ArticleBMC medical informatics and decision making2014
Implementation of an integrated preoperative care pathway and regional electronic clinical portal for preoperative assessment.
Article in BMC medical informatics and decision making, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 5 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- The barriers and facilitators influencing the sustainability of hospital-based interventions: a systematic review.BMC health services research · 2020Pooled it
- A systematic review of the effects of implementing clinical pathways supported by health information technologies.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- Evidence-Based Evaluation of eHealth Interventions: Systematic Literature Review.Journal of medical Internet research · 2018Pooled it
- Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review.Implementation science : IS · 2018Pooled it
- Factors Determining the Success and Failure of eHealth Interventions: Systematic Review of the Literature.Journal of medical Internet research · 2018Pooled it
- Determinants of Diabetes Remission and Relapse following Sleeve Gastrectomy and Gastric Bypass: A 2- and 5-Year Follow-Up Study.Obesity facts · 2026Article
- Metabolic bariatric surgery pays off: a longitudinal analysis of weight loss and HbA1c changes in real-world patients data in the West of Scotland.International journal of obesity (2005) · 2026Article
- Implementation of the electronic community health information system in rural East Shewa zone, Eastern Ethiopia: a CFIR-ERIC framework for facilitators, barriers and implementation strategies.Frontiers in digital health · 2025Article
- Interventions and impact of pharmacist-delivered services in perioperative setting on clinically important outcomes: a systematic review and meta-analysis.Therapeutic advances in drug safety · 2024Article
- Optimising ePrescribing in hospitals through the interoperability of systems and processes: a qualitative study in the UK, US, Norway and the Netherlands.BMC medical informatics and decision making · 2023Article
- Scale-up of prevention programmes: sustained state-wide use of programme delivery software is explained by normalised self-organised adoption and non-adoption.Implementation science : IS · 2022Article
- Implementation of an electronic care pathway for hip fracture patients: a pilot before and after study.BMC musculoskeletal disorders · 2020Article
- What helped and hindered implementation of an intervention package to reduce smoking in pregnancy: process evaluation guided by normalization process theory.BMC health services research · 2019Article
- Implementing a National Electronic Referral Program: Qualitative Study.JMIR medical informatics · 2018Article
- Using information communication technology in models of integrated community-based primary health care: learning from the iCOACH case studies.Implementation science : IS · 2018Article
- Protocole of a controlled before-after evaluation of a national health information technology-based program to improve healthcare coordination and access to information.BMC health services research · 2017Article
- Implementation factors affecting the large-scale deployment of digital health and well-being technologies: A qualitative study of the initial phases of the 'Living-It-Up' programme.Health informatics journal · 2016Article
- Findings from the Clinical Information Systems Perspective.Yearbook of medical informatics · 2015Review
- Health Information Technology Coordination to Support Patient-centered Care Coordination.Yearbook of medical informatics · 2015Article
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Authors and funding
2 authors.
Funding
Abstract
backgroundEffective surgical pre-assessment will depend upon the collection of relevant medical information, good data management and communication between the members of the preoperative multi-disciplinary team. NHS Greater Glasgow and Clyde has implemented an electronic preoperative integrated care pathway (eForm) allowing all hospitals to access a comprehensive patient medical history via a clinical portal on the health-board intranet.
methodsWe conducted six face-to-face semi-structured interviews and participated in one focus group and two workshops with key stakeholders involved in the Planned Care Improvement (PCIP) and Electronic Patient Record programmes. We used qualitative methods and Normalisation Process Theory in order to identify the key factors which led to the successful deployment of the preoperative eForm in the health-board.
resultsIn January 2013, more than 90,000 patient preoperative assessments had been completed via the electronic portal. Two complementary strategic efforts were instrumental in the successful deployment of the preoperative eForm. At the local health-board level: the PCIP led to the rationalisation of surgical pre-assessment clinics and the standardisation of preoperative processes. At the national level: the eHealth programme selected portal technology as an iterative strategic technology solution towards a virtual electronic patient record. Our study has highlighted clear synergies between these two standardisation efforts.
conclusionThe adoption of the eForm into routine preoperative work practices can be attributed to: (i) a policy context - including performance targets - promoting the rationalisation of surgical pre-assessment pathways, (ii) financial and organisational resources to support service redesign and the use of information technology for operationalising the standardisation of preoperative processes, (iii) a sustained engagement with stakeholders throughout the iterative phases of the preoperative clinics redesign, guidelines standardisation and the eForm development, (iv) the use of a pragmatic and domain-agnostic technology solution and finally: (v) a consensual and contextualised implementation.
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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.