| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Submitted on March 27, 2003
Accepted on November 24, 2003
Affiliation of the authors: 1 Institute of Health Policy and Management, Erasmus University Medical Center, Rotterdam, The Netherlands; 2 Nijmegen School of Management, Radboud University Nijmegen, Nijmegen, The Netherlands
* To whom correspondence should be addressed.
Most studies of the impact of information systems in organizations tend to see the implementation process as a `rollout' of technology, as a technical matter removed from organizational dynamics. There is substantial agreement that the success of implementing information systems is determined by organizational factors. However, it is less clear what these factors are. We propose to characterize the introduction of an information system as a process of mutual shaping. As a result both the technology and the practice supported by the technology are transformed, and specific technical and social outcomes gradually emerge. We suggest that insights from social studies of science and technology can help to understand an implementation process. Focusing on three theoretical aspects, we argue first that the implementation process should be understood as a thoroughly social process in which both technology and practice are transformed. Second, following Orlikowski's concept of `emergent change' we suggest that implementing a system is by its very nature unpredictable. Third, we argue that success and failure are not dichotomous and static categories, but socially negotiated judgments. Using these insights we have analyzed the implementation of a computerized physician order entry (CPOE) system in a large Dutch university medical center. During the course of our study the full implementation of CPOE was halted, but the aborted implementation exposed issues that we initially did not focus on.
This article has been cited by other articles:
 |
|
 |
|
  S. Collin, B. C Reeves, J. Hendy, N. Fulop, A. Hutchings, and E. Priedane Implementation of computerised physician order entry (CPOE) and picture archiving and communication systems (PACS) in the NHS: quantitative before and after study BMJ, August 14, 2008; 337(aug14_2): a939 - a939. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. M. Lorenzi, L. L. Novak, J. B. Weiss, C. S. Gadd, and K. M. Unertl Crossing the Implementation Chasm: A Proposal for Bold Action J. Am. Med. Inform. Assoc., May 1, 2008; 15(3): 290 - 296. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. L. Callen, J. Braithwaite, and J. I. Westbrook Contextual Implementation Model: A Framework for Assisting Clinical Information System Implementations J. Am. Med. Inform. Assoc., March 1, 2008; 15(2): 255 - 262. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. A. Vogelsmeier, J. R.B. Halbesleben, and J. R. Scott-Cawiezell Technology Implementation and Workarounds in the Nursing Home J. Am. Med. Inform. Assoc., January 1, 2008; 15(1): 114 - 119. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. I. Harrison, R. Koppel, and S. Bar-Lev Unintended Consequences of Information Technologies in Health Care An Interactive Sociotechnical Analysis J. Am. Med. Inform. Assoc., September 1, 2007; 14(5): 542 - 549. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Schulman, G. J. Kuperman, A. Kharbanda, and R. Kaushal Discovering How to Think about a Hospital Patient Information System by Struggling to Evaluate It: A Committee's Journal J. Am. Med. Inform. Assoc., September 1, 2007; 14(5): 537 - 541. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. R. Weir, B. L. Hicken, H. Rappaport, and J. R. Nebeker Crossing the Quality Chasm: The Role of Information Technology Departments. American Journal of Medical Quality, November 1, 2006; 21(6): 382 - 393. [Abstract] [PDF]
|
|
|
|
|
|
J.-T. Lium, H. Laerum, T. Schulz, and A. Faxvaag From the Front Line, Report from a Near Paperless Hospital: Mixed Reception Among Health Care Professionals J. Am. Med. Inform. Assoc., November 1, 2006; 13(6): 668 - 675. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. L. Callen, J. I. Westbrook, and J. Braithwaite The Effect of Physicians' Long-term Use of CPOE on Their Test Management Work Practices J. Am. Med. Inform. Assoc., November 1, 2006; 13(6): 643 - 652. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. Chaudhry, J. Wang, S. Wu, M. Maglione, W. Mojica, E. Roth, S. C. Morton, and P. G. Shekelle Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical Care Ann Intern Med, May 16, 2006; 144(10): 742 - 752. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. H. Gesteland, J. R. Nebeker, and R. M. Gardner These Are the Technologies That Try Men's Souls: Common-Sense Health Information Technology Pediatrics, January 1, 2006; 117(1): 216 - 217. [Full Text] [PDF]
|
|
|
|
|
|
J T. Scott, T. G Rundall, T. M Vogt, and J. Hsu Kaiser Permanente's experience of implementing an electronic medical record: a qualitative study BMJ, December 3, 2005; 331(7528): 1313 - 1316. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Y. Han, J. A. Carcillo, S. T. Venkataraman, R. S.B. Clark, R. S. Watson, T. C. Nguyen, H. Bayir, and R. A. Orr Unexpected Increased Mortality After Implementation of a Commercially Sold Computerized Physician Order Entry System Pediatrics, December 1, 2005; 116(6): 1506 - 1512. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. L. Wears and M. Berg Computer Technology and Clinical Work: Still Waiting for Godot JAMA, March 9, 2005; 293(10): 1261 - 1263. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH |
