Category 6. Change in a Sociotechnical System

24

Most systems are partially or poorly or incompletely integrated into practice

• Inconsistent use and work-arounds increase error

• Benefits are significantly less than anticipated

• Reduced investment

• Focus on the desired outcomes instead of the technology (S/R)

25

Innovation requires locally adaptable systems but interoperability and evidence-based medicine require more standardization

• Limited innovation and standardization

• Management that encourages initiation of improvements by health professionals (S)

• Technology and processes that allow local innovation and flexibility but foster collaboration and learning at a national scale (R)