Införande av IT-system i slutenvården
En studie vid Lasarettet i Enköping
As the ability to computerize processes and tasks increase, the proliferation of complex systems in our society continues. How these systems are deployed in the organizations where they are meant to be utilized has been shown to have a large impact on how well they function.In January of 2011 the Enköping hospital initiated the deployment of an IT-support for drug management, a module in the general health care system Cambio COSMIC. Other health care providers in the county, and in the rest of Sweden, have had mixed feelings toward the module. Some have outright refused the module, claiming that it is detrimental to patient safety. One of the arguments for deploying the module in Enköping, however, was that it was needed to improve patient safety.The Enköping hospital is considered to be a well organized institution with good leadership and earlier good experiences regarding IT-systems. Through a study from a usability perspective, good and bad experiences have been gathered that may be of use when deploying the module at other medical facilities in the country, and especially within the Uppsala county.These experiences where gathered through field studies at medical and surgical wards involved in the deployment, interviews with physicians, nurses and members of the local deployment team, as well as through a survey distributed to the hospital staff whom attended educational seminars prior to the deployment.