Recognizing the technology–organizational misalignments that result from HIT adoption is important for leaders seeking to eliminate sources of system instability. The Health Information Technology Iatrogenesis Model (HITIM) provides leaders with a conceptual framework from which to consider HIT as an instrument for organizational development. Complexity and Diffusion of Innovation theories support the framework that suggests each HIT adoption functions as a technological change agent. As such, leaders need to provide operational oversight to managers undertaking system change via HIT implementation. Traditional risk management tools, such as Failure Mode Effect Analysis and Root Cause Analysis, provide proactive pre- and post-implementation appraisals to verify system stability and to enhance system reliability. Reconsidering the use of these tools within the context of a new framework offers leaders guidance when adopting HIT to achieve performance improvement and better outcomes.
Albert Palmieri, P., Peterson, L.T. and Bedoya Corazzo, L. (2011), "Technological Iatrogenesis: The Manifestation of Inadequate Organizational Planning and the Integration of Health Information Technology", Wolf, J.A., Hanson, H., Moir, M.J., Friedman, L. and Savage, G.T. (Ed.) Organization Development in Healthcare: Conversations on Research and Strategies (Advances in Health Care Management, Vol. 10), Emerald Group Publishing Limited, Bingley, pp. 287-312. https://doi.org/10.1108/S1474-8231(2011)0000010023
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