A case study of CPOE adoption and use: work-arounds and their social-technical implications.

This study applies ethnographically-based methods to investigate the socio-technical issues during and after a CPOE system implementation. The research is conducted in an inpatient unit at an academic medical center, where the CPOE is being implemented and clinicians have found to develop ways to workaround the system. The findings of the study will help improve our understanding of the interaction between people, information, and IT systems in a highly efficient and highly collaborative clinical environment.