title: Neglected user perspectives in the design of an online hospital bed-state system: implications for the National Programme for IT in the NHS.
abstract: Technical aspects of the National Programme for IT in the National Health Service have run ahead of genuine engagement with front-line users. We have explored with front-line NHS staff the factors which limit their contribution to management information from operational systems. Staff place psychological distance between 'the real job' and the reporting of information. Even where accurate reporting is heavily incentivized, and operational control is shared between staff and shift leader, the reporting of information to the computer represents a division between caregiving and computer input, and between information openly declared and that waiting to be disclosed. The Programme needs to reconsider how clinicians are to be engaged. Equally, information systems designers, if they expect to obtain management information and want to understand the limitations of that process, need to be socialized into the fields where systems are to be deployed.
authors.affiliation: Victoria Hospital, Blackpool FY38NR, UK.
authors.forename: Nick
authors.initials: N
authors.lastname: Harrop
authors.forename: Trevor
authors.initials: T
authors.lastname: Wood-Harper
authors.forename: Alan
authors.initials: A
authors.lastname: Gillies
mesh_terms: D030881:Disclosure; D004494:Education Department, Hospital; D006742:Hospital Bed Capacity; D006751:Hospital Information Systems / Q000592:standards*; D006779:Hospitals, Public / Q000458:organization & administration* / Q000706:statistics & numerical data; D006801:Humans; D007407:Interviews as Topic; D008490:Medical Informatics; D009862:Online Systems / Q000592:standards*; D012985:Software Design; D013222:State Medicine; D006113:United Kingdom; D014584:User-Computer Interface