A workflow-oriented framework-driven implementation and local adaptation of clinical information systems: a case study of nursing documentation system implementation at a tertiary rehabilitation hospital.


Journal Article

Health information systems are often designed and developed without integrating users' specific needs and preferences. This decreases the users' productivity, satisfaction, and acceptance of the system and increases the necessity for a local adaptation process to reduce the unwanted outcomes after implementation. A workflow-oriented framework developed in a previous study indicates that users' needs and preferences could be incorporated into the system when implementation follows the steps of the framework, eventually increasing satisfaction with and usefulness of the system. The overall goal of this study was to demonstrate application of the workflow-oriented framework to the implementation of a nursing documentation system at Spaulding Rehabilitation Hospital. In this case study, we present specific steps of implementing and adapting a health information system at a local site and raise critical questions that need to be answered in each step based on the workflow-oriented framework.

Full Text

Duke Authors

Cited Authors

  • Choi, J; Kim, H

Published Date

  • August 2012

Published In

Volume / Issue

  • 30 / 8

Start / End Page

  • 409 - 414

PubMed ID

  • 22549077

Pubmed Central ID

  • 22549077

Electronic International Standard Serial Number (EISSN)

  • 1538-9774

International Standard Serial Number (ISSN)

  • 1538-2931

Digital Object Identifier (DOI)

  • 10.1097/nxn.0b013e3182512ffd


  • eng