Introductory Essay: Improvisation As a Mindset for Organizational Analysis
Organization Science
Sensemaking in Technology-Use Mediation: Adapting Groupware Technology in Organizations
Computer Supported Cooperative Work
The role of identity in health information systems development: a case analysis from Mozambique
Information Technology for Development - Special issue: Information technology for health care in Mozambique
Information Technology for Development - Special issue: Information technology for health care in Mozambique
Integration of hospital data using agent technologies - A case study
AI Communications - Agents Applied in Health Care
SIGMCC: A system for sharing meta patient records in a Peer-to-Peer environment
Future Generation Computer Systems
MobileMed: A PDA-Based Mobile Clinical Information System
IEEE Transactions on Information Technology in Biomedicine
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Extant research on the implementation of health information systems (HIS) provides guidance on how to implement future HIS and little guidance on how to steer a current HIS implementation towards specified outcomes. We contribute to this gap by providing theoretical clarity on stakeholder responses to change brought about by HIS implementation, and how such responses may impact HIS implementation outcomes. Building on Heeks' view [27] that stakeholders engage in improvisation to bridge design-reality gaps during HIS implementation, we elaborate on improvisation, and distinguish it from adaptation. We then establish the link between improvisation and HIS implementation outcomes by adopting Vera's revised model [44] to propose that improvisation will have a positive impact on HIS implementation outcomes when stakeholders have higher levels of expertise and teamwork skills, and where the healthcare institution adopts an experimental culture characterized by higher levels of real-time information & communication. There is however a need to balance the effects of organizational memory. A key limitation in our present contribution is its theoretical nature.