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Computers and Clinical Work
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To the Editor: In their Editorial on computer technology and clinical work,1 Drs Wears and Berg write that "roughly 75% of all large IT [information technology] projects in health care fail" and cite a 2003 BMJ publication2 as their source for this figure. The original article indeed states that "when systems are evaluated, three quarters are considered to have failed." However, that article’s authors cite an unpublished discussion paper on the "feasibility of IT research" from 1993 as their source for the failure rate.3
The proportion of failures cited may indeed be accurate, but at present there is no evidence to support that figure. Moreover, there is little agreement about what is meant by success or failure in health care IT implementation. Success may refer simply to adoption of an IT innovation, such as an electronic medical record, or to full use of the innovation’s functions and capabilities.
We are . . . [Full Text of this Article]
Michael I. Harrison, PhD
mharriso@ahrq.gov
Center for Delivery, Organization, and Markets
Scott Young, MD
Health Information Technology Research and Programs
Agency for Healthcare Research and Quality
Rockville, Md
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