Workarounds and EHR Implementation 1 Electronic Health Record Implementation: The Mediating Role of Workarounds on Resistance, Communication, and Perceived Implementation Success

Purpose: In this presentation we share our latest research on the role coworker social influence and workarounds play in the implementation of electronic health records (EHR). This study relies on theories of organizational change and adaptive structuration theory to build and test an HIT workaround model. The findings suggest the workarounds are symbolic of a socially shared solution to overcome inadequacies in new EHR technology. While our study did not examine the impact on outcomes like patient safety, our findings challenge scholarship that depicts workarounds as stunting communication in organizations and resembling erratic, individually executed, quick fixes to immediate problems. The hypotheses constructing our model include: