title: Two patient care information systems in the same hospital: beyond technical aspects.
abstract: OBJECTIVE
  To compare two clinical workstations in one hospital with respect to technical, organizational, cultural and human factors. One clinical workstation was a GUI to the HIS. The other was an electronic patient record for stroke.
  
  
  METHODS
  Data were collected by means of in-depth interviews with end-users of both clinical workstations. The interviews were audio taped and transcribed for analysis.
  
  
  RESULTS
  End users assessed both clinical workstations as user friendly. Coordination between health care workers was perceived to be enhanced. However, in both situations poor communication between management, implementers and users resulted in uncertainty and skepticism about future perspectives. Further-more, it appeared that inpatient and outpatient settings needed clinical workstations with different requirements for an optimal fit between work practices and information system.
  
  
  CONCLUSIONS
  Regardless of the domain and content of a workstation, it can support coordination between disciplines. The communication concerning the information technology strategy deserves much attention. Finally, the requirements for inpatient and outpatient workstations differ.
authors.affiliation: Department of Medical Informatics, Maastricht University, PO Box 616 6200 MD Maastricht, The Netherlands. secretariaat@mi.unimaas.nl
authors.forename: M J
authors.initials: MJ
authors.lastname: van der Meijden
authors.forename: I
authors.initials: I
authors.lastname: Solen
authors.forename: A
authors.initials: A
authors.lastname: Hasman
authors.forename: J
authors.initials: J
authors.lastname: Troost
authors.forename: H J
authors.initials: HJ
authors.lastname: Tange
mesh_terms: D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D003200:Computer User Training; D017598:Efficiency, Organizational; D006751:Hospital Information Systems / Q000458:organization & administration*; D006785:Hospitals, University / Q000458:organization & administration*; D006801:Humans; D007318:Inservice Training; D007407:Interviews as Topic; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D009426:Netherlands; D020521:Stroke / Q000145:classification; D014584:User-Computer Interface