ArticleJournal of the American Medical Informatics Association : JAMIA
Mediation of adoption and use: a key strategy for mitigating unintended consequences of health IT implementation.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Predictors of Health Care Practitioners' Intention to Use AI-Enabled Clinical Decision Support Systems: Meta-Analysis Based on the Unified Theory of Acceptance and Use of Technology.Journal of medical Internet research · 2024Pooled it
- Pooled it
- Mind the Gap. A systematic review to identify usability and safety challenges and practices during electronic health record implementation.Applied clinical informatics · 2016Pooled it
- Study protocol for the design, implementation, and evaluation of the STRATIFY clinical decision support tool for emergency department disposition of patients with heart failure.Implementation science communications · 2025Article
- The impact of inpatient medication administration technologies on nursing autonomy and practice: a meta-ethnographic synthesis of the qualitative literature.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- The Integration of Information Technology in the Management and Organization of Nursing Care in a Hospital Environment: A Scoping Review.International journal of environmental research and public health · 2024Article
- Barriers and Facilitators to Teledermatology and Tele-Eye Care in Department of Veterans Affairs Provider Settings: Qualitative Content Analysis.JMIR dermatology · 2024Article
- Enabling adoption and use of new health information technology during implementation: Roles and strategies for internal and external support personnel.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Disappearing expertise in clinical automation: Barcode medication administration and nurse autonomy.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- A scoping review of qualitative research in JAMIA: past contributions and opportunities for future work.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Infrastructure Revisited: An Ethnographic Case Study of how Health Information Infrastructure Shapes and Constrains Technological Innovation.Journal of medical Internet research · 2019Article
- An Evaluation of System End-User Support during Implementation of an Electronic Health Record Using the Model for Improvement Framework.Applied clinical informatics · 2019Article
- Improving the Effectiveness of Health Information Technology: The Case for Situational Analytics.Applied clinical informatics · 2019Article
- Digital technology and nursing care: a scoping review on acceptance, effectiveness and efficiency studies of informal and formal care technologies.BMC health services research · 2019Article
- A Survey of the Literature on Unintended Consequences Associated with Health Information Technology: 2014-2015.Yearbook of medical informatics · 2016Review
- Understanding Unintended Consequences and Health Information Technology:. Contribution from the IMIA Organizational and Social Issues Working Group.Yearbook of medical informatics · 2016Review
- An Evaluation of Understandability of Patient Journey Models in Mental Health.JMIR human factors · 2016Article
- What is the extent of research on the characteristics, behaviors, and impacts of health information technology champions? A scoping review.BMC medical informatics and decision making · 2016Article
- Model Guided Design and Development Process for an Electronic Health Record Training Program.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2016Article
- Beyond technology acceptance to effective technology use: a parsimonious and actionable model.Journal of the American Medical Informatics Association : JAMIA · 2015Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveWithout careful attention to the work of users, implementation of health IT can produce new risks and inefficiencies in care. This paper uses the technology use mediation framework to examine the work of a group of nurses who serve as mediators of the adoption and use of a barcode medication administration (BCMA) system in an inpatient setting. MATERIALS AND
methodsThe study uses ethnographic methods to explore the mediators' work. Data included field notes from observations, documents, and email communications. This variety of sources enabled triangulation of findings between activities observed, discussed in meetings, and reported in emails.
resultsMediation work integrated the BCMA tool with nursing practice, anticipating and solving implementation problems. Three themes of mediation work include: resolving challenges related to coordination, integrating the physical aspects of BCMA into everyday practice, and advocacy work. DISCUSSION: Previous work suggests the following factors impact mediation effectiveness: proximity to the context of use, understanding of users' practices and norms, credibility with users, and knowledge of the technology and users' technical abilities. We describe three additional factors observed in this case: 'influence on system developers,' 'influence on institutional authorities,' and 'understanding the network of organizational relationships that shape the users' work.'
conclusionInstitutionally supported clinicians who facilitate adoption and use of health IT systems can improve the safety and effectiveness of implementation through the management of unintended consequences. Additional research on technology use mediation can advance the science of implementation by providing decision-makers with theoretically durable, empirically grounded evidence for designing implementations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.