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Research Article * Michael Barrett was the accepting senior editor. This article was submitted on 31 st March 2010 and went through three revisions. While organizations implement information technology (IT) to effect change, current theories of IT-associated organizational change pay insufficient attention to the change goals, the role of IT in(More)
OBJECTIVE The 1989 survey conducted by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) at the UCLA Neuropsychiatric Hospital was the hospital's first using standards outlined in the 1989 edition of JCAHO's Accreditation Manual for Hospitals. The authors' goal was to calculate the cost of preparing for and undergoing the 1989(More)
Our longitudinal study examines the changing roles of health care professionals (physicians, nurses, medical assistants, practice managers, and secretaries) before and after an EHR implementation in a large, multi-location group practice. We take a social informatics perspective and focus on the changing social identities of health care professionals as(More)
Several factors increase the psychiatric inpatient's risk of falling, including side effects of medications and mental disorders that decrease awareness of environmental hazards. In this study, rates of falling were determined for a cohort of 4,156 psychiatric inpatients over 34 months. A total of 494 falls occurred among 376 patients. Thirty-five percent(More)
In this paper we endeavor to develop a theory to explain the dynamics of an Electronic Health Record (EHR) implementation. We base our theory on a well-established system dynamics model of improvement evolution—the model by Repenning and Sterman (RS)—with modifications that incorporate aspects of the more detailed Affordance Actualization (AA) theory. To do(More)