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báo cáo khoa học: " Making sense of health information technology implementation: A qualitative study protocol"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Making sense of health information technology implementation: A qualitative study protocol | Kitzmiller et al. Implementation Science 2010 5 95 http www.implementationscience.eom content 5 1 95 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access Making sense of health information technology implementation A qualitative study protocol Rebecca R Kitzmiller 1 Ruth A Anderson1 Reuben R McDaniel Jr2 Abstract Background Implementing new practices such as health information technology HIT is often difficult due to the disruption of the highly coordinated interdependent processes e.g. information exchange communication relationships of providing care in hospitals. Thus HIT implementation may occur slowly as staff members observe and make sense of unexpected disruptions in care. As a critical organizational function sensemaking defined as the social process of searching for answers and meaning which drive action leads to unified understanding learning and effective problem solving - strategies that studies have linked to successful change. Project teamwork is a change strategy increasingly used by hospitals that facilitates sensemaking by providing a formal mechanism for team members to share ideas construct the meaning of events and take next actions. Methods In this longitudinal case study we aim to examine project teams sensemaking and action as the team prepares to implement new information technology in a tiertiary care hospital. Based on management and healthcare literature on HIT implementation and project teamwork we chose sensemaking as an alternative to traditional models for understanding organizational change and teamwork. Our methods choices are derived from this conceptual framework. Data on project team interactions will be prospectively collected through direct observation and organizational document review. Through qualitative methods we will identify sensemaking patterns and explore variation in sensemaking across teams. Participant demographics will be used to explore variation in sensemaking patterns. Discussion Outcomes of