Implementing an emergency department information system: an Actor-Network Theory case study

Vezyridis, Paraskevas; Timmons, Stephen

Abstract

Information and communication technologies (ICT) are increasingly used in healthcare settings. Despite their technical robustness, their implementation has not always been straightforward. This is a case study of the implementation of a clinical information system for patient registration and tracking in the busy emergency department (ED) of a large English NHS University Hospitals Trust. By adopting an Actor-Network Theory (ANT) approach, the authors explore the complex intertwining of people and machines in the local setting as they negotiate the success of the project. Based on the analysis of 30 semi-structured interviews with clinical and administrative staff and, of relevant policy and project documentation, the authors demonstrate how the technologically-mediated transformation of healthcare practices is not a fixed and linear process, but the interplay of various fluctuating, performative and co-constitutive technical and social factors.

Citation

Vezyridis, P., & Timmons, S. (2014). Implementing an emergency department information system: an Actor-Network Theory case study. International Journal of Actor-Network Theory and Technological Innovation, 6(1), 17-30. doi:10.4018/ijantti.2014010102

• Journal Article Type: Article
• Acceptance Date: Oct 24, 2013
• Online Publication Date: Feb 18, 2014
• Publication Date: Feb 18, 2014
• Deposit Date: Nov 21, 2018
• Journal: International Journal of Actor-Network Theory and Technological Innovation
• Print ISSN: 1942-535X
• Electronic ISSN: 1942-5368
• Publisher: IGI Global
• Peer Reviewed: Peer Reviewed
• Volume: 6
• Issue: 1
• Pages: 17-30
• DOI: https://doi.org/10.4018/ijantti.2014010102
• Public URL: https://nottingham-repository.worktribe.com/output/1295034
• Publisher URL: https://www.igi-global.com/gateway/article/110194