Abstract
The purpose of this research is to explore the technological, organizational and environmental (TOE) barriers to the effective adoption of Electronic Health Record (EHR) systems through knowledge stocks and learning flows. To achieve this, the study adopts an exploratory qualitative research approach by surveying the experiences and views of the top management team. Using a cross-theory framework integrating the TOE model with various stages of innovation, the study found that managers were not well equipped to identify the relationships between knowledge stocks and learning flows which impeded the adoption process. While the study design was restricted to a private hospital, study findings could be generalised to other users across health settings suggesting that the implications of a cross-theory approach is both important and timely. Moreover, our findings broaden the existing literature related to EHR system adoption by developing a framework that could be replicable in other health settings.