[go: up one dir, main page]
More Web Proxy on the site http://driver.im/ skip to main content
article

Making a Case in Medical Work: Implications forthe Electronic Medical Record

Published: 22 July 2003 Publication History

Abstract

The introduction of the electronic medical record (EMR) is widely seen by healthcare policy makers and service managers alike as a key step in the achievement of more efficient and integrated healthcare services. However, our study of inter-service work practices reveals important discrepancies between the presumptions of the role of the EMR in achieving service integration and the ways in which medical workers actually use and communicate patient information. These lead us to doubt that technologies like the EMR can deliver their promised benefits unless there is a better understanding of the work they are intended to support and the processes used in its development and deployment become significantly more user-led.

References

[1]
Berg, M. (1997): On Distribution, Drift and the Electronic Medical Record: Some Tools for a Sociology of the Formal. In Hughes et al. (eds): Proceedings of the Fifth European Conference on Computer Supported Cooperative Work, pp 141-156.
[2]
Berg, M. and G. Bowker (1997): The Multiple Bodies of the Medical Record: Towards a Sociology of an Artifact. Sociological Quarterly, vol. 38, pp. 511-535.
[3]
Berg, M. (1997): Rationalising Medical Work: Decision Support Techniques and Medical Practices. Cambridge: MIT Press.
[4]
Berg, M., C. Langenberg, I. Van de Berg and J. Kwakkernaat (1998): Considerations for Sociotechnical Design Experiences with an Electronic Patient Record in a Clinical Context. International Journal of Medical Informatics, vol. 52, pp. 243-251.
[5]
Berg, M. (1999): Patient Care Information Systems and Health Care Work: A Sociotechnical Approach. International Journal of Medical Informatics, vol. 55, pp. 87-101.
[6]
Brown, J.S. and P. Duguid (1996): The Social Life of Documents. First Monday, vol. 1(1), May 6th.
[7]
Coiera, E. and V. Tombs (1998): Communication Behaviours in a Hospital Setting: An Observational Study. British Medical Journal, vol. 316, pp. 673-676.
[8]
Ellingsen, G. and E. Monterio (2001): A Patchwork Planet: The Heterogeneity of Electronic Patient Record Systems in Hospitals. In Proceedings of the Information Systems Research Seminar in Scandinavia (IRIS'2000, Uddevalla, Sweden, August).
[9]
Fincham, R., J. Fleck, R. Procter, H. Scarbrough, M. Tierney and R. Williams (1994): Expertise and Innovation: IT Strategies in the Financial Services Sector. OUP.
[10]
Garfinkel, H. (1967): Studies in Ethnomethodology. Englewood Cliffs, NY.
[11]
Garfinkel, H., M. Lynch and E. Livingston (1981): The Work of a Discovering Science Construed with Materials from the Optically Discovered Pulsar. Philosophy of the Social Sciences, vol. 11, pp. 131-158.
[12]
Grimson, J., W. Grimson and W. Hasselbring (2000): The SI Challenge in Healthcare. Communications of the ACM, vol. 43(6), pp. 49-55. ACM Press.
[13]
Hanseth, O. and E. Monteiro (1998): Changing Irreversible Networks, In Proceedings of BCIS. Aixen-Provence (June).
[14]
Hartswood, M., R. Procter, M. Rouncefield and M. Sharpe (2000): Being There and Doing IT. In Proceedings of PDC'2000. New York (November).
[15]
Hartswood, M., R. Procter, P. Rouchy, M. Rouncefield, R. Slack and A. Voss (2002): Working IT Out in Medical Practice: IT Systems Design and Development as Co-Production. To be published in Methods of Information in Medicine.
[16]
Hartswood, M., R. Procter, M. Rouncefield and R. Slack (in preparation): Paperwork and the Medical Record.
[17]
Hayes, G. (1997): Can One Electronic Medical Record Suit all Clinical Disciplines? In Proceedings of PHCSG'97. Cambridge UK (September).
[18]
Health Select Committee (1999): Inquiry into the Relationship between Health and Social Services. London: House of Commons (January).
[19]
Heath, C. and P. Luff (1996a): Convergent Activities: Line Control and Passenger Information on the London Underground. In Y. Engstrom and D. Middleton (eds.): Cognition and Communication at Work. Cambridge University Press.
[20]
Heath, C. and P. Luff (1996b): Documents and Professional Practice: 'Bad' Organisational Reasons for 'Good' Clinical Records. In Proceedings of CSCW'96. Boston MA: ACM Press (November), pp. 354-362.
[21]
Heathfield, H., N. Hardiker, J. Kirby, R. Tallis and M. Gonsalkarale (1994): The PEN&PAD Medical Record Model: A Report of its Use in the Development of a Nursing Record System for Hospital-based Care of the Elderly. Methods of Information In Medicine, vol. 33, pp. 464-472.
[22]
Heritage, J. and D.R. Watson (1980): Aspects of the Properties of Formulations in Natural Conversation: Some Instances Analysed. Semiotica, vol. 30, pp. 245-262.
[23]
Heritage, J. (1985): Analysing News Interviews: Aspects of the Production of Talk for an Overhearing Audience. In T. van Dijk (ed.): Handbook of Discourse Analysis, vol. 3. London: Sage, pp. 95-119.
[24]
Hughes, J.A., V. King, D. Randall and W. Sharrock (1993): Ethnography for System Design: A Guide. COMIC Working Paper, Computing Department, Lancaster University, UK.
[25]
Hughes, J., V. King, T. Rodden and H. Andersen (1994): Moving Out of the Control Room: Ethnography in System Design. In Proceedings of CSCW'94. Chapel Hill NC: ACM Press, pp. 429-438.
[26]
NHS Executive (1998): An Information Strategy for the Modem NHS 1998-2005. Leeds: Department of Health (September).
[27]
O'Hagan, G. (1999): Of Primary Importance: Inspection of Social Services Departments' Links with Primary Health Services - Older People. Department of Health/Social Services Inspectorate. London: Department of Health (October).
[28]
Ritchie, J., D. Dick and R. Lingham (1994): Report of the Inquiry into the Care and Treatment of Christopher Clunis. London: HMSO.
[29]
Royal College of General Practitioners Health Informatics Task Force (2000): Electronic Patient Record Study. Available at http://www.schin.ncl.ac.uk/rogp/scopeEPR/.
[30]
Sacks, H. (1972/1992): Lecture 3, Spring 1972. In Schegloff, E.A. (1992) Lectures in Conversation: Volume II. Blackwell: Oxford, p. 548.
[31]
Sacks, H. (1972): On the Analyzability of Stories by Children. In J.J. Gumperz and D. Hymes (eds.): Directions in Sociolinguistics. New York: Holt, Reinhart and Winston, pp. 325-345.
[32]
Schloeffel, P. (1998): Information Management and Information Technology (IM/IT) for Integrated Care. Healthcare Review-Online, vol. 2(12).
[33]
Sellen, A. and R. Harper (2002): The Myth of the Paperless Office. MIT Press.
[34]
Strauss, A., S. Fagerhaugh, B. Suczek and C. Wiener (1985): The Social Organisation of Medical Work. Chicago: University of Chicago Press.
[35]
Suchman, L. (1987): Plans and Situated Actions: The Problem of Human-Machine Communication. Cambridge, UK: Cambridge University Press.
[36]
Suchman, L. (1993): Technologies of Accountability: Of Lizards and Aeroplanes. In G. Button (ed.): Technology in Working Order. London: Routledge.
[37]
Symon, G., K. Long and J. Ellis (1996): The Coordination of Work Activities: Cooperation and Conflict in a Hospital Context. Computer Supported Cooperative Work. The Journal of Collaborative Computing, vol. 5, pp. 1-31.
[38]
Szolovits, P. (1995): A Revolution in Electronic Medical Record Systems via the World Wide Web. in Proceedings of the International Asssociation for the Advancement of Health Information Technology. Geneva (September 1995).
[39]
van Bemmel, J., A. van Ginneken and J. van der Lei (1997): A Progress Report on Computer-Based Pattient Records in Europe. In R. Dick, E. Steen and D. Detmer (eds.): The Computer-Based Patient Record: An Essential Technology for Health Care. Washington: National Academy Press.

Cited By

View all
  • (2019)Designing for Real-Time Groupware Systems to Support Complex Scientific Data AnalysisProceedings of the ACM on Human-Computer Interaction10.1145/33311513:EICS(1-28)Online publication date: 13-Jun-2019
  • (2018)Hidden Work and the Challenges of Scalability and Sustainability in Ambulatory Assisted LivingACM Transactions on Computer-Human Interaction10.1145/318559125:2(1-26)Online publication date: 11-Apr-2018
  • (2017)Supporting Emergency Medical Care Teams with an Integrated Status Display Providing Real-Time Access to Medical Best Practices, Workflow Tracking, and Patient DataJournal of Medical Systems10.1007/s10916-017-0829-x41:12(1-19)Online publication date: 1-Dec-2017
  • Show More Cited By

Recommendations

Comments

Please enable JavaScript to view thecomments powered by Disqus.

Information & Contributors

Information

Published In

cover image Computer Supported Cooperative Work
Computer Supported Cooperative Work  Volume 12, Issue 3
2003
126 pages

Publisher

Kluwer Academic Publishers

United States

Publication History

Published: 22 July 2003

Author Tags

  1. CSCW design
  2. collaborative work
  3. electronic medical record
  4. healthcare
  5. membership categorisation
  6. service integration

Qualifiers

  • Article

Contributors

Other Metrics

Bibliometrics & Citations

Bibliometrics

Article Metrics

  • Downloads (Last 12 months)0
  • Downloads (Last 6 weeks)0
Reflects downloads up to 17 Jan 2025

Other Metrics

Citations

Cited By

View all
  • (2019)Designing for Real-Time Groupware Systems to Support Complex Scientific Data AnalysisProceedings of the ACM on Human-Computer Interaction10.1145/33311513:EICS(1-28)Online publication date: 13-Jun-2019
  • (2018)Hidden Work and the Challenges of Scalability and Sustainability in Ambulatory Assisted LivingACM Transactions on Computer-Human Interaction10.1145/318559125:2(1-26)Online publication date: 11-Apr-2018
  • (2017)Supporting Emergency Medical Care Teams with an Integrated Status Display Providing Real-Time Access to Medical Best Practices, Workflow Tracking, and Patient DataJournal of Medical Systems10.1007/s10916-017-0829-x41:12(1-19)Online publication date: 1-Dec-2017
  • (2017)Effect of the Implementation of a New Electronic Health Record System on Surgical Case Turnover TimeJournal of Medical Systems10.1007/s10916-017-0690-y41:3(1-6)Online publication date: 1-Mar-2017
  • (2016)Time to reflectProceedings of the 19th ACM Conference on Computer-Supported Cooperative Work & Social Computing10.1145/2818048.2820079(954-964)Online publication date: 27-Feb-2016
  • (2016)Cooperative Epistemic Work in Medical PracticeComputer Supported Cooperative Work10.1007/s10606-016-9261-x25:6(503-546)Online publication date: 1-Dec-2016
  • (2016)Telecare Call Centre Work and Ageing in PlaceComputer Supported Cooperative Work10.1007/s10606-015-9242-525:1(79-105)Online publication date: 1-Feb-2016
  • (2015)Restructuring Human InfrastructureProceedings of the 18th ACM Conference on Computer Supported Cooperative Work & Social Computing10.1145/2675133.2675277(649-661)Online publication date: 28-Feb-2015
  • (2014)Design Principles in Health Information TechnologyInternational Journal of Healthcare Information Systems and Informatics10.4018/ijhisi.20140101029:1(30-41)Online publication date: 1-Jan-2014
  • (2014)Institutional logics of the EMR and the problem of 'perfect' but inaccurate accountsProceedings of the 17th ACM conference on Computer supported cooperative work & social computing10.1145/2531602.2531652(283-294)Online publication date: 15-Feb-2014
  • Show More Cited By

View Options

View options

Media

Figures

Other

Tables

Share

Share

Share this Publication link

Share on social media