Dealing with Dissonance: Misfits between an EHR System and Medical Work Practices

Bart van den Hooff, Loes Hafkamp

Research output: Chapter in Book / Report / Conference proceedingConference contributionAcademicpeer-review

Abstract

This paper focuses on the question how misfits between an EHR system’s capabilities and medical professionals’ work practices influence these professionals’ work practices. We explore the literature on misfits between ES and organizations, as well as the resulting dissonance between work practices before and after implementation of such systems. Our empirical study builds on qualitative data collected before, during, and after the implementation of an EHR system within one department in an academic hospital. Our findings show various misfits between system and work practices, leading to feelings of dissonance among medical professionals. In response to such dissonance, we find, users devise workarounds that entail either adjusting routines, or changing the
use of technology in these routines. Based on these findings, our paper provides in-depth insight into the relationship between (1) misfits between systems and medical work practices, (2) dissonance and (3) workarounds in the implementation and use of EHR systems.
LanguageEnglish
Title of host publicationProceedings of the 38th International Conference on Information Systems, Seoul 2017
PublisherAES Electronic Library
Publication statusPublished - 2018
Event38th International Conference on Information Systems: Transforming Society with Digital Innovation, ICIS 2017 - Seoul, Korea, Republic of
Duration: 10 Dec 201713 Dec 2017

Conference

Conference38th International Conference on Information Systems: Transforming Society with Digital Innovation, ICIS 2017
CountryKorea, Republic of
CitySeoul
Period10/12/1713/12/17

Keywords

  • Electronic Health Records
  • IS implementation
  • Organization-IS fit
  • Workarounds

VU Research Profile

  • Connected World

Cite this

van den Hooff, B., & Hafkamp, L. (2018). Dealing with Dissonance: Misfits between an EHR System and Medical Work Practices. In Proceedings of the 38th International Conference on Information Systems, Seoul 2017 AES Electronic Library.
van den Hooff, Bart ; Hafkamp, Loes. / Dealing with Dissonance : Misfits between an EHR System and Medical Work Practices. Proceedings of the 38th International Conference on Information Systems, Seoul 2017. AES Electronic Library, 2018.
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van den Hooff, B & Hafkamp, L 2018, Dealing with Dissonance: Misfits between an EHR System and Medical Work Practices. in Proceedings of the 38th International Conference on Information Systems, Seoul 2017. AES Electronic Library, 38th International Conference on Information Systems: Transforming Society with Digital Innovation, ICIS 2017, Seoul, Korea, Republic of, 10/12/17.

Dealing with Dissonance : Misfits between an EHR System and Medical Work Practices. / van den Hooff, Bart; Hafkamp, Loes.

Proceedings of the 38th International Conference on Information Systems, Seoul 2017. AES Electronic Library, 2018.

Research output: Chapter in Book / Report / Conference proceedingConference contributionAcademicpeer-review

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AB - This paper focuses on the question how misfits between an EHR system’s capabilities and medical professionals’ work practices influence these professionals’ work practices. We explore the literature on misfits between ES and organizations, as well as the resulting dissonance between work practices before and after implementation of such systems. Our empirical study builds on qualitative data collected before, during, and after the implementation of an EHR system within one department in an academic hospital. Our findings show various misfits between system and work practices, leading to feelings of dissonance among medical professionals. In response to such dissonance, we find, users devise workarounds that entail either adjusting routines, or changing theuse of technology in these routines. Based on these findings, our paper provides in-depth insight into the relationship between (1) misfits between systems and medical work practices, (2) dissonance and (3) workarounds in the implementation and use of EHR systems.

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van den Hooff B, Hafkamp L. Dealing with Dissonance: Misfits between an EHR System and Medical Work Practices. In Proceedings of the 38th International Conference on Information Systems, Seoul 2017. AES Electronic Library. 2018