The aging of a clinical information system

Roy Rada, Scott Finley

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


The senescence of a clinical information system is more likely to have administrative than technical bases. Supporting this claim is a case study of one aging oncology information system. The case study is qualitative, as behooves the subject matter. Content analysis of several documents suggests that the change in job description of the data coordinator led to a workflow breakdown. Next, twenty-two individuals were interviewed. Notes from the interviews were coded, and the resulting patterns led topartial support for the workflow breakdown conjecture,refutation of the hypothesis that users disliked the character-based, human-computer interface,support of the conjecture that political rather than technical factors drive the usage patterns of the system, andevidence that 'political' activity will determine the future of the information system.A stakeholder matrix is proposed that addresses administrative concerns. Also, the issue of the uniqueness of any oncology clinical information system is linked to the plans for this legacy system.

Original languageEnglish (US)
Pages (from-to)319-324
Number of pages6
JournalJournal of Biomedical Informatics
Issue number5
StatePublished - Oct 2004


  • Administration
  • Clinical information system
  • Human-computer interface
  • Legacy
  • Oncology
  • Politics
  • Retirement
  • Software life cycle
  • Stakeholder matrix
  • Workflow management

ASJC Scopus subject areas

  • Computer Science Applications
  • Health Informatics


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