94 Chapter 6 Table 4 - Customisability - Illustrative quotes from participants Technical aspects of EMRs Quote category Quote Customisability refers to the ability of the technology system to adapt to specific needs of the user. barrier “Not intuitive. Terrible user interface. Unpleasant system, it clearly hasn’t been primarily designed for doctors and paramedics. An originally administrative system that has been reshaped into a medical system”. (participant 2) “It is digital, but that about says it all. Leaves much to be desired” (participant 9) “We can see the added value, but these systems are shoddy. Not intuitive” (participant 8) “Preoperative clinic: Supplementary lab research takes 1-2 days. If you want to change policy based on the results, the EMR system shows that this is impossible because the patient has not been hospitalised but is not present at the outpatient clinic either“ (participant 2) facilitator “Innumerable positive points; accessible everywhere, even at home. No more illegible notes” (participant 10) “Back in the day, the paper records often got lost. Lab results are available more quickly now and the medical specialist can quickly see the daily reports of the nurses” (participant 7) Interconnectivity/standardisation’ The exchange of dossiers is often not possible due to lack of standardization, and files are often split up between different specialties, because that is how the medical practice is organized in the hospital [table 5], Getting an integral view of a patient’s situation is therefore difficult but especially important with multimorbid patients (an ever-growing group]. General data such as blood pressure, smoking and alcohol use are often contradictory and recorded more than once. Sometimes, multiple systems have to be used simultaneously during treatment because files are not linked; a situation that medical specialists consider potentially dangerous.
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