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Examining the organizational implications of IT use in hospital-based health care: a case study of computerized order entry

Content Provider	IEEE Xplore Digital Library
Author	Davidson, E.J. Chismar, W.
Copyright Year	1999
Description	Author affiliation: Dept. of Decisions Sci., Hawaii Univ., Honolulu, HI, USA (Davidson, E.J.)
Abstract	The paper reports on the preliminary findings of an in-depth case study of the implementation of a computerized order entry (COE) system at a medium sized, acute care hospital. We propose a theoretically grounded framework, based on work by S.R. Barley (1986; 1990), for analyzing organizational changes that may result from COE introduction and use the framework to analyze findings at the research site. The hospital studied was largely successful in implementing and utilizing the system. However, use of the COE has altered the content and structure of order related information that passes between key participants in clinical care, affecting how these occupational groups and departments communicate and interact by creating ambiguity and uncertainty about order information. Use of the system may also be enabling increased organizational control over clinical care practices, exercised through professional norms and the clinical administrative hierarchy. Findings were consistent with other studies of COE use, suggesting that future research could focus on the consequences of structuring the content of order related communications on interactions between clinical and ancillary departments and the need to integrate the COE with other clinical systems to minimize disruptions.
File Size	89284
File Format	PDF
ISBN	0769500013
DOI	10.1109/HICSS.1999.773008
Language	English
Publisher	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Publisher Date	1999-01-05
Publisher Place	USA
Access Restriction	Subscribed
Rights Holder	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Subject Keyword	Medical services Computer aided software engineering Hospitals Postal services Physics computing Guidelines Content addressable storage Read only memory Uncertainty Clinical diagnosis
Content Type	Text
Resource Type	Article

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