. "4 The Road to CPR Implementation." The Computer-Based Patient Record: An Essential Technology for Health Care, Revised Edition. Washington, DC: The National Academies Press, 1997.
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TABLE 4-1 Change Agents and Stakeholders Important to the Implementation of Computer-based Patient Record Systems
Joint Commission for Accreditation of Healthcare Organizations
Yes/national
No
Patients
No
Yes
Patient groups
Yes/local to national
Yes
Professional associations
Yes/national
Yes
Professional schools
Yes/regional to national
Yes
Provider institutions
Yes/local
Yes
Researchers
No
Yes
Third-party payers
Yes/local to national
Yes
Universities
Yes/regional to national
Yes
a A specific agency of the National Institutes of Health.
Health Care Professionals and Professional Associations
Health care professionals bear a dual burden: they must learn to use a new technology, and they must change their behavior. Some professionals may view the CPR as a threat to their professional roles and resist implementation of CPR systems through attempts at circumvention or even system sabotage (Dowling, 1987). Alternatively, professionals can support
