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Leading change: introducing an electronic medical record system to a paramedic service

Leading change: introducing an electronic medical record system to a paramedic service PurposeLeaders in health-care organizations introducing electronic medical records (EMRs) face implementation challenges. The adoption of EMR by the emergency medical and ambulance setting is expected to provide wide-ranging benefits, but there is little research into the processes of adoption in this sector. The purpose of this study is to examine the introduction of EMR in a small emergency care organization and identify factors that aided adoption.Design/methodology/approachSemi-structured interviews with selected paramedics were followed up with a survey issued to all paramedics in the company.FindingsThe user interfaces with the EMR, and perceived ease of use, were important factors affecting adoption. Individual paramedics were found to have strong and varied preferences about how and when they integrated the EMR into their practice. As company leadership introduced flexibility of use, this enhanced both individual and collective ability to make sense of the change and removed barriers to acceptance.Research limitations/implicationsThis is a case study of one small organization. However, there may be useful lessons for other emergency care organizations adopting EMR.Practical implicationsLeaders introducing EMR in similar situations may benefit from considering a sense-making perspective and responding promptly to feedback.Originality/valueThe study contributes to a wider understanding of issues faced by leaders who seek to implement EMRs in emergency medical services, a sector in which there has been to date very little research on this issue. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Leadership in Health Services Emerald Publishing

Leading change: introducing an electronic medical record system to a paramedic service

Leadership in Health Services , Volume 29 (2): 15 – Jan 1, 2016

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References (45)

Publisher
Emerald Publishing
Copyright
Copyright © Emerald Group Publishing Limited
ISSN
1751-1879
DOI
10.1108/LHS-04-2015-0012
pmid
27198703
Publisher site
See Article on Publisher Site

Abstract

PurposeLeaders in health-care organizations introducing electronic medical records (EMRs) face implementation challenges. The adoption of EMR by the emergency medical and ambulance setting is expected to provide wide-ranging benefits, but there is little research into the processes of adoption in this sector. The purpose of this study is to examine the introduction of EMR in a small emergency care organization and identify factors that aided adoption.Design/methodology/approachSemi-structured interviews with selected paramedics were followed up with a survey issued to all paramedics in the company.FindingsThe user interfaces with the EMR, and perceived ease of use, were important factors affecting adoption. Individual paramedics were found to have strong and varied preferences about how and when they integrated the EMR into their practice. As company leadership introduced flexibility of use, this enhanced both individual and collective ability to make sense of the change and removed barriers to acceptance.Research limitations/implicationsThis is a case study of one small organization. However, there may be useful lessons for other emergency care organizations adopting EMR.Practical implicationsLeaders introducing EMR in similar situations may benefit from considering a sense-making perspective and responding promptly to feedback.Originality/valueThe study contributes to a wider understanding of issues faced by leaders who seek to implement EMRs in emergency medical services, a sector in which there has been to date very little research on this issue.

Journal

Leadership in Health ServicesEmerald Publishing

Published: Jan 1, 2016

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