Christmas in The Netherlands For most children in The Netherlands, the most important day during December is 5th December, when Sinterklaas (St. Nicholas) brings them their presents!St. Nicholas' Day is on the 6th December, but in The Netherlands, the major celebrations are held on the 5th December, St.
by Melanie Neumeier, RNMasters of Nursing Student,Memorial University of Newfoundland and LabradorAbstractThe high incidence of preventable medical errors in health care is a key factor that has led to pressure on health care organizations to implement electronic medical records (EMRs) as a means to mitigate the issues antecedent to these adverse outcomes. However, despite the potential benefits of implementing an EMR, the adoption of this technology has been slow. There are many potential barriers to the implementation of an EMR with the most salient being poor change management. There are many change management theories available and two that have been used to successfully implement technological innovations in health care are Kotter’s Change Management Theory and Rogers’ Innovation Diffusion theory. This article presents a theoretical discussion of how a combination of these two theories could be applied in practice to successfully implement an EMR.Key WordsElectronic medical record, change management, innovation diffusion, Kotter’s Change Management Theory, Rogers’ Innovation Diffusion theoryIntroductionThe trend in the United States following the Institute of Medicine (IOM) report To Err is Human: Building a Safer Health System has been to move toward the adoption of an electronic health record (EHR) as a means to transform health care and improve patient safety (Pomerleau, 2008). The goal of an electronic health record that connects care providers to patient information nationwide has permeated the Canadian health care system as well, but before a national EHR can be realized, health regions across the country need to implement an electronic medical record (EMR). The electronic medical record (EMR) allows for efficient access to patient information and can include functions such as computerized prescriber order entry (CPOE) and electronic medication administration record (eMAR) (Holtz & Krein, 2011). Using an EMR with CPOE improves access to more complete patient information (Holtz & Krein, 2011), enhances medication safety, decreases prescribing errors (Horning, 2011), and eliminates the need for redundant data entry and the potential for error that causes (McLane, 2005). Yet despite these benefits many health regions are slow to adopt this technology (Wolf, 2006). One of the reasons for this slow adoption may be that reports show up to 50 per cent of attempts to implement health information technology (HIT) initiatives fail (McLane, 2005). Barriers to the successful implementation of an EMR identified in the literature include: high costs, lack of standardization, concerns about privacy, and an unwillingness of staff to accept and use the new system (Hillestead et al., 2005; McLane, 2005).Effective change management is integral to the successful implementation of an EMR (McCarthy & Eastman, 2010). Change management is about engaging and preparing people. It is about behavior change, maximizing abilities, and achieving results.
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← 198516 November 19881990 →207 of 237 seats in National Assembly104 seats needed for a majorityTurnout43.5% ( 9.4%) First party Second party Leader Benazir BhuttoNawaz SharifParty PPPIJILeader since 10 January 1984 16 September 1988 Leader's seat LarkanaLahoreSeats won 94 56 Popular vote 7,546,561 5,908,741 Percentage 38.5% 30.2% General elections were held in Pakistan on 16 November 1988, electing the 336 members of the National Assembly and 100 members of the Senate. The Pakistan Peoples Party (PPP), led by Benazir Bhutto, beat the technocraticmilitary government of dead General Zia-ul-Haq, winning 94 of the 207 seats in the National Assembly. This was the second of four non-consecutive victories for the PPP and saw Benazir became Pakistan's – and the Muslim world's — first female head of government.
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