Unity in Diversity: Electronic Patient Record Use in Multidisciplinary Practice. / Oborn, Eivor; Barrett, Michael; Davidson, Elizabeth.

In: Information Systems Research, Vol. 22, No. 3, 22(3), 2011, p. 547-564.

Research output: Contribution to journalArticlepeer-review

Published

Standard

Unity in Diversity: Electronic Patient Record Use in Multidisciplinary Practice. / Oborn, Eivor; Barrett, Michael; Davidson, Elizabeth.

In: Information Systems Research, Vol. 22, No. 3, 22(3), 2011, p. 547-564.

Research output: Contribution to journalArticlepeer-review

Harvard

Oborn, E, Barrett, M & Davidson, E 2011, 'Unity in Diversity: Electronic Patient Record Use in Multidisciplinary Practice', Information Systems Research, vol. 22, no. 3, 22(3), pp. 547-564. https://doi.org/10.1287/isre.1110.0372

APA

Oborn, E., Barrett, M., & Davidson, E. (2011). Unity in Diversity: Electronic Patient Record Use in Multidisciplinary Practice. Information Systems Research, 22(3), 547-564. [22(3)]. https://doi.org/10.1287/isre.1110.0372

Vancouver

Oborn E, Barrett M, Davidson E. Unity in Diversity: Electronic Patient Record Use in Multidisciplinary Practice. Information Systems Research. 2011;22(3):547-564. 22(3). https://doi.org/10.1287/isre.1110.0372

Author

Oborn, Eivor ; Barrett, Michael ; Davidson, Elizabeth. / Unity in Diversity: Electronic Patient Record Use in Multidisciplinary Practice. In: Information Systems Research. 2011 ; Vol. 22, No. 3. pp. 547-564.

BibTeX

@article{6421323fcc0c42f9bf28bb1c3cddb2ea,
title = "Unity in Diversity: Electronic Patient Record Use in Multidisciplinary Practice",
abstract = "In this paper we examine the use of electronic patient records (EPR) by clinical specialists in their development of multidisciplinary care for diagnosis and treatment of breast cancer. We develop a practice theory lens to investigate EPR use across multidisciplinary team practice. Our findings suggest that there are oppositional tendencies towards diversity in EPR use and unity which emerges across multidisciplinary work, and this influences the outcomes of EPR use. The value of this perspective is illustrated through the analysis of a year-long, longitudinal case study of a multidisciplinary team of surgeons, oncologists, pathologists, radiologists, and nurse specialists adopting a new EPR. Each group adapted their use of the EPR to their diverse specialist practices, but they nonetheless orientated their use of the EPR to each others{\textquoteright} practices sufficiently to support unity in multidisciplinary teamwork. Multidisciplinary practice elements were also reconfigured in an episode of explicit negotiations, resulting in significant changes in EPR use within team meetings. Our study contributes to the growing literature that questions the feasibility and necessity of achieving high levels of standardized, uniform health information technology use in healthcare.",
keywords = "multidisciplinary, practice theory, electronic patient record, unity, IT adoption, information systems and organizational change, case study, longitudinal research, diversity ",
author = "Eivor Oborn and Michael Barrett and Elizabeth Davidson",
year = "2011",
doi = "10.1287/isre.1110.0372",
language = "English",
volume = "22",
pages = "547--564",
journal = "Information Systems Research",
issn = "1047-7047",
publisher = "INFORMS Inst.for Operations Res.and the Management Sciences",
number = "3",

}

RIS

TY - JOUR

T1 - Unity in Diversity: Electronic Patient Record Use in Multidisciplinary Practice

AU - Oborn, Eivor

AU - Barrett, Michael

AU - Davidson, Elizabeth

PY - 2011

Y1 - 2011

N2 - In this paper we examine the use of electronic patient records (EPR) by clinical specialists in their development of multidisciplinary care for diagnosis and treatment of breast cancer. We develop a practice theory lens to investigate EPR use across multidisciplinary team practice. Our findings suggest that there are oppositional tendencies towards diversity in EPR use and unity which emerges across multidisciplinary work, and this influences the outcomes of EPR use. The value of this perspective is illustrated through the analysis of a year-long, longitudinal case study of a multidisciplinary team of surgeons, oncologists, pathologists, radiologists, and nurse specialists adopting a new EPR. Each group adapted their use of the EPR to their diverse specialist practices, but they nonetheless orientated their use of the EPR to each others’ practices sufficiently to support unity in multidisciplinary teamwork. Multidisciplinary practice elements were also reconfigured in an episode of explicit negotiations, resulting in significant changes in EPR use within team meetings. Our study contributes to the growing literature that questions the feasibility and necessity of achieving high levels of standardized, uniform health information technology use in healthcare.

AB - In this paper we examine the use of electronic patient records (EPR) by clinical specialists in their development of multidisciplinary care for diagnosis and treatment of breast cancer. We develop a practice theory lens to investigate EPR use across multidisciplinary team practice. Our findings suggest that there are oppositional tendencies towards diversity in EPR use and unity which emerges across multidisciplinary work, and this influences the outcomes of EPR use. The value of this perspective is illustrated through the analysis of a year-long, longitudinal case study of a multidisciplinary team of surgeons, oncologists, pathologists, radiologists, and nurse specialists adopting a new EPR. Each group adapted their use of the EPR to their diverse specialist practices, but they nonetheless orientated their use of the EPR to each others’ practices sufficiently to support unity in multidisciplinary teamwork. Multidisciplinary practice elements were also reconfigured in an episode of explicit negotiations, resulting in significant changes in EPR use within team meetings. Our study contributes to the growing literature that questions the feasibility and necessity of achieving high levels of standardized, uniform health information technology use in healthcare.

KW - multidisciplinary, practice theory, electronic patient record, unity, IT adoption, information systems and organizational change, case study, longitudinal research, diversity

U2 - 10.1287/isre.1110.0372

DO - 10.1287/isre.1110.0372

M3 - Article

VL - 22

SP - 547

EP - 564

JO - Information Systems Research

JF - Information Systems Research

SN - 1047-7047

IS - 3

M1 - 22(3)

ER -