This case was written for school leaders, specifically for administrators interested in addressing and improving school culture. Often efforts to address toxic culture and organizational change result in resistance, requiring leadership that is capable of influencing and inspiring cultural transformation. However, leaders who embark on these types…

The importance of school organization and its impact on teachers' commitment to staff development has been highlighted in recent research. In schools that are favorably disposed toward staff development, the norms of "collegiality" and "experimentation" prevail. Staff practices fundamental to the creation and maintenance of the…

Implementation of the University of Virginia Medical Center's computerized system for mandatory recordkeeping of physician orders is discussed, focusing on administrative issues: delays, costs, disruption of work routine and behavior, and the need to bring in a senior management team. Recommendations are made for institutions with similar…

Implementation of the University of Virginia Medical Center's computerized system for mandatory recordkeeping of physician orders is discussed, focusing on issues raised among residents and physicians: time required for system use; changes in work responsibilities, patterns, and priorities; and attitudes. Recommendations are made for institutions…