Clinical Informatics

Information System Failures and the NHS


  1. Introduction and Context of Information Systems Failure at large and in the NHS

  2. The Definition of Information System Failure

  3. The causes of Information System Failure

    1. Pre-implementation
    2. During Implementation
    3. Post-implementation

  4. Managing Individual and Organisational Change

  5. Conclusions

  6. References


  1. British Computer Society Website, "UK wasting billions on IT projects", April 2004

  2. K.C Laudon, J.P. Laudon, Management ~Information Systems. New Approaches to Organisation and Technology, 5th Ed., Macmillan, New York, 1998.

  3. Gladden GR, Stop the life cycle, I want to get off. Software Engineering Notes, 7(2), 35-39, 1982.

  4. J.C. Wyatt, Clinical data systems, part 3: development and evaluation, Lancet 344 (1994) 1682-1688.

  5. P. Beynon-Davies, Information Systems “Failure”: the case of the London ambulance Service’s Computer Aided Despatch project, European Journal of Information Systems, 1995, (4): 171-184

  6. R. Heeks, D. Mundy, A. Salazar, Why Health Care Information Systems Succeed or Fail, Information Systems for Public Sector Management Working Paper Series, Paper 9, June 1999.(Fulltext PDF)

  7. K. Lyytinen, R. Hirschheim, Information systems failures: a survey and classification of the empirical literature. Oxford Surveys in Information Technology 4, 257-309, 1987.

  8. C. Sauer, Why Information Systems fail: A Case Study Approach. Alfred Waller, Henley –On-Thames, Oxfordshire, 1993.

  9. The Challenges of Complex IT Projects. The Royal Academy of Engineering. April 2004. (Fulltext PDF)

  10. D.E. Forsythe, New bottles, old wine: hidden cultural assumptions in a computerised explanation system for migraine sufferers, Medical Anthropology Quarterly 10 (1996), 551-574.

  11. J. P. Kotter, Leading Change, Harvard Business School Press, Boston, Massachusetts, USA, 1996.

  12. N. M. Lorenzi, R. T. Riley, Managing Change: An Overview, JAMIA, 2000; 7:116-124. (Fulltext PDF)

  13. S. Page, “Virtual” health care organisations and the challenges of improving quality", Health Care Management Review, 28 (1): 6-14, 2003.

  14. M. Deutsch, R. M. Krauss, Theories in Social Psychology, New York, Norton, 1974.

  15. P. Bate, Changing the culture of a hospital: from hierarchy to networked community, Public Administration: an international quarterly, Vol 78 (3): 485-513, 2000.

  16. J. Aarts, V. Peel, G. Wright, Organisational issues in health informatics: a model approach, IJMIA, 52(1998): 235-242.

  17. J. Collins, Level 5 Leadership, Harvard Business Review, January 2001. (Fulltext PDF)


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