Managing Innovations: A Study of the Implementation of Electronic Medical Records in Dutch Hospitals

Ferry Koster and Mattijs Lambooij ()
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Ferry Koster: Department of Sociology, Erasmus University Rotterdam, Burgemeester Oudlaan 50, 3000 DR Rotterdam, The Netherlands2TIAS School for Business and Society, Warandelaan 2, TIAS Building, 5037 AB Tilburg, The Netherlands
Mattijs Lambooij: Department of Quality in Health Care and Health Economics, National Institute of Public Health and the Environment, A. Van Leeuwenhoeklaan 9, 3720 BA, Bilthoven, The Netherlands

International Journal of Innovation and Technology Management (IJITM), 2018, vol. 15, issue 01, 1-23

Abstract: Innovation projects are prone to “escalation of commitment” (the tendency to continue projects even if it is clear that they will be unsuccessful). In this study, we introduce a construct measuring the escalation prevention potential (EPP) of innovation projects as perceived by individuals in the organization. EPP consists of three components: (i) goals, (ii) process, and (iii) ability, to shield projects from escalation to commitment. A survey was conducted among 1062 clinicians working in hospitals implementing Electronic Medical Records. The empirical results show that the three theoretical components of EPP sum up to a single measure. Four organizational characteristics of organizations (organizational routines, authentic leadership, employee involvement and support staff quality) explain a large share of the variation in EPP.

Keywords: Innovation; escalation prevention potential; escalation of commitment; electronic medical records (search for similar items in EconPapers)
Date: 2018
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Citations: View citations in EconPapers (4)

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DOI: 10.1142/S0219877018500062

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