Implementering av elektroniske legemiddelkurven på et sykehus

Abstract

Background: This rapport is a student project as a part of the final year program for master degree in Health and social Informatics at Agder University. The implementation of electronic prescribing systems in the health sector is a priority for both the public policy and for the management of hospitals. It is expected that such systems will increase the work capacity of the employees, improve information flow and reduce medication errors. Akershus University Hospital is the only hospital in Norway that has implemented an electronic prescribing system at the ward units. But implementation is seriously delayed compared with the approved plan. In this student project this problem was looked closely to identify the causes of the repeated delays in this implementation. Methods: Qualitative study based on 6 semi-structured interviews at Akershus University Hospital. Results: The study has revealed a large number of challenges in implementing of electronic prescribing system, DIPS Medication / Panorama. The study has also provided several clear findings substantiated by theory. The most significant of these is that a common understanding of the needs and goals of online electronic prescribing system is not established and the project and line management in Ahus have not emphasized sufficiently foundation towards professionals (physicians). The result of the study shows several prominent flaws that would weaken the introduction of such a system. It therefore suggests that the premises for success with ongoing implementation of electronic medication curve in Ahus not sufficiently established. Conclusion: Since DIPS Medication / Panorama is a business-critical system, where implementation will lead to major changes in the company's production, it is recommended that the hospital will need to establish better implementation project to ensure continued project implementation. Keywords: electronic prescribing systems, implementation, information systems, professionals, resistance to change.