4. Results
This section is organized around the four themes, organizational
environment, design history and strategy, critical technical system
features and critical social system features. The organizational
environment subsection informs on the general environment at
the hospital in order to ground the overall study in the understanding
of this environment. It also provides insight into some of the
key challenges that the environment presented with respect to
the EMR system, including varying expectations for the system
from different actors and a challenging user base. The design history
and strategy subsection is related to both the challenges the
hospital faced in adopting the system, and in strategies that helped
overcome these challenges. This is because identifying the correct
design strategy proved to be a great challenge for the hospital, and
the eventual utilization of the correct design strategy was a key to
success. Finally, the critical system features subsection describes
specific aspects of the EMR system that helped meet the needs of
users identified in the earlier subsections. This includes both social
and technical aspects of the system.