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Organizational learning and large-scale change: Adoption of electronic medical records

Posted on:2011-10-31Degree:Ph.DType:Dissertation
University:Walden UniversityCandidate:Chavis, Virginia DFull Text:PDF
GTID:1448390002462594Subject:Information Technology
Abstract/Summary:
Despite implementation of electronic medical record (EMR) systems in the United States and other countries, there is no organizational development model that addresses medical professionals' attitudes toward technology adoption in a learning organization. The purpose of this study was to assess whether a model would change those attitudes toward use of an EMR system. The research questions examined whether EMR experience, age, job role, years in specialization, and learning culture influence technology adoption. Organizational learning, sociocultural model, fifth discipline model, and the Dimensions of Learning Organization QuestionnaireRTM model theories were used to guide the study. The research methodology was a mixed-method electronic and paper survey. The unit of analysis was 1576 medical professionals at St. Joseph's Hospital and Medical Center. After data collection, the resulting information was analyzed using correlation analysis, two-sample t tests, and analysis of variance. A significant positive correlation was found between technology adoption and learning culture. A clear recommendation is that executive management planning to implement an EMR should focus on human factors, group relations, and learning cultures, in order to reduce barriers for those most likely to adopt it. EMR should enhance positive social change by accelerating the diffusion of complete, accurate, and timely medical knowledge that will benefit not only the organization but the patient.
Keywords/Search Tags:Medical, Organization, EMR, Electronic, Adoption, Change
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