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- W2110034024 abstract "<h3>Background</h3> Conceptual models have been developed to address challenges inherent in studying health information technology (HIT). <h3>Method</h3> This manuscript introduces an eight-dimensional model specifically designed to address the sociotechnical challenges involved in design, development, implementation, use and evaluation of HIT within complex adaptive healthcare systems. <h3>Discussion</h3> The eight dimensions are not independent, sequential or hierarchical, but rather are interdependent and inter-related concepts similar to compositions of other complex adaptive systems. <i>Hardware and software computing infrastructure</i> refers to equipment and software used to power, support and operate clinical applications and devices. <i>Clinical content</i> refers to textual or numeric data and images that constitute the ‘language’ of clinical applications. The <i>human–computer interface</i> includes all aspects of the computer that users can see, touch or hear as they interact with it. <i>People</i> refers to everyone who interacts in some way with the system, from developer to end user, including potential patient-users. <i>Workflow and communication</i> are the processes or steps involved in ensuring that patient care tasks are carried out effectively. Two additional dimensions of the model are <i>internal organisational features</i> (eg, policies, procedures and culture) and <i>external rules and regulations</i>, both of which may facilitate or constrain many aspects of the preceding dimensions. The final dimension is <i>measurement and monitoring</i>, which refers to the process of measuring and evaluating both intended and unintended consequences of HIT implementation and use. We illustrate how our model has been successfully applied in real-world complex adaptive settings to understand and improve HIT applications at various stages of development and implementation." @default.
- W2110034024 created "2016-06-24" @default.
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- W2110034024 date "2010-10-01" @default.
- W2110034024 modified "2023-10-14" @default.
- W2110034024 title "A new sociotechnical model for studying health information technology in complex adaptive healthcare systems" @default.
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- W2110034024 doi "https://doi.org/10.1136/qshc.2010.042085" @default.
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