How do crises shape digital innovation? In this paper we examine the rapid adoption of digital telemedicine technologies in an Israeli hospital with a focus on the role of the institutional logics held by the stakeholders responding to emerging events. With the onset of COVID-19, the need for social distancing and minimal physical contact challenged and interrupted hospital practices. In response, remote audio-visual functionality of digital technologies were appropriated in different ways, as stakeholders – state actors, managers, health professionals, and family members – sought to improvise and enhance the protection of persons concerned. We show how emerging practices were guided by the dominant institutional logics of stakeholders responding to the crisis. Acting for many as a digital form of ‘personal protective equipment’ (PPE), the technologies enabled diverse action possibilities to become manifest in practices. We add to understanding the role of institutional logics in directing the attention of stakeholders to shape digital innovation in times of crisis.

危机如何影响数字创新？在本文中，我们考察了以色列一家医院中数字远程医疗技术的迅速采用，重点是利益相关者对新出现的事件做出响应所持机构逻辑的作用。随着COVID-19的问世，与社会保持距离和最小程度的身体接触的需求挑战并中断了医院实践。作为回应，数字技术的远程视听功能以不同的方式被使用，因为利益相关者-国家行为者，管理者，卫生专业人员和家庭成员-试图即兴发挥和增强对相关人员的保护。我们展示了新兴实践如何以利益相关者应对危机的主导制度逻辑为指导。充当许多“个人防护设备”（PPE）的数字形式，这些技术使各种行动可能性在实践中得以体现。我们加深了对机构逻辑在引导利益相关者的注意力以在危机时期塑造数字创新中的作用的理解。