Implementation of Electronic Medical Records in Dutch Hospitals

Ferry Koster; Mattijs Lambooij

doi:10.1142/9789811204692_0014

Implementation of Electronic Medical Records in Dutch Hospitals

Research output: Chapter/Conference proceeding › Chapter › Academic

Abstract

Innovation projects are prone to “escalation of commitment” (the tendency to continue projects even if it is clear that they will be unsuccessful). In this study, we introduce a construct measuring the escalation prevention potential (EPP) of innovation projects as perceived by individuals in the organization. EPP consists of three components: (1) goals, (2) process, and (3) ability, to shield projects from escalation to commitment. A survey was conducted among 1, 062 clinicians working in hospitals implementing electronic medical records (EMRs). The empirical results show that the three theoretical components of EPP sum up to a single measure. Four organizational characteristics of organizations (organizational routines, leadership reflexivity, employee involvement, and support staff quality) explain a large share of the variation in EPP.

Original language	English
Title of host publication	Managing Medical Technological Innovations
Subtitle of host publication	Exploring Multiple Perspectives
Publisher	World Scientific Publishing Co., Inc.
Pages	435-469
Number of pages	35
ISBN (Electronic)	9789811204692
ISBN (Print)	9789811204685
DOIs	https://doi.org/10.1142/9789811204692_0014
Publication status	Published - 1 Jan 2019

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© 2020 by World Scientific Publishing Co. Pte. Ltd.

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10.1142/9789811204692_0014

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Implementation of Electronic Medical Records in Dutch Hospitals

Abstract

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