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- research-articleOctober 2014
The biography of participation
PDC '14: Proceedings of the 13th Participatory Design Conference: Short Papers, Industry Cases, Workshop Descriptions, Doctoral Consortium papers, and Keynote abstracts - Volume 2Pages 71–74https://doi.org/10.1145/2662155.2662183While it is an overall understanding that user participation is important in the design of new information systems, it is still an open question how to best organize participation in large-scale development projects. Based on an ethnographic-inspired ...
- ArticleSeptember 2014
Collaboration through Patient Data Access and Sharing in the Cloud
INCOS '14: Proceedings of the 2014 International Conference on Intelligent Networking and Collaborative SystemsPages 205–212https://doi.org/10.1109/INCoS.2014.109There have been many socio-political and technological developments in the area of Electronic Patient Records (EPR). The technological aspects include EPR implemented using Online Transaction Processing (OTP) using Internet and Internet based systems, ...
- ArticleSeptember 2014
An Enhanced Linkable Anonymous Access Protocol of the Distributed Electronic Patient Records
ARES '14: Proceedings of the 2014 Ninth International Conference on Availability, Reliability and SecurityPages 146–151https://doi.org/10.1109/ARES.2014.26This paper describes the growing concern of privacy and security in e-health applications. Sharing sensitive patient data in a distributed environment introduces security and privacy risks. Therefore, there are increasing demands to provide secure ...
- research-articleFebruary 2014
How physicians 'achieve overview': a case-based study in a hospital ward
CSCW '14: Proceedings of the 17th ACM conference on Computer supported cooperative work & social computingPages 257–268https://doi.org/10.1145/2531602.2531620Clinicians' work in hospitals is safety- and time-critical, and often stressful due to the number and complexity of patient cases they must attend to. Therefore, how clinicians gather information, identify problems and make decisions concerning patients ...
- research-articleAugust 2012
Towards an "empowered" user role in the design of large-scale electronic patient records
PDC '12: Proceedings of the 12th Participatory Design Conference: Exploratory Papers, Workshop Descriptions, Industry Cases - Volume 2Pages 65–68https://doi.org/10.1145/2348144.2348165We report from a large-scale Electronic Patient Record (EPR) project in Northern Norway where the goal is to design a new type of configurable EPRs that allow users in hospitals to tailor the software to their specific needs. This ability appears to ...
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- research-articleMarch 2012
On the choice of centralized vs decentralized systems for EPR in hospitals
We consider the problem of information management standardization in health structures and the problem of implementing and using automatic systems for information management. Although national and European directives have been defined, the Health Care ...
- research-articleNovember 2011
Same system---different experiences: physicians' and nurses' experiences in using IT systems
OzCHI '11: Proceedings of the 23rd Australian Computer-Human Interaction ConferencePages 166–172https://doi.org/10.1145/2071536.2071562In this paper we use a sociotechnical approach and theories about group processes to analyse how two main clinician groups, nurses and physicians, are influenced by their main IT tool, the Electronic Patient Record (EPR), in their clinical practice. The ...
- ArticleSeptember 2011
'Acted reality' in electronic patient record research: a bridge between laboratory and ethnographic studies
- Lesley Axelrod,
- Geraldine Fitzpatrick,
- Flis Henwood,
- Liz Thackray,
- Becky Simpson,
- Amanda Nicholson,
- Helen Smith,
- Greta Rait,
- Jackie Cassell
This paper describes and reflects on the development and use of 'acted reality' scenarios to study variability in General Practitioners' (GPs') record keeping practices, particularly their use of free text and coded entries. With actors playing the part ...
- ArticleJuly 2011
Diagnosis code assignment support using random indexing of patient records: a qualitative feasibility study
The prediction of diagnosis codes is typically based on free-text entries in clinical documents. Previous attempts to tackle this problem range from strictly rule-based systems to utilizing various classification algorithms, resulting in varying degrees ...
- research-articleMay 2011
CPOE workarounds, boundary objects, and assemblages
CHI '11: Proceedings of the SIGCHI Conference on Human Factors in Computing SystemsPages 3353–3362https://doi.org/10.1145/1978942.1979439We conducted an ethnographically based study at a large teaching hospital to examine clinician workarounds engendered by the adoption of a Computerized Prescribe Order Entry (CPOE) system. Specifically, we investigated how adoption of computerized ...
- articleDecember 2010
Infrastructuring and Ordering Devices in Health Care: Medication Plans and Practices on a Hospital Ward
Computer Supported Cooperative Work (KLU-COSU), Volume 19, Issue 6Pages 615–637https://doi.org/10.1007/s10606-010-9131-xIn this paper, we analyse physicians' and nurses' practices of prescribing and administering medication through the use of paper-based, and digitalized medication plans. Our point of departure is an ethnographic study of the implications of upgrading an ...
- ArticleNovember 2010
Healthgrids, the SHARE project, medical data and agents: retrospect and prospect
PRIMA'10: Proceedings of the 13th international conference on Principles and Practice of Multi-Agent SystemsPages 523–534https://doi.org/10.1007/978-3-642-25920-3_38The application of grid computing to biomedical research domains in the early years of the century has opened up promising prospects for the extension of this philosophy to translational medicine and hence to personalized healthcare. As the business ...
- research-articleApril 2010
Doctors and psychosocial information: records and reuse in inpatient care
CHI '10: Proceedings of the SIGCHI Conference on Human Factors in Computing SystemsPages 1767–1776https://doi.org/10.1145/1753326.1753592We conducted a field-based study at a large teaching hospital to examine doctors' use and documentation of patient care information, with a special focus on a patient's psychosocial information. We were particularly interested in the gaps between the ...
- ArticleNovember 2009
Information flow in intensive care narratives
BIBMW '09: Proceedings of the 2009 IEEE International Conference on Bioinformatics and Biomedicine WorkshopPages 325–340https://doi.org/10.1109/BIBMW.2009.5332083Fluent patient information flow is a prerequisite for clinical decision making. Our purpose is to identify unmet information needs in the flow of Finnish intensive care narratives in order to focus the development of natural language processing methods ...
- research-articleApril 2009
I just don't know why it's gone: maintaining informal information use in inpatient care
CHI '09: Proceedings of the SIGCHI Conference on Human Factors in Computing SystemsPages 2061–2070https://doi.org/10.1145/1518701.1519014We conducted a field-based study examining informal nursing information. We examined the use of this information before and after the adoption of a CPOE (Computerized Provider Order Entry) system in an inpatient unit of a large teaching hospital. Before ...
- research-articleMarch 2008
A federation of web services for Danish health care
IDtrust '08: Proceedings of the 7th symposium on Identity and trust on the InternetPages 112–121https://doi.org/10.1145/1373290.1373305Having relevant, up-to-date information about a patient's health care history is often crucial for providing the appropriate treatment. In Denmark, IT systems have been built to support different work flows in the health sector, but the systems are ...
- research-articleJanuary 2008
Multi-modal presentation of medical histories
IUI '08: Proceedings of the 13th international conference on Intelligent user interfacesPages 80–89https://doi.org/10.1145/1378773.1378785This paper describes a visualisation architecture that integrates graphical devices and natural language in a cooperative system for navigating through complex images of medical histories. We show how the addition of automatically generated natural ...
- ArticleNovember 2006
Representations at work: a national standard for electronic health records
CSCW '06: Proceedings of the 2006 20th anniversary conference on Computer supported cooperative workPages 69–78https://doi.org/10.1145/1180875.1180887Representations are at work in IT technology. As plans of and for work, they enable cooperation, coordination, accountability and control, which have to be balanced off against each other. The article describes a standard developed for electronic health ...
- ArticleOctober 2006
Interaction techniques for using handhelds and PCs together in a clinical setting
NordiCHI '06: Proceedings of the 4th Nordic conference on Human-computer interaction: changing rolesPages 125–134https://doi.org/10.1145/1182475.1182489In the present study we compare interaction techniques for using handheld devices together with stationary displays in a hospital setting. A set of prototype implementations were developed and tested for a pre-surgery scenario with pairs of physicians ...
- ArticleAugust 2006
Participation, power, critique: constructing a standard for electronic patient records
PDC '06: Proceedings of the ninth conference on Participatory design: Expanding boundaries in design - Volume 1Pages 95–104https://doi.org/10.1145/1147261.1147276This paper examines the scope of participatory design on the basis of the case of a national standard for electronic patient records (EPR) in Denmark. The relationship between participatory methods and techniques on the one hand and critical and ...