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Success of IT based innovation in healthcare: the art of implementation and use of an electronic patient record

Many information systems do not meet the expectations of the end-users. For electronic patient records (EPR) it is even worse, they are often not implemented yet. For more than a decade the society boasts the advantages of an EPR varying from millions of dollars to thousands of lives. Why do these IT based innovations not come to improvements of healthcare performance? This paper explores the transitions in the life cycle of an EPR from healthcare domain to information domain and back again. Both transitions have a large impact on the EPR success.