Table 1 Traditional roll-out models for EMM delivery
Big bangPhased
Whole hospital, activated at onceWard-by-ward
Pros:

  • Short-lived change

  • No hybrid medication charts

  • Less fractured medication workflow

  • Less change fatigue

Pros:

  • Focused area of implementation

  • Lessons learnt passed on

  • Less strain on support team

Cons:

  • Rapid change

  • Increased system testing (high risk)

  • Large support team

  • Ramping of training in lead up

Cons:

  • Hybrid model with multiple medication charts as patients move between wards (paper to electronic and vice-versa)

  • Fractured paper/electronic workflow

  • Prolonged timeframe

  • Change fatigue proportionate to duration of implementation