Mediation of adoption and use: a key strategy for mitigating unintended consequences of health IT implementation: Table 1

Abstract

Objective Without careful attention to the work of users, implementation of health IT can produce new risks and inefficiencies in care. This paper uses the technology use mediation framework to examine the work of a group of nurses who serve as mediators of the adoption and use of a barcode medication administration (BCMA) system in an inpatient setting. Materials and methods The study uses ethnographic methods to explore the mediators' work. Data included field notes from observations, documents, and email communications. This variety of sources enabled triangulation of findings between activities observed, discussed in meetings, and reported in emails. Results Mediation work integrated the BCMA tool with nursing practice, anticipating and solving implementation problems.

Using a sociotechnical framework to understand adaptations in health IT implementation

“…It is probable that there are adaptations of both types. Therefore, rather than seeking to eliminate adaptations, careful internal analyses should identify which adaptations should be supported, for example through organizational alliances between clinical and technical staff, leadership endorsement and involvement, or empowerment of staff in mediating roles (30). However, adaptations are not without their faults.…”

“…For more detail on the methods used in Study A, see Novak et al (55), and for Study B see Holden et al (10). …”

“…There is evidence of these systems alternately improving patient safety (22-27) and being the source of potential harm to patients (5, 6, 28, 29), suggesting that health IT outcomes depend on contextual issues such as implementation design (30-33). Research on unintended consequences has focused on patient safety IT, and has shown a lack of realistic representations of clinical work in tool design and implementation (7, 8, 39-41).…”

End-user support for primary care electronic medical records: a qualitative case study of users’ needs, expectations, and realities

“…Thus, the contribution of this study is mostly in that it provides additional evidence for the importance of special people, IT support and the gaps in users and vendors' understanding of each other's work, to name a few. It is part of a growing body of research (e.g., Ash, et al, 2003;Terry et al, 2008;Yusof, et al, 2008;Gagnon et al, 2010;Novak, et al, 2012;Vedel et al, 2012) that, taken together, show that these issues are universal and cut across countries, healthcare systems, and organizations.…”

Investigating the Organizational and the Environmental Issues that Influence the Adoption of Healthcare Information Systems in Public Hospitals of Iraq

“…Also, the examination of the factors that drive technology adoption within hospitals is still relatively lagging compared to other industries (Escobar-Rodríguez & Romero-Alonso, 2013;Schnall & Bakken, 2011). Another point that needs to be considered is that the majority of empirical studies addressing the issue of HIS adoption were conducted in western and developed countries (Escobar-Rodríguez & Romero-Alonso, 2013;McGinn et al, 2011;Venkatesh et al, 2011), which encouraged the current study to investigate this issue within the new environment of Iraq as each context and each society has its own specificity and its own circumstances that differs from other contexts (Castillo, Martínez-García, & Pulido, 2010;Holden & Karsh, 2010;Novak et al, 2012;Venkatesh et al, 2011;Venkatesh & Zhang, 2010), and it would be misleading to conclude that there is one suitable solution for all scenarios (Boonstra & Broekhuis, 2010). The previous reasons in addition to the troubled situation of HIS in Iraqi public hospitals (Al Hilfi et al, 2013;Ali, Abdulsalam, & Hasan, 2011) have stimulated this study to empirically investigate this important issue by examining the important factors that influence the healthcare staff's attitude in Iraqi public hospitals.…”