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  1. Book: Key advances in clinical informatics

    Sheikh, Aziz / Cresswell, Kathrin M. / Wright, Adam

    2017  

    Author's details edited by Aziz Sheikh, Kathrin M. Cresswell, Adam Wright, David W. Bates
    Language English
    Size xix, 313 Seiten, Illustrationen
    Publisher Elsevier AP
    Publishing place London
    Publishing country Great Britain
    Document type Book
    HBZ-ID HT019367806
    ISBN 978-0-12-809523-2 ; 0-12-809523-7
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2017 A 1351 available for loan (reading room) Lesesaal EG

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  2. Article ; Online: Using Actor-Network Theory to Study Health Information Technology Interventions.

    Cresswell, Kathrin

    Studies in health technology and informatics

    2019  Volume 263, Page(s) 87–97

    Abstract: This chapter introduces Actor-Network Theory, a sociotechnical approach to studying health information technology implementation. The chapter is intended as a pragmatic introduction to the field, acknowledging that there are many contested features of an ...

    Abstract This chapter introduces Actor-Network Theory, a sociotechnical approach to studying health information technology implementation. The chapter is intended as a pragmatic introduction to the field, acknowledging that there are many contested features of an Actor-Network Theory informed methodology. Nevertheless, the approach can be usefully drawn on to help to focus data collection and sampling. A case study describing the application of Actor-Network Theory to study the "failed" implementation of national electronic health records in England as part of a national "top-down" implementation program illustrates the main tenets of the approach and provides concrete examples of how Actor-Network Theory may be applied. In doing so, this chapter offers a reflexive account of how Actor-Network Theory has provided a nuanced analysis of how the implementation of national electronic health records affected different stakeholders, organizations and technology.
    MeSH term(s) Electronic Health Records ; England ; Medical Informatics ; Models, Theoretical
    Language English
    Publishing date 2019-08-14
    Publishing country Netherlands
    Document type Journal Article
    ISSN 1879-8365
    ISSN (online) 1879-8365
    DOI 10.3233/SHTI190114
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Concerted adoption as an emerging strategy for digital transformation of healthcare-lessons from Australia, Canada, and England.

    Cresswell, Kathrin / Sullivan, Clair / Theal, Jeremy / Mozaffar, Hajar / Williams, Robin

    Journal of the American Medical Informatics Association : JAMIA

    2024  Volume 31, Issue 5, Page(s) 1211–1215

    Abstract: Objectives: With an increasing focus on the digitalization of health and care settings, there is significant scope to learn from international approaches to promote concerted adoption of electronic health records.: Materials and methods: We review ... ...

    Abstract Objectives: With an increasing focus on the digitalization of health and care settings, there is significant scope to learn from international approaches to promote concerted adoption of electronic health records.
    Materials and methods: We review three large-scale initiatives from Australia, Canada, and England, and extract common lessons for future health and social care transformation strategy.
    Results: We discuss how, despite differences in contexts, concerted adoption enables sharing of experience and learning to streamline the digital transformation of health and care.
    Discussion and conclusion: Concerted adoption can be accelerated through building communities of expertise and partnerships promoting knowledge transfer and circulation of expertise; commonalities in geographical and cultural contexts; and commonalities in technological systems.
    MeSH term(s) Humans ; Delivery of Health Care ; Canada ; Australia ; Electronic Health Records ; Palliative Care
    Language English
    Publishing date 2024-02-23
    Publishing country England
    Document type Review ; Journal Article
    ZDB-ID 1205156-1
    ISSN 1527-974X ; 1067-5027
    ISSN (online) 1527-974X
    ISSN 1067-5027
    DOI 10.1093/jamia/ocae034
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4128: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 312: Show issues

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  4. Article ; Online: 'Managed convergence' in health system digitalisation.

    Cresswell, Kathrin / Sheikh, Aziz / Williams, Robin

    Journal of the Royal Society of Medicine

    2022  Volume 115, Issue 8, Page(s) 284–285

    Language English
    Publishing date 2022-05-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 6731-3
    ISSN 1758-1095 ; 0141-0768 ; 0035-9157
    ISSN (online) 1758-1095
    ISSN 0141-0768 ; 0035-9157
    DOI 10.1177/01410768221098274
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ua VI Zs.114: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: Developing and assessing health information technologies: opportunities and challenges.

    Neame, Matthew Thomas / Cresswell, Kathrin / Sinha, Ian / Hawcutt, Daniel B

    Archives of disease in childhood. Education and practice edition

    2023  Volume 108, Issue 5, Page(s) 369–372

    MeSH term(s) Humans ; Medical Informatics
    Language English
    Publishing date 2023-01-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 2148818-6
    ISSN 1743-0593 ; 1743-0585
    ISSN (online) 1743-0593
    ISSN 1743-0585
    DOI 10.1136/archdischild-2022-324521
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Um IV Zs.106 -E.P.Ed.-: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: The German Development Bank as a policy entrepreneur for social health protection

    Sheraz A Khan / Kathrin Cresswell / Aziz Sheikh

    Journal of Global Health Reports, Vol

    a case study of the development and implementation of the ‘Sehat Sahulat Programme’ in Khyber Pakhtunkhwa, Pakistan

    2023  Volume 7

    Abstract: Background The German Development Bank (KfW) supported the Government of Khyber Pakhtunkhwa (GoKP) to design and implement its first social health protection (SHP) scheme, named the Sehat Sahulat Programme (SSP). We described the role of KfW in the ... ...

    Abstract # Background The German Development Bank (KfW) supported the Government of Khyber Pakhtunkhwa (GoKP) to design and implement its first social health protection (SHP) scheme, named the Sehat Sahulat Programme (SSP). We described the role of KfW in the evolution of SSP with a view to identifying transferrable lessons for international development agencies working on similar initiatives in socioeconomically comparable contexts. # Methods We employed a qualitative instrumental case study design approach. First, we obtained and analysed key programme documents to describe the chronology of events and policy changes. We then undertook in-depth interviews to understand factors influencing policy changes. Finally, we carried out non-participant observations to understand how policy decisions were made and implemented. We employed maximum variation sampling to recruit participants and conducted a thematic analysis of data. # Results SSP was described by GoKP officials as an innovative financing strategy and a flagship project of the government formed by the Pakistan Tehreek-i-Insaf (PTI). First, programme officials reported that KfW was instrumental in both designing and financing SSP, which had plans to provide free health insurance to low-income families and raise revenue through paid enrollment of the wealthy (solidarity). Second, GoKP deviated from this model and covered the entire population of KP free of cost. Through SSP, GoKP envisaged service provision through private hospitals (subsidiarity). In the third year, GoKP included public sector hospitals in the programme. Although planned supplementary insurance products might result in inequitable utilisation, KfW continued supporting SSP and committed funding for piloting outpatient department services for two years, 2023 and 2024. # Conclusions This in-depth case study has highlighted the potentially positive role of international development assistance in introducing innovative financing strategies to promote universal health coverage. However, development ...
    Keywords Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2023-05-01T00:00:00Z
    Publisher Inishmore Laser Scientific Publishing Ltd
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article: Evaluation of Implementation of Health IT.

    Cresswell, Kathrin

    Studies in health technology and informatics

    2016  Volume 222, Page(s) 206–219

    Abstract: Information systems can only reach their full potential if their implementation is effective, and there is much to be learned as to what makes an "effective" implementation. In light of the substantial investments in Health Information Technology ... ...

    Abstract Information systems can only reach their full potential if their implementation is effective, and there is much to be learned as to what makes an "effective" implementation. In light of the substantial investments in Health Information Technology internationally, implementation evaluations are a powerful tool to ensure that technologies are enabled to fulfil their potential in improving care, reducing cost and increasing efficiency. The most salient characteristics of such evaluations are outlined, considering how they can help to assess adoption processes and outcomes through a continuous cycle of scientific enquiry and learning. A brief description surrounding potential theoretical lenses that may be drawn on is given. Issues discussed will be illustrated with the help of a case study on the implementation and adoption of Electronic Health Records in English hospitals. Practical challenges encountered and potential ways to address these during the conduct of health IT implementation evaluations illustrated include: 1) ways to cope with the shifting nature of reality (e.g. changes in local implementation strategies need to be reflected in the methods), 2) the need to examine processes as well as outcomes, 3) researching implementation in context with attention to both local processes and wider (e.g. political) developments, and 4) the pragmatic use of theoretical lenses where different approaches can shed light on different aspects of the implementation and adoption process.
    Language English
    Publishing date 2016
    Publishing country Netherlands
    Document type Journal Article
    ISSN 0926-9630
    ISSN 0926-9630
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Electronic Health Record Stress and Burnout Among Clinicians in Hospital Settings: A Systematic Review.

    Alobayli, Fatimah / O'Connor, Siobhan / Holloway, Aisha / Cresswell, Kathrin

    Digital health

    2023  Volume 9, Page(s) 20552076231220241

    Abstract: Background: There is growing evidence to suggest that EHRs may be associated with clinician stress and burnout, which could hamper their effective use and introduce risks to patient safety.: Objective: This systematic review aimed to examine the ... ...

    Abstract Background: There is growing evidence to suggest that EHRs may be associated with clinician stress and burnout, which could hamper their effective use and introduce risks to patient safety.
    Objective: This systematic review aimed to examine the association between EHR use and clinicians' stress and burnout in hospital settings, and to identify the contributing factors influencing this relationship.
    Methods: The search included peer-reviewed published studies between 2000 and 2023 in English in CINAHL, Ovid Medline, Embase, and PsychINFO. Studies that provided specific data regarding clinicians' stress and/or burnout related to EHRs in hospitals were included. A quality assessment of included studies was conducted.
    Results: Twenty-nine studies were included (25 cross-sectional surveys, one qualitative study, and three mixed methods), which focused on physicians (n = 18), nurses (n = 10) and mixed professions (n = 3). Usability issues and the amount of time spent on the EHR were the most significant predictors, but intensity of the working environment influenced high EHR-related workload and thereby also contributed to stress and burnout. The differences in clinicians' specialties influenced the levels of stress and burnout related to EHRs.
    Conclusions: This systematic review showed that EHR use was a perceived contributor to clinicians' stress and burnout in hospitals, primarily driven by poor usability and excessive time spent on EHRs. Addressing these issues requires tailored EHR systems, rigorous usability testing, support for the needs of different specialities, qualitative research on EHR stressors, and expanded research in Non-Western contexts.
    Language English
    Publishing date 2023-12-19
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2819396-9
    ISSN 2055-2076
    ISSN 2055-2076
    DOI 10.1177/20552076231220241
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Can Disinfection Robots Reduce the Risk of Transmission of SARS-CoV-2 in Health Care and Educational Settings?

    Cresswell, Kathrin / Sheikh, Aziz

    Journal of medical Internet research

    2020  Volume 22, Issue 9, Page(s) e20896

    Abstract: We explore the opportunities and challenges surrounding the use of disinfection robots to reduce the risk of SARS-CoV-2 transmission in health care and educational settings. Although there is some potential for deploying robots to help with manual ... ...

    Abstract We explore the opportunities and challenges surrounding the use of disinfection robots to reduce the risk of SARS-CoV-2 transmission in health care and educational settings. Although there is some potential for deploying robots to help with manual cleaning, the evidence base is mixed, and we highlight that there needs to be work to establish and enhance the effectiveness of these robots in inactivating the virus.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Disinfection ; Hospitals ; Humans ; Infection Control ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; Robotics/methods ; SARS-CoV-2 ; Schools
    Keywords covid19
    Language English
    Publishing date 2020-09-15
    Publishing country Canada
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2028830-X
    ISSN 1438-8871 ; 1439-4456
    ISSN (online) 1438-8871
    ISSN 1439-4456
    DOI 10.2196/20896
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Using cloud technology in health care during the COVID-19 pandemic.

    Cresswell, Kathrin / Williams, Robin / Sheikh, Aziz

    The Lancet. Digital health

    2021  Volume 3, Issue 1, Page(s) e4–e5

    MeSH term(s) COVID-19/prevention & control ; Cloud Computing ; Delivery of Health Care
    Language English
    Publishing date 2021-03-16
    Publishing country England
    Document type Journal Article
    ISSN 2589-7500
    ISSN (online) 2589-7500
    DOI 10.1016/S2589-7500(20)30291-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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