research-article

Technological and Organizational Adaptation of EMR Implementation in an Emergency Department

Authors:

Sun Young Park,

Scott RudkinAuthors Info & Claims

ACM Transactions on Computer-Human Interaction (TOCHI), Volume 22, Issue 1

Article No.: 1, Pages 1 - 24

https://doi.org/10.1145/2656213

Published: 17 February 2015 Publication History

Abstract

Implementation of large Health Information Technology (HIT) systems is critical to healthcare organizations and has seen heavy investment. However, research has not fully explored the adaptation of HIT systems, particularly the tensions between individual flexibility and organizational needs in the adaptation process. This study analyzes how Emergency Department (ED) clinicians adapted to a new hospital-wide Electronic Medical Records (EMR) system. We present four adaptation cases revealing two interrelated types of adaptations—technical and organizational—as responses to the new system in use. First, individual clinicians respond to the immediate alteration in workflows caused by the EMR, while the organizational adaptations later mitigate the changes in healthcare quality control resulting from the clinicians’ initial adaptation. Our analysis reflects the critical nature and value of both adaptation types, with an emphasis on the triggers and process of organizational adaptation, for the successful implementation of a socio-technical-political system in a healthcare organization.

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Shin GLee YPark TCho IYun MBahn SLee J(2022)Investigation of usability problems of electronic medical record systems in the emergency departmentWork10.3233/WOR-20526272:1(221-238)Online publication date: 19-May-2022
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Index Terms

Technological and Organizational Adaptation of EMR Implementation in an Emergency Department
1. Information systems
2. Social and professional topics
  1. Professional topics
    1. Computing and business

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cover image ACM Transactions on Computer-Human Interaction

ACM Transactions on Computer-Human Interaction Volume 22, Issue 1

March 2015

110 pages

ISSN:1073-0516

EISSN:1557-7325

DOI:10.1145/2737795

Editor:
Shumin Zhai
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Copyright © 2015 ACM.

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Publication History

Published: 17 February 2015

Accepted: 01 September 2014

Revised: 01 September 2014

Received: 01 September 2013

Published in TOCHI Volume 22, Issue 1

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https://dl.acm.org/doi/10.1145/3582431
Shin GLee YPark TCho IYun MBahn SLee J(2022)Investigation of usability problems of electronic medical record systems in the emergency departmentWork10.3233/WOR-20526272:1(221-238)Online publication date: 19-May-2022
https://doi.org/10.3233/WOR-205262
Su ZHe LJariwala SZheng KChen Y(2022)"What is Your Envisioned Future?": Toward Human-AI Enrichment in Data Work of Asthma CareProceedings of the ACM on Human-Computer Interaction10.1145/35551576:CSCW2(1-28)Online publication date: 11-Nov-2022
https://dl.acm.org/doi/10.1145/3555157
Calisto FSantiago CNunes NNascimento J(2021)Introduction of human-centric AI assistant to aid radiologists for multimodal breast image classificationInternational Journal of Human-Computer Studies10.1016/j.ijhcs.2021.102607150(102607)Online publication date: Jun-2021
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Fraczkowski DMatson JLopez K(2020)Nurse workarounds in the electronic health record: An integrative reviewJournal of the American Medical Informatics Association10.1093/jamia/ocaa050Online publication date: 11-Jul-2020
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Kulp LSarcevic ACheng MZheng YBurd RBrewster SFitzpatrick GCox AKostakos V(2019)Comparing the Effects of Paper and Digital Checklists on Team Performance in Time-Critical WorkProceedings of the 2019 CHI Conference on Human Factors in Computing Systems10.1145/3290605.3300777(1-13)Online publication date: 2-May-2019
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