The Role of Anchoring in Actualizing IT Affordances in EMR Implementations
Bibliographic record
Abstract
Affordances are useful theoretical tools to study IT mediated organizational change. Affordance actualization process provides a temporal structure to build a model that lays out a non-deterministic sequence to understand the changes that happen in organizations on the introduction of new IS. Affordances and affordance actualization have been studied in many contexts with the focus on material agency of the new IS or human agency of the user groups. Using the case of an EMR implementation in a family and urgent care clinic in Canada observed over 5 years, we discovered that anchoring on legacy systems in place before the EMR implementation has a significant influence in the actualization of affordances of the new IS. We present an affordance actualization process model including the anchoring influence observed, to provide a richer explanation of affordance actualization in EMR implementations.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.009 | 0.062 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.003 | 0.009 |
| Scholarly communication | 0.006 | 0.014 |
| Open science | 0.001 | 0.005 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.007 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".