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Table 3. Dimensions of collective mindfulness in HRO compared to those of a HIT project
Concerns Collective
mindfulness
processes in HROs Collective mindfulness
processes in HIT
project Description
Anticipating
the
unexpected Preoccupation with
failure Preoccupation with
constraints and
preconditions Widespread questioning of
preconditions and effects of
decisions, seeking to check and
validate the assumptions acted
upon before decisions were
implemented. [16]
Reluctance to
simplify
interpretations Reluctance to premature
commitment Unwillingness to proceed on
insufficiently known ground.
Decisions and proposals
questioned and examined for
their upstream and downstream
requirements and consequences.
Plans considered tentative. [16]
Sensitivity to
operations Sensitivity to
interdependencies and
continuous prioritisation Collectively constructed
understanding achieved through
collaborative workflow
mapping and graphical charting
to detect interconnections and
dependencies between elements
in the work system. [16]
Containing
the
unexpected Commitment to
resilience Commitment to avoid
disruptions Maintaining as smooth an
operation as possible and
minimising disruptive changes
as guiding principles in the
decision processes. [16]
Deference to
expertise Seeking out appropriate
mix of expertise In considerations of the effects
of planned changes, seeking
appropriate mix of expertise - a
constellation of actors that
would be able to cover the
necessary domains and ensure
that preconditions and
consequences are noticed. [16]
3. Explanations of success or failure of the health IT implementation
Practitioners and researchers of HIT implementations are often concerned with the
success or failure of projects. They seek rules or guidelines as âpaths to successâ, or to
prevent or solve HIT implementation failures. What does the theory of collective
mindfulness, applied to the case above, contribute to this perspective?
The theory of collective mindfulness originally described activities of HROs as
mindful organising enabling the achievement of reliability (prevention and containment
of hazards) in high risks businesses. In this light, success and failure pertained to
organisations as a whole and reflected the actualisation (or not) of hazards.
Instead, the case explored in this chapter draws attention to the ongoing processes
of adoption that make organisational IT evolve and change. From this perspective, the
definition of âimplementation successâ is rather loose and fuzzy. The hospital eventually
reached the goal of âgoing paperlessâ â what we may call âsuccessâ â, but in a more
roundabout way than originally envisaged and taking longer than planned. Surprises and
V.LichtnerandJ.I.Westbrook /CollectiveMindfulnessandProcessesofSensemaking 105
zurĂŒck zum
Buch Applied Interdisciplinary Theory in Health Informatics - Knowledge Base for Practitioners"
Applied Interdisciplinary Theory in Health Informatics
Knowledge Base for Practitioners
- Titel
- Applied Interdisciplinary Theory in Health Informatics
- Untertitel
- Knowledge Base for Practitioners
- Autoren
- Philip Scott
- Nicolette de Keizer
- Andrew Georgiou
- Verlag
- IOS Press BV
- Ort
- Amsterdam
- Datum
- 2019
- Sprache
- englisch
- Lizenz
- CC BY-NC 4.0
- ISBN
- 978-1-61499-991-1
- Abmessungen
- 16.0 x 24.0 cm
- Seiten
- 242
- Kategorie
- Informatik