A near miss: the importance of context in a public health informatics project in a new zealand case study.

A near miss: the importance of context in a public health informatics project in a new zealand case study. Research Abstract Details 

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A near miss: the importance of context in a public health informatics project in a new zealand case study. Abstract Text:

This article describes the near failure of an information technology (IT) system designed to support a government-funded, primary care-based hepatitis B screening program in New Zealand. Qualitative methods were used to collect data and construct an explanatory model. Multiple incorrect assumptions were made about participants, primary care workflows and IT capacity, software vendor user knowledge, and the health IT infrastructure. Political factors delayed system development and it was implemented untested, almost failing. An intensive rescue strategy included system modifications, relaxation of data validity rules, close engagement with software vendors, and provision of intensive on-site user support. This case study demonstrates that consideration of the social, political, technological, and health care contexts is important for successful implementation of public health informatics projects.

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MEDLINE DATE: 2008 Sep-Oct

A near miss: the importance of context in a public health informatics project in a new zealand case study. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of the American Medical Informatics Associ

VOLUME: 15

Page Numbers: 701-4

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ISSN: 1067-5027

DAY: 25

MONTH: 06

YEAR: 2008

A near miss: the importance of context in a public health informatics project in a new zealand case study. Information

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LANGUAGE: eng

NlmUniqueID: 9430800

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AFFILIATION: *Correspondence: Dr. Stewart Wells, Department of Health Informatics, School of Population Health, Faculty of Medical and Health Science, University of Auckland, PO Box 92019, Auckland, New Zealand (Email: swells@ihug.co.nz).

Country: United States

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MEDLINETA: J Am Med Inform Assoc

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