Figure 1.

Comparison of sensemaking activities during one successful and one unsuccessful emerging technology procurement and implementation [Source: authors]. Side-by-side comparison flowchart of two electronic technology procurement processes at AMC_North. The left panel, “Technology 1 - Successful Procurement,” shows a need to improve note-taking efficiency and reduce pajama time, followed by peer institution advice, information sharing with Vendor 1, responsive vendor communication, and successful implementation support. The right panel, “Technology 2 - Unsuccessful Procurement,” shows a need for online on-call scheduling, followed by peer and industry consultation, concerns about vendor support after an acquisition, delayed or incomplete vendor responses, and failure to deliver promised functionality and integration capabilities. The diagram is organized into three phases: Identify Need and Assess Feasibility, Select ET, and Implement ET, illustrating how communication and vendor responsiveness contributed to different procurement outcomes.