INTEGRATIVE CASE 7.0 Sometimes a Simple Change Isnt so SimpleINTEGRATIVE CASE 7.0 Sometimes a Simple Change Isnt so Simple

INTEGRATIVE CASE 7.0 Sometimes a Simple Change Isn’t so Simple

INTEGRATIVE CASE 7.0 Sometimes a Simple Change Isn’t So Simple

OVERVIEW The computerized medication administration record (MAR) was a chart of all of the medications administered to a patient by a hospital. Kate, a programmer/analyst in the Management Information Systems department, led a team to computerize the MAR. The team had been working on the pilot project for a year and hoped for a smooth execution. The computerized MAR was launched and immediately failed. By 10:00 a.m., floor nurses and staff pharmacists complained that the system did not work and was too complicated. After hearing nurses complaints, physicians expressed concern about patient safety. At 1:30 p.m., the computer system crashed, and the MAR project was suspended. Kate assembled the project team to study the project failure. Kate will make a presentation to Central Hospital s management group on the MAR project failure.

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ASSIGNMENT QUESTIONS What structural change is indicated at Integrated Health (organic? Mechanistic? Rigid? Flexible? Decentralized? Centralized? Size? (see chapter 1, 7, and 8) What type of an environment was this discuss level of uncertainty, dynamism, complexity (see chapter 4)? How did it change? What caused MAR to fail? Why? Integrate concepts from the text. Do not just type up what we can read in the case anyway. Why are the nurses resisting the MAR project? (consult chapter 10 here) What techniques should be used to overcome the barriers to change? (consult chapter 11 for this question) You should not approach this case with a read and type your answers from the case  view. In fact, just the opposite each sentence that you type should have a connection to the course concepts relevant to your case. Your answers should clearly integrate the course concepts. This is the minimum requirement for getting a passing grade C. If you make the integration accurately and adequately, showing that you have read AND understood the concepts and the case, you will likely get a B. Beyond that, if you further show that you have thought about the integration and connection critically and questioned your own recommendations and analyzed under what conditions your recommendation might or might not work, you will likely get an A, provided no writing/grammar etc. mistakes exist.