Table 2 .

Themes

Utterances	Patterns	Themes
“he was…more of a team builder and got people working together” “giving them a lot of special attention”	Culture	Organizational issues
“has caused everybody to become more interdependent” “enjoyed meeting colleagues at the national level” “there were these wonderful rallies and meetings and this sort of thing” “it made you feel part of a team”	Collaboration
“forefront of information technology in use” “trying to get the institution at the forefront” “it was a showcase, the hospital was a showcase”	Pride
“it changed the balance of power” “you have to be very political”	Power, Control
“it’s very important to me that they’re locally developed” [order sets]	Customization,	Clinical issues
“it’s a problem with the dosing in pediatrics”	Local
“age doesn’t matter”	Individual
“[you have to] “figure out little quirks”	Usability,	Technical issues
“you just click quickly” [for order sets]	Order sets
“I just can’t find it on this computer”
“what we have now is a workhorse”
“nurses are programmed to help the new doctors” “each unit was part of the training for the next unit”	Training, Support
“You can literally get somebody admitted and order all their labs and the medicines in, and it, it’s five minutes” [with order sets]	Time
“it’s not a time neutral activity” “you had to sit at the computer terminal rather than giving patient care”
“you gotta think like the guy who programmed it” “if it was an integrated user friendly system…it would be a very good tool to have in any hospital”	Rigidity, Integration	Organization of information issues