Managing the complexity of a systemwide electronic medical record design and implementation: lessons for nurse leaders

Nurs Adm Q. 2009 Apr-Jun;33(2):109-15. doi: 10.1097/NAQ.0b013e3181a10c64.


Nurse executives are critical to the successful planning, implementation, and adoption of technology to support the workflow and documentation needs of nurses and other end users. Informed by key principles of complexity theory, the enormous task of broad-based implementation of a standardized electronic medical record can be accomplished through the thoughtful development of flexible structures and change management principles that promote intelligent decision making and adoption by key stakeholders.

MeSH terms

  • Arizona
  • Humans
  • Leadership
  • Medical Records Systems, Computerized / organization & administration*
  • Nurse Administrators*
  • Organizational Culture
  • Organizational Innovation