Bartos, CE and Butler, BS and Crowley, RS
(2011)
Ranked Levels of Influence model: Selecting influence techniques to minimize IT resistance.
Journal of Biomedical Informatics, 44 (3).
497 - 504.
ISSN 1532-0464
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Abstract
Implementation of electronic health records (EHR), particularly computerized physician/provider order entry systems (CPOE), is often met with resistance. Influence presented at the right time, in the right manner, may minimize resistance or at least limit the risk of complete system failure. Combining established theories on power, influence tactics, and resistance, we developed the Ranked Levels of Influence model. Applying it to documented examples of EHR/CPOE failures at Cedars-Sinai and Kaiser Permanente in Hawaii, we evaluated the influence applied, the resistance encountered, and the resulting risk to the system implementation. Using the Ranked Levels of Influence model as a guideline, we demonstrate that these system failures were associated with the use of hard influence tactics that resulted in higher levels of resistance. We suggest that when influence tactics remain at the soft tactics level, the level of resistance stabilizes or de-escalates and the system can be saved. © 2010 Elsevier Inc.
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Details
Item Type: |
Article
|
Status: |
Published |
Creators/Authors: |
Creators | Email | Pitt Username | ORCID  |
---|
Bartos, CE | ceb2@pitt.edu | CEB2 | | Butler, BS | | | | Crowley, RS | | | |
|
Date: |
1 June 2011 |
Date Type: |
Publication |
Journal or Publication Title: |
Journal of Biomedical Informatics |
Volume: |
44 |
Number: |
3 |
Page Range: |
497 - 504 |
DOI or Unique Handle: |
10.1016/j.jbi.2010.02.007 |
Schools and Programs: |
School of Medicine > Biomedical Informatics |
Refereed: |
Yes |
ISSN: |
1532-0464 |
Article Type: |
Review |
MeSH Headings: |
Electronic Health Records; Hawaii; Humans; Medical Informatics; Medical Order Entry Systems; Models, Theoretical; Physicians |
Other ID: |
NLM NIHMS182541, NLM PMC2892561 |
PubMed Central ID: |
PMC2892561 |
PubMed ID: |
20176135 |
Date Deposited: |
29 Aug 2012 20:55 |
Last Modified: |
02 Feb 2019 16:56 |
URI: |
http://d-scholarship.pitt.edu/id/eprint/13787 |
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