ArticleInternational journal of medical informatics2013
Using a sociotechnical framework to understand adaptations in health IT implementation.
Article in International journal of medical informatics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05493072 (Safety, Performance, and User Perceptions of RxConnect When Used to Provide Patient-specific, Indication Based Prescribing Support), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Safety, Performance, and User Perceptions of RxConnect When Used to Provide Patient-specific, Indication Based Prescribing Support
Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- User-Centered Redesign of a Clinical Decision Support System for Pneumonia in the Emergency Department.Applied clinical informatics · 2026Article
- "I worry we'll blow right by it:" Barriers to Uptake of the STRATIFY-CDS for Acute Heart Failure.Applied clinical informatics · 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
- Application of a Sociotechnical Framework to Uncover Factors That Influence Effective User Engagement With Digital Mental Health Tools in Clinical Care Contexts: Scoping Review.Journal of medical Internet research · 2025Article
- Qualitative analysis to explore the barriers and facilitators around the implementation of automated dispensing cabinets at a large NHS Trust in England.Exploratory research in clinical and social pharmacy · 2025Article
- Organizational readiness for implementing clinical decision support tools in chronic pain care: a mixed methods evaluation.Frontiers in health services · 2025Article
- Review of Qualitative Research Methods in Health Information System Studies.Healthcare informatics research · 2024Article
- Medication Safety Amid Technological Change: Usability Evaluation to Inform Inpatient Nurses' Electronic Health Record System Transition.Journal of general internal medicine · 2023Article
- Strengths, weaknesses, opportunities, and threats for the nation's public health information systems infrastructure: synthesis of discussions from the 2022 ACMI Symposium.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Study protocol for a type III hybrid effectiveness-implementation trial to evaluate scaling interoperable clinical decision support for patient-centered chronic pain management in primary care.Implementation science : IS · 2022Article
- Environmental scan of family chart linking for genetic cascade screening in a U.S. integrated health system.Frontiers in genetics · 2022Article
- Barriers to the Use of Clinical Decision Support for the Evaluation of Pulmonary Embolism: Qualitative Interview Study.JMIR human factors · 2021Article
- Disappearing expertise in clinical automation: Barcode medication administration and nurse autonomy.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- A Sociotechnical Approach to Analyze Pharmaceutical Policy and Services Management in Primary Health Care in a Brazilian Municipality.Pharmacy (Basel, Switzerland) · 2021Article
- NIATx-TI versus typical product training on e-health technology implementation: a clustered randomized controlled trial study protocol.Implementation science : IS · 2020Article
- Graphical Presentations of Clinical Data in a Learning Electronic Medical Record.Applied clinical informatics · 2020Article
- Organizational diagnostics: a systematic approach to identifying technology and workflow issues in clinical settings.JAMIA open · 2020Article
- Improving the Effectiveness of Health Information Technology: The Case for Situational Analytics.Applied clinical informatics · 2019Article
- Technology barriers and strategies in coordinating care for chronically ill patients.Applied ergonomics · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeWhen barcode medication administration (BCMA) is implemented nurses are required to integrate not only a new set of procedures or artifacts into everyday work, but also an orientation to medication safety itself that is sometimes at odds with their own. This paper describes how the nurses' orientation (the Practice Frame) can collide with the orientation that is represented by the technology and its implementation (the System Frame), resulting in adaptations at the individual and organization levels.
methodsThe paper draws on two qualitative research studies that examined the implementation of BCMA in inpatient settings using observation and ethnographic fieldwork, content analysis of email communications, and interviews with healthcare professionals.
resultsTwo frames of reference are described: the System Frame and the Practice Frame. We found collisions of these frames that prompted adaptations at the individual and organization levels. The System Frame was less integrated and flexible than the Practice Frame, less able to account for all of the dimensions of everyday patient care to which medication administration is tied.
conclusionCollisions in frames during implementation of new technology result in adaptations at the individual and organization level that can have a variety of effects. We found adaptations to be a means of evolving both the work routines and the technology. Understanding the frames of clinical workers when new technology is being designed and implemented can inform changes to technology or organizational structure and policy that can preclude unproductive or unsafe adaptations.
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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.