Reply To: Week 5 Topic 1 Determinants

[w.thanachol]

Please give an example of a system in your organization (either successful or fail). What are main factors that make the system successful or failure (Data, Cost, Operation, Design, and People)?
I would like to use the electronic medical record system in my hospital as an example. My hospital board have purchased EMR from the biggest vendor in Thailand. Despite this EMR have been developed for the third version, hospital staff could not utilize it efficiently. Previously, staff in my hospital had used the electronic medical record merely for patient registration, drug prescribing, and financial record. Registration staff need to find out paper-based health records, nurses and physicians also note down in the paper, doctors prescribe drug both in the paper and in the EMR. On the other hand, other hospitals could implement this EMR from the same vendor in the out-patient department but not the in-patient department. It is showed that even though EMR could be implemented in the other hospitals, my hospital and some other hospitals could not utilize it successfully. The reasons are staff had not been trained enough before implemented the system and there is no follow up on users’ ability. Some function in this software is not user-friendly, however, the software itself was designed well enough to utilize throughout the hospital information system, and the price was reasonable.