However, studies found that diverse perspectives also created conflict that was linked to poor team performance. Research on healthcare project teams noted that diverse membership and positive interpersonal interaction was associated with team innovativeness and positive organizational outcomes. ĭuring HIT implementation projects, hospitals need access to various knowledge and skills to uncover interdependencies and critical expectations, and to determine actions. Studies show that teams are usually better problem solvers than individuals perhaps because they represent the combined input of all members, or because team member interactions facilitate learning associated with shared expertise and social interaction. Thus, effective teamwork facilitates collaboration, coordinated effort, and task accomplishment. Diverse members bring new information to the team and they provide connections with others in the organization. To develop solutions and anticipate consequences of change, hospitals populate teams with members with different experience, skill, and knowledge. Project teamwork is a popular strategy that hospitals use to create change. Project teams have not been well studied, even though they are responsible for implementing HIT. Thus, care providers varied implementation experiences combined with differing expectations, objectives, and needs may contribute to the slow and uneven adoption of HIT in hospitals. Those who saw HIT as a benefit to patient care, on the other hand, used the system and advocated for system improvements. Care providers who perceived HIT as a threat, resisted using the HIT system. Studies have also found that hospital staff member's perspectives about HIT processes for, and outcomes of, implementation varied by organizational identity, role, and work unit, causing variation in action. HIT impact studies identified unanticipated social effects, such as reallocated work, interrupted work processes, altered information exchange, communication patterns, and interpersonal relationships, and in some cases, patient harm. Thus, best implementation methods remain largely unknown. The majority of studies used retrospective, self reported data, focused mainly on HIT system users, usually physicians, and evaluated a single type of HIT system, such as provider order entry. Finally, generalizability of HIT impact studies is hampered by methodological concerns. Second, HIT efficacy studies often discuss lessons learned however these lessons were explanations of findings, rather than empirical observations. First, the majority of hospital HIT implementation literature is anecdotal and lacks systematic evidence for sound implementation interventions. HIT implementation literature falls into three categories: anecdotal case reports, effectiveness research, and research describing HIT impact in clinical settings. We will use sensemaking to explain the social processes embedded in large scale organization change, and qualitative methods to achieve the following aims: describe and compare sensemaking across multidisciplinary project teams whose members differ in terms of hierarchical role and discipline describe how the sensemaking of multidisciplinary project teams changes over time describe how multidisciplinary project teams' sensemaking influences the actions taken and identify team member behaviors that facilitate or inhibit sensemaking of a multidisciplinary project team. Due to a lack of literature on project teamwork specific to HIT implementation, we rely on the general literature about hospital-based project teamwork. In this study, we will prospectively examine a multidisciplinary project team as it prepares to implement a HIT system in a tertiary care hospital. This study will address two weaknesses identified in the literature on hospital-based HIT implementation: the absence of evidence about strategies to improve implementation and how to construct and manage project teams tasked with HIT implementation. We found few studies of HIT implementation, and this absence may contribute to the slow and inconsistent adoption of HIT observed in hospitals. Hospital-based health information technology (HIT) implementation research is needed to identify reproducible strategies to eliminate barriers to HIT use and promote its adoption and integration.
0 Comments
Leave a Reply. |