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Drawing on qualitative data collected at two case study sites deploying an ePrescribing system jointly procured within one of the NPfIT\u2019s geographical clusters, we explain how procurement decisions, difficult relationships with the supplier and strict contractual arrangements contributed to usability issues and difficulties in the customisation process. While some limited change requests made by users were taken up by the developers, these were seen by users as insufficient to meet local clinical needs and practices. A joint procurement approach, such as the NPfIT, thus limited the opportunity and scope of the changes to the ePrescribing system, which impinged not only on the perceived success of the implementation but also on the system\u2019s usability.<\/jats:p>","DOI":"10.1177\/1460458215592915","type":"journal-article","created":{"date-parts":[[2015,8,10]],"date-time":"2015-08-10T21:01:38Z","timestamp":1439240498000},"page":"828-838","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["How does joint procurement affect the design, customisation and usability of a hospital ePrescribing system?"],"prefix":"10.1177","volume":"22","author":[{"given":"Lisa","family":"Lee","sequence":"first","affiliation":[{"name":"The University of Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin","family":"Williams","sequence":"additional","affiliation":[{"name":"The University of Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aziz","family":"Sheikh","sequence":"additional","affiliation":[{"name":"The University of Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,7,26]]},"reference":[{"key":"bibr1-1460458215592915","unstructured":"Department of Health. 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