Professional agendas and computer-based patient records: negotiating for control

Professional groups approach the computer implementation process as an opportunity both to protect and enhance their ability to perform their work and to negotiate for arrangements that will further their professional agendas. The article examines and compares the professional agendas and negotiating positions of pharmacy and laboratory departments as examples of professional groups involved in the implementation of order entry systems. Findings showed a stronger stance taken by the pharmacy departments in both institutions to exercise as much control as possible over the order entry process. This stance is influenced by both task issues and professional agendas. Understanding the link between these professional agendas and the issues that arise during computer implementation can help guide similar negotiations as institutions adopt computer-based patient record systems.