Reviewing the Problem

  • Nancy M. Lorenzi
  • Robert T. Riley
Part of the Health Informatics Series book series (HI)


A large hospital in the United States hired a new president who had a quite limited knowledge of computers. This hospital had previously tried unsuccessfully to implement a hospital information system (HIS). The new president set the HIS area as a top priority and hired a friend and former colleague whom he trusted as his chief information officer (CIO). A flamboyant character to say the least, this new CIO swept into the organization, loudly announcing that he had come to bring enlightenment to the technological barbarians. At the more personal level, he often lamented loudly and long to anyone who would listen about the horrors of living amid provincials, far from his beloved and sophisticated home.


Information System Hospital Information System Health Information System Organizational Issue Organizational Skill 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Williams LS. Microchips versus stethoscopes: Calgary hospital MDs face off over controversial computer system. Can Med Assoc J 1992; 10: 1534–1547.Google Scholar
  2. 2.
    Flowers S. Software Failure: Management Failure: Amazing Stories and Cautionary Tales. Chichester: Wiley, 1996.Google Scholar
  3. 3.
    Williams J, Canfield KIP, Ritondo M. IT lessons from the Food and Drug Administration’s CANDA program. Failure and Lessons Learned in Information Technology Management 1997; 1: 39–40.CrossRefGoogle Scholar
  4. 4.
    Miles RE, Snow CC. Fit, Failure and the Hall of Fame. New York: Free Press, 1994.Google Scholar
  5. 5.
    Lorenzi NM, Riley RT, Southon G, Dixon BJ. Antecedents of the people and organizational aspects of medical informatics: review of the literature. J Am Med Inform Assoc 1997; 4 (2): 79–93.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2004

Authors and Affiliations

  • Nancy M. Lorenzi
    • 1
  • Robert T. Riley
  1. 1.Informatics Center, Eskind Biomedical LibraryVanderbilt University Medical CenterNashvilleUSA

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