This article considers some of the everyday practicalities of delivering an electronic health record project within an NHS hospital trust. Using ethnographic, observational data we document how and in what ways the orderly character of project work is achieved against a background of battles and negotiations to deliver the project within and despite various organizational contingencies and constraints.
Part of the EPSRC Chameleon project, looking at the problems of adequately supporting the concept of an EPR (electronic patient record). The major challenge is to discover a 'global' information flow and processes; in so doing, uncovering a current lack of consistency, coherence and integration of terminology, information and processes that must be overcome and reconciled to enable project success. This paper was cited in Prof. Randell's memorandum to the House of Commons Select Committee on Public Accounts. Related work published in the 2004 iSHIMR conference won the best paper prize. Fifth most cited article from the HIJ as of July 1st 2007. RAE_import_type : Journal article RAE_uoa_type : Computer Science and Informatics