Tightrope Walking: Standardization Meets Local Work-Practice in a Hospital

Tightrope Walking: Standardization Meets Local Work-Practice in a Hospital

Gunnar Ellingsen (University of Tromso, Norway)
DOI: 10.4018/978-1-59140-938-0.ch012
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Traditionally, uniform and standardized IT-solutions in health care are considered mechanisms for increased control, efficiency and quality. Unfortunately, in spite of existing studies of the actual experiences of standardization, such as how they come into being, and how they are intertwined with local practice, unreasonable belief in standardization seems to prevail. Acknowledging the origin of standardization and its local character, however, does not mean that standardization is futile or should be avoided. It rather means that standardization efforts should balance the management level’s need for increased coordination and control, and the local level’s need for flexibility. The aim of this chapter is to strike this balance as it elaborates the implications and the “costs” for local practice in order to make a standard work. Empirically, the chapter draws on a standardization effort of discharge letter production in the University Hospital of Northern Norway.

Complete Chapter List

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Table of Contents
Kai Jakobs
Chapter 1
Henk J.D. Vries
A scientific community needs well-defined and agreed-upon concepts with related terms as a basis for a sound academic discourse. The field of IT... Sample PDF
IT Standards Typology
Chapter 2
Ken Krechmer
An open society, if it utilizes communications systems, requires open standards. The personal-computer revolution and the Internet have resulted in... Sample PDF
Open Standards Requirements
Chapter 3
Alfred G. Warner
This chapter extends the examination of block alliances in standard setting from market-driven to formal or committee-based processes in the... Sample PDF
Block Alliances and the Formation of Standards in the ITC Industry
Chapter 4
Tineke M. Egyedi, Ruben V.W.D. Joode
Open-source software (OSS) offers programmers the opportunity to elaborate and adapt source code. It is an opportunity to diverge. We would... Sample PDF
Standardization and Other Coordination Mechanisms in Open Source Software
Chapter 5
Tineke M. Egyedi
This chapter analyzes the rhetoric that surrounds the problem of consortia, that is, the supposed lack of democratic procedures. The social shaping... Sample PDF
Beyond Consortia, Beyond Standardization? Redefining the Consortium Problem
Chapter 6
Marc V. Wegberg
The consortia movement in the standardization world has led to a fragmentation of standardization processes. This fragmentation is partly of a... Sample PDF
Standardization and Competing Consortia: The Trade-Off between Speed and Compatibility
Chapter 7
M. H. Sherif
This chapter presents an analysis of the political, marketing, and technical aspects associated with the perception that standardization is slow. A... Sample PDF
When is Standardization Slow?
Chapter 8
Jürgen Wehnert
There is one thing most people seem to know about standardisation: It is slow. While innovation rates and product cycles grow shorter the principal... Sample PDF
Ready – Set – Slow: A View from Inside a CEN Working Group
Chapter 9
Gary Lea
The author seeks to illustrate some of the ongoing problems that patents present for those seeking to standardize in the ICT field. The chapter... Sample PDF
Patent and Antitrust Problems Revisited in the Context of Wireless Networking
Chapter 10
Knut Blind, Nikolaus Thumm
This chapter presents the first attempt at analyzing the relationship between strategies to protect intellectual property rights and their impact on... Sample PDF
Intellectual Property Protection and Standardization
Chapter 11
M. H. Sherif
Management of standardization must be part of an overall strategy for knowledge management. This principle is illustrated with the help of a... Sample PDF
Standards for Telecommunication Services
Chapter 12
Gunnar Ellingsen
Traditionally, uniform and standardized IT-solutions in health care are considered mechanisms for increased control, efficiency and quality.... Sample PDF
Tightrope Walking: Standardization Meets Local Work-Practice in a Hospital
Chapter 13
Mark Ginsburg
Scientific research is hindered when there are artificial barriers preventing the efficient and straightforward sharing of bibliographic... Sample PDF
Unified Citation Management and Visualization Using Open Standards: The Open Citation System
Chapter 14
Sangin Park
The standardization issue in the ICT industry is mainly compatibility in the presence of network externalities. The compatibility in Economics... Sample PDF
Standardization and Network Externalities
Chapter 15
Tim Weitzel, Oliver Wendt, Daniel Beimborn, Daniel Konig
n this chapter, some of the main results of an interdisciplinary research project on standards are presented and integrated into a single framework... Sample PDF
Network Effects and Diffusion Theory: Extending Economic Network Analysis
Chapter 16
Mark Pruett, Hun Lee, Ji-Ren Lee, Donald O’Neal
This chapter presents a conceptual model of strategic choice for high-technology start-up firms in the face of network externalities—the strength of... Sample PDF
How High-Technology Start-Up Firms May Overcome Direct and Indirect Network Externalities
Chapter 17
Scott Moseley, Steve Randall, Anthony Wiles
Traditionally, conformance testing has been the domain of the telecommunications industry, while interoperability testing has mainly been limited to... Sample PDF
In Pursuit of Interoperability
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