Several articles reported that quality of care was not adversely nor positively affected with a health information system implementation [78-82]. However, one author argued that health information systems, like other interventions, should be regulated and certified [83]. Like other forms of medical interventions (as an example, drugs), health information system should be certified so erroneous system design or implementation do not lead to adverse medical events. He also advocated that health information system users should be certified to mitigate chances for adverse events due to incorrect usage.
Some articles studied various dimensions of time as it pertains to implementations. Studies advocated that it takes time