Grappling with the Future: The Messiness of Pilot Implementation in Information Systems Design

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Standard

Grappling with the Future: The Messiness of Pilot Implementation in Information Systems Design. / Hertzum, Morten; Manikas, Maria Ie; Torkilsheyggi, Arnvør Martinsdóttir á.

I: Health Informatics Journal, Bind 25, Nr. 2, 2019, s. 372-388.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt

Harvard

Hertzum, M, Manikas, MI & Torkilsheyggi, AMÁ 2019, 'Grappling with the Future: The Messiness of Pilot Implementation in Information Systems Design', Health Informatics Journal, bind 25, nr. 2, s. 372-388. https://doi.org/10.1177/1460458217712058

APA

Hertzum, M., Manikas, M. I., & Torkilsheyggi, A. M. Á. (2019). Grappling with the Future: The Messiness of Pilot Implementation in Information Systems Design. Health Informatics Journal, 25(2), 372-388. https://doi.org/10.1177/1460458217712058

Vancouver

Hertzum M, Manikas MI, Torkilsheyggi AMÁ. Grappling with the Future: The Messiness of Pilot Implementation in Information Systems Design. Health Informatics Journal. 2019;25(2):372-388. https://doi.org/10.1177/1460458217712058

Author

Hertzum, Morten ; Manikas, Maria Ie ; Torkilsheyggi, Arnvør Martinsdóttir á. / Grappling with the Future: The Messiness of Pilot Implementation in Information Systems Design. I: Health Informatics Journal. 2019 ; Bind 25, Nr. 2. s. 372-388.

Bibtex

@article{6d76a39338b4460fa3a23a9cb7c5cca6,
title = "Grappling with the Future: The Messiness of Pilot Implementation in Information Systems Design",
abstract = "Pilot implementation is a method for avoiding unintended consequences of healthcare information systems. This study investigates how learning from pilot implementations is situated, messy, and therefore difficult. We analyze two pilot implementations by means of observation and interviews. In the first pilot implementation the involved porters saw their improved overview of pending patient transports as an opportunity for more self-organization but this opportunity hinged on the unclear prospects of extending the system with functionality for the porters to reply to transport requests. In the second pilot implementation the involved paramedics had to print the data they entered into the system because it had not yet been integrated with the electronic patient record. This extra work prolonged every dispatch and influenced the paramedics{\textquoteright} experience of the entire system. We discuss how pilot implementations, in spite of their realism, leave room for uncertainty about the implications of the new system.",
keywords = "Faculty of Humanities, Emergency Medical Services, patient transport, Pilot implementation, sociotechnical systems",
author = "Morten Hertzum and Manikas, {Maria Ie} and Torkilsheyggi, {Arnv{\o}r Martinsd{\'o}ttir {\'a}}",
year = "2019",
doi = "10.1177/1460458217712058",
language = "English",
volume = "25",
pages = "372--388",
journal = "Health Informatics Journal",
issn = "1460-4582",
publisher = "SAGE Publications",
number = "2",

}

RIS

TY - JOUR

T1 - Grappling with the Future: The Messiness of Pilot Implementation in Information Systems Design

AU - Hertzum, Morten

AU - Manikas, Maria Ie

AU - Torkilsheyggi, Arnvør Martinsdóttir á

PY - 2019

Y1 - 2019

N2 - Pilot implementation is a method for avoiding unintended consequences of healthcare information systems. This study investigates how learning from pilot implementations is situated, messy, and therefore difficult. We analyze two pilot implementations by means of observation and interviews. In the first pilot implementation the involved porters saw their improved overview of pending patient transports as an opportunity for more self-organization but this opportunity hinged on the unclear prospects of extending the system with functionality for the porters to reply to transport requests. In the second pilot implementation the involved paramedics had to print the data they entered into the system because it had not yet been integrated with the electronic patient record. This extra work prolonged every dispatch and influenced the paramedics’ experience of the entire system. We discuss how pilot implementations, in spite of their realism, leave room for uncertainty about the implications of the new system.

AB - Pilot implementation is a method for avoiding unintended consequences of healthcare information systems. This study investigates how learning from pilot implementations is situated, messy, and therefore difficult. We analyze two pilot implementations by means of observation and interviews. In the first pilot implementation the involved porters saw their improved overview of pending patient transports as an opportunity for more self-organization but this opportunity hinged on the unclear prospects of extending the system with functionality for the porters to reply to transport requests. In the second pilot implementation the involved paramedics had to print the data they entered into the system because it had not yet been integrated with the electronic patient record. This extra work prolonged every dispatch and influenced the paramedics’ experience of the entire system. We discuss how pilot implementations, in spite of their realism, leave room for uncertainty about the implications of the new system.

KW - Faculty of Humanities

KW - Emergency Medical Services

KW - patient transport

KW - Pilot implementation

KW - sociotechnical systems

U2 - 10.1177/1460458217712058

DO - 10.1177/1460458217712058

M3 - Journal article

C2 - 28592181

VL - 25

SP - 372

EP - 388

JO - Health Informatics Journal

JF - Health Informatics Journal

SN - 1460-4582

IS - 2

ER -

ID: 184649396