanti Region, Ghana; A Cross-Sectional Study.Health science reports · 2026Article
- Best Practices for Technology in Clinical Social Work and Mental Health Professions to Promote Well-being and Prevent Fatigue.Clinical social work journal · 2023Article
- The role of organizational culture in health information technology implementations: A scoping review.Learning health systems · 2022Article
- Findings and Guidelines on Provider Technology, Fatigue, and Well-being: Scoping Review.Journal of medical Internet research · 2022Article
- Electronic medical record implementation in a large healthcare system from a leadership perspective.BMC medical informatics and decision making · 2022Article
- The Effect of Innovation Capabilities of Health Care Organizations on the Quality of Health Information Technology: Model Development With Cross-sectional Data.JMIR medical informatics · 2021Article
- Physician champions' perspectives and practices on electronic health records implementation: challenges and strategies.JAMIA open · 2020Article
- A qualitative study of physician perspectives on adaptation to electronic health records.BMC medical informatics and decision making · 2020Article
- Transition to an in-facility electronic Tuberculosis register: Lessons from a South African pilot project.Southern African journal of HIV medicine · 2020Article
- Facilitating Organizational Change to Accommodate an Inpatient Portal.Applied clinical informatics · 2019Article
- Mayo Clinic Registry of Operational Tasks (ROOT): A Paradigm Shift in Electronic Health Reco Implementation Evaluation.Mayo Clinic proceedings. Innovations, quality & outcomes · 2019Article
- Overcoming Barriers to Experience Benefits: A Qualitative Analysis of Electronic Health Records and Health Information Exchange Implementation in Local Health Departments.EGEMS (Washington, DC) · 2017Article
- How Physician Perspectives on E-Prescribing Evolve over Time. A Case Study Following the Transition between EHRs in an Outpatient Clinic.Applied clinical informatics · 2016Article
- Review of Social and Organizational Issues in Health Information Technology.Healthcare informatics research · 2015Review
- Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo improve understanding of facilitators of EHR system implementation, paying particular attention to opportunities to maximize physician adoption and effective deployment. DATA SOURCES/STUDY
settingPrimary data collected from 47 physician and 35 administrative key informants from six U.S. health care organizations identified because of purported success with EHR implementation. STUDY
designWe conducted interviews and focus groups in an extensive qualitative study. DATA COLLECTION/EXTRACTION
methodsVerbatim transcripts were analyzed both deductively and inductively using the constant comparative method. PRINCIPAL
findingsConceptualizing EHR adoption as loss through the lens of Kübler-Ross's five stages of grief model may help individuals and organizations more effectively orient to the challenge of change. Coupled with Kotter's eight-step change management framework, we offer a structure to facilitate organizations' movement through the EHR implementation journey. Combining insights from these frameworks, we identify 10 EHR strategies that can help address EHR implementation barriers.
conclusionsLoss is one part of change often overlooked. Addressing it directly and compassionately can potentially facilitate the EHR implementation journey. We offer a summarized list of deployment strategies that are sensitive to these issues to support physician transition to new technologies that will bring value to clinical practice.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.