Measuring Hospital Readiness for Information Technology (IT) Innovation: A Multisite Study of the Organizational Information Technology Innovation Readiness Scale

The Institute of Medicine has stressed the need for health care organizations to increase their use of information technology (IT) to create safer health care environments, particularly in the area of medication safety. However, the rate of successful organizational IT innovation remains low and this is primarily attributed to a lack of organizational IT innovation readiness. The reported study completes the fourth phase in the development of the 48-item Organizational Information Technology Innovation Readiness Scale (OITIRS). The aim of this study was to re-examine the psychometric adequacy of the OITIRS to determine the readiness of three community hospitals to implement a commercial computerized provider order entry (CPOE) medication safety system. Findings supported internal consistency reliability with alpha coefficients from .78 to .92, and mean interitem correlations for the eight subscales ranging from .38 to .65 with a significance level of .01. Construct validity was supported with an overall factor loading range of .49 to .92 across the eight subscales and an explained variance ranged from 33% to 66%. The study findings supported the use of the OITIRS to assess hospital readiness for computer provider order entry system innovation.

[1]  Rainu Kaushal,et al.  Computerized Physician Order Entry ( CPOE ) with Clinical Decision Support Systems ( CDSSs ) , 2001 .

[2]  K. McDonald,et al.  Making health care safer: a critical analysis of patient safety practices. , 2001, Evidence report/technology assessment.

[3]  D. Bates,et al.  Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. , 1998, JAMA.

[4]  N. Dickey,et al.  Systems analysis of adverse drug events. , 1996, JAMA.

[5]  B. Munro.  Statistical methods for health care research , 1986 .

[6]  Gary W. Muller,et al.  Designing Effective Organizations: The Sociotechnical Systems Perspective , 1988 .

[7]  T. Massaro.  Introducing physician order entry at a major academic medical center: I. Impact on organizational culture and behavior. , 1993 .

[8]  Edward G. Carmines,et al.  Reliability and Validity Assessment , 1979 .

[9]  E. Huff.  Systems analysis of adverse drug events. , 1996, JAMA.

[10]  D. Bates,et al.  Systems analysis of adverse drug events. ADE Prevention Study Group. , 1995, JAMA.

[11]  B. Kaplan,et al.  Culture counts: how institutional values affect computer use. , 2000, M.D. computing : computers in medical practice.

[12]  Rita Snyder-Halpern,et al.  Indicators of organizational readiness for clinical information technology/systems innovation: a Delphi study , 2001, Int. J. Medical Informatics.

[13]  G. Zaltman,et al.  Innovations and organizations , 2020, Organizational Innovation.

[14]  Mary E. Mills,et al.  Information Management in Nursing and Health Care , 1996 .

[15]  H. E. Tinsley,et al.  Uses of factor analysis in counseling psychology research. , 1987 .

[16]  Robert F. DeVellis,et al.  Scale Development: Theory and Applications. , 1992 .

[17]  Rita Snyder-Halpern.  Development and pilot testing of an Organizational Information Technology/Systems Innovation Readiness Scale (OITIRS) , 2002, AMIA.

[18]  Chris Sauer,et al.  Research Paper: Information Technology in Complex Health Services: Organizational Impediments to Successful Technology Transfer and Diffusion , 1997, J. Am. Medical Informatics Assoc..

[19]  Paul N. Gorman,et al.  Physician order entry in U.S. hospitals , 1998, AMIA.

[20]  R. Sitgreaves.  Psychometric theory (2nd ed.). , 1979 .

[21]  C. Waltz,et al.  Measurement in nursing research , 1984 .

[22]  P J Schneider,et al.  ASHP national survey of pharmacy practice in acute care settings: dispensing and administration--1999. , 2000, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.

[23]  J Lightfoot,et al.  Relationship of organizational culture and readiness for change to employee commitment to the organization. , 2000, The Journal of nursing administration.

[24]  Mark Chaffin,et al.  Research in Action , 1994 .

[25]  William W. Stead,et al.  Review: Computer-based Physician Order Entry: The State of the Art , 1994, J. Am. Medical Informatics Assoc..

[26]  Chris Sauer,et al.  Lessons from a failed information systems initiative: issues for complex organisations , 1999, Int. J. Medical Informatics.