Developing and Applying a Formative Evaluation Framework for Health Information Technology Implementations: Qualitative Investigation

Journal of Medical Internet Research
Kathrin CresswellAziz Sheikh

Abstract

There is currently a lack of comprehensive, intuitive, and usable formative evaluation frameworks for health information technology (HIT) implementations. We therefore sought to develop and apply such a framework. This study describes the Technology, People, Organizations, and Macroenvironmental factors (TPOM) framework we developed. The aim was to develop and apply a formative evaluation framework for HIT implementations, highlighting interrelationships between identified dimensions and offering guidance for implementers. We drew on an initial prototype framework developed as part of a literature review exploring factors for the effective implementation of HIT. In addition, we used qualitative data from three national formative evaluations of different HIT interventions (electronic health record, electronic prescribing, and clinical decision support functionality). The combined data set comprised 19 case studies of primarily hospital settings, and included 703 semistructured interviews, 663 hours of observations, and 864 documents gathered from a range of care settings across National Health Service (NHS) England and NHS Scotland. Data analysis took place over a period of 10 years and was guided by a framework informed by the ...Continue Reading

References

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Mar 2, 2012·International Journal of Medical Informatics·Helga E RippenElaine K Swift
Nov 14, 2012·International Journal of Medical Informatics·Kathrin Cresswell, Aziz Sheikh
Apr 20, 2013·Journal of the American Medical Informatics Association : JAMIA·Kathrin M CresswellAziz Sheikh
May 21, 2014·Informatics in Primary Care·Kathrin M Cresswell, Aziz Sheikh
Aug 3, 2014·International Journal of Medical Informatics·Lemai NguyenLinh Thuy Nguyen
May 1, 2016·BMJ Quality & Safety·Kathrin M CresswellAziz Sheikh
Dec 7, 2016·International Journal of Medical Informatics·Amirhossein Eslami AndargoliAmrik Sohal
Jun 5, 2019·BMJ Health & Care Informatics·Kathrin CresswellAziz Sheikh

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Citations

Apr 22, 2021·Yearbook of Medical Informatics·Farah MagrabiAndrew Georgiou
May 26, 2021·Informatics for Health & Social Care·Timothy ZhangGillian Strudwick
Dec 21, 2021·Journal of the American Medical Informatics Association : JAMIA·Kathrin CresswellRobin Williams

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