Organizational Tensions in the Implementation of Modifiable Off-the-Shelf Technologies in a University Hospital: Qualitative Multimethod Study

Alessia Nowak   ^{1 *} , MSc ;   Carolina Gaul   ^{1 *} , MSc ;   Elena Hinz   ¹ ;   Christine Knoll   ^{1, 2} , MD, PhD ;   Begüm Kül   ¹ ;   Anja Wels   ³ , ADN ;   Julia C Berkmann   ³ , PhD ;   Cathrin de Pasquale   ⁴ , MSc ;   Gloria Kremser   ⁵ , MA ;   Daniel Fürstenau   ^{1, 6} , Prof Dr ;   Akira-Sebastian Poncette   ¹ , Prof Dr Med ;   Felix Balzer   ^{1, 7} , Dr rer nat, Prof Dr Med ;   Lina Mosch   ^{1, 8, 9} , Dr med

¹ Charité – Universitätsmedizin Berlin, Institute of Medical Informatics, Berlin, Germany

² Digital Health-Non-communicable Diseases, University of Potsdam, Hasso Plattner Institute, Potsdam, Brandenburg, Germany

³ Charité – Universitätsmedizin Berlin, Business Unit Project Management, Berlin, Germany

⁴ 50Hertz Transmission GmbH, IT Portfolio Management, Digitalization Transformation, Berlin, Germany

⁵ Charité – Universitätsmedizin Berlin, Business Unit IT, Back Office, Berlin, Germany

⁶ School of Business & Economics, Freie Universität Berlin, Berlin, Germany

⁷ Charité – Universitätsmedizin Berlin, Chief Medical Information Office, Berlin, Germany

⁸ Charité – Universitätsmedizin Berlin, Department of Anesthesiology and Intensive Care Medicine, Berlin, Germany

⁹ Berlin Institute of Health at Charité – Universitätsmedizin Berlin, BIH Biomedical Innovation Academy, BIH Charité Digital Clinician Scientist Program, Berlin, Germany

*these authors contributed equally