The challenge of electronic health records (EHRs) design and implementation: responses of health workers to drawing a 'big and rich picture' of a future EHR programme using animated tools

Abstract

IntroductionThis paper describes the deployment of a prototype demonstration tool aimed at facilitating users' engagement with the design, development and implementation of EHRs. It is not a prototype of an EHR system; rather it is aimed at engaging potential users at the conceptualisation stage; it aims to tap into members' knowledge that will be useful throughout the design, development and implementation process. Neither is it intended to replace the use of prototype systems and other user engagement techniques; it is ABSTRACT Background and aim To investigate the use of animation tools to aid visualisation of problems for discussion within focus groups, in the context of healthcare workers discussing electronic health records (EHRs). Method Ten healthcare staff focus groups, held in a range of organisational contexts. Each focus group was in four stages: baseline discussion, animator presentation, post-animator discussion and questionnaire. Audio recordings of the focus groups were transcribed and coded and the emergent analytic themes analysed for issues relating to EHR design and implementation. The data allowed a comparison of baseline and post-animator discussion. Results The animator facilitated discussion about EHR issues and these were thematically coded as:

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