The computerized medication administration record (MAR) was a chart of all of the medications administered to a patient by a hospital. Kate, a programmer/analyst in the Management Information Systems department, led a team to computerize the MAR. The team had been working on the pilot project for a year and hoped for a smooth execution. The computerized MAR was launched and immediately failed. By 10:00 a.m., floor nurses and staff pharmacists complained that the system did not work and was too complicated. After hearing nurses complaints, physicians expressed concern about patient safety. At 1:30 p.m., the computer system crashed, and the MAR project was suspended. Kate assembled the project team to study the project failure. Kate will make a presentation to Central Hospitals management group on the MAR project failure.

1. What structural change is indicated at Integrated Health?
2. What caused MAR to fail?
3. Why are the nurses resisting the MAR project?
4. What techniques should be used to overcome the barriers to change?