Difference between revisions of "The MEDAKIS project"

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(Course of the project)
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==Course of the project==
 
==Course of the project==
The project quickly ran into trouble because of discrepancy between its ambitions and the resources available. Read [http://www.idi.ntnu.no/~ericm/patchwork.pdf this] (PDF) for more info. All hospitals had (legacy) Patient-administrative systems which the new system had to be integrated against. As a consequence of the complexity, deliverances and other important milestones became delayed, and, as of 2001 the resulting system had a [ poorer functionality] compared with the two other EHR systems at the Norwegian hospital market.
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The project quickly ran into trouble because of discrepancy between its ambitions and the resources available. Read [http://www.idi.ntnu.no/~ericm/patchwork.pdf this] (PDF) for more info. All hospitals had (legacy) Patient-administrative systems which the new system had to be integrated against. As a consequence of the complexity, deliverances and other important milestones became delayed, and, as of 2001 the resulting system had a [http://bmj.bmjjournals.com/cgi/content/abstract/323/7325/1344 poorer functionality] compared with the two other EHR systems at the Norwegian hospital market.
  
 
==Outcome==
 
==Outcome==

Revision as of 03:25, 7 June 2006

Background and aim

Need for EHR system at the largest (University) hospitals in Norway. Assumption that EHR systems developed for smaller (non-university, local) hospitals not were suitable for this purpose.

Funding

Mainly funded by the Norwegian government and the participating hospitals.

Duration

1997-2001

Vendor of system

Participating hospital(s)

The 5 largest hospitals in Norway (4 of which are university / teaching hospitals)

  • St.Olavs hospital, Trondheim, Norway (home page)
  • Haukeland University Hospital, Bergen, Norway (home page)
  • Ullevaal Hospital, Oslo, Norway
  • Rikshospitalet, Oslo, Norway.
  • University hospital of Northern Norway. (home page (Norwegian))

Course of the project

The project quickly ran into trouble because of discrepancy between its ambitions and the resources available. Read this (PDF) for more info. All hospitals had (legacy) Patient-administrative systems which the new system had to be integrated against. As a consequence of the complexity, deliverances and other important milestones became delayed, and, as of 2001 the resulting system had a poorer functionality compared with the two other EHR systems at the Norwegian hospital market.

Outcome

Doculive EPR system implemented at participating hospitals. In 2005 University hospital of Northern Norway changed from Doculive EPR system to DIPS EHR system. As of 2006, Haukeland University hospital has decided to switch to another system as well but the implementation of Tieto's (IMX) system has not started. DocuLive has recently been rolled out at Norway's specialist hospital for Cancer, Radiumhospitalet. Health Mid Norway (HMN), Rikshospitalet og UUS are still using DocuLive as their main EPR system.

Evaluations

The MEDAKIS project has been thoroughly evaluated. See references.

There has not been any complete evaluation after the end of the Medakis Project.

References

  1. Ellingsen G, Monteiro E. Big is beautiful: electronic patient records in large Norwegian hospitals 1980s-2001 Methods Inf Med. 2003;42(4):366-70 (PDF)
  2. Laerum H, Ellingsen G, Faxvaag A. Doctors' use of electronic medical records systems in hospitals: cross sectional survey. BMJ. 2001 Dec 8;323(7325):1344-8 (Full text in BMJ)
  3. Gunnar Ellingsen and Eric Monteiro. A patchwork planet. Integration and cooperation in hospitals, Computer supported coopertive work: the journal, 12(1): 71 – 95, 2003 (PDF)
  4. Eric Monteiro. Integrating health information systems, Methods of Information in Medicine: a critical perspective, 42/4:428 - 432, 2003 (PDF)