Electronic Patient Records In Interprofessional Decision Making: Standardized Categories And Local Use

Electronic patient records (EPRs) are a constitutive element of medical practice and are expected to improve interprofessional communication and support decision making. The aim of the current study is to explore the ways in which access to structured information from multiple professions within EPR...

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Main Authors: Thomas Winman, Hans Rystedt
Format: Article
Language:English
Published: Centre of Sociological Research, Szczecin, Poland 2012-01-01
Series:Human Technology
Subjects:
Online Access:http://humantechnology.jyu.fi/articles/volume8/2012/Winman_Rystedt.pdf
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author Thomas Winman
Hans Rystedt
author_facet Thomas Winman
Hans Rystedt
author_sort Thomas Winman
collection DOAJ
description Electronic patient records (EPRs) are a constitutive element of medical practice and are expected to improve interprofessional communication and support decision making. The aim of the current study is to explore the ways in which access to structured information from multiple professions within EPRs enters into the phases involved in arriving at final agreements about patients’ future care. The results show that decision making in interprofessional team rounds involves a prestructuring of a pathological reality. Further, the results demonstrate how information in EPRs is deconstructed and recast into patterns that presuppose knowledge about the EPR’s structural organization. This means that EPRs are highly flexible technologies and that their design does not determine their usefulness. A major conclusion is that the members’ knowledge on how to bridge between standardized categories in EPRs and their local meanings is decisive for understanding the basic conditions necessary for how EPRs could support interprofessional collaboration.
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spelling doaj.art-4a226522624b4f3284831d0657ddb1672022-12-21T19:23:50ZengCentre of Sociological Research, Szczecin, PolandHuman Technology1795-68892012-01-0181466410.17011/ht/urn.201205141652Electronic Patient Records In Interprofessional Decision Making: Standardized Categories And Local UseThomas Winman0Hans Rystedt1University WestUniversity of GothenburgElectronic patient records (EPRs) are a constitutive element of medical practice and are expected to improve interprofessional communication and support decision making. The aim of the current study is to explore the ways in which access to structured information from multiple professions within EPRs enters into the phases involved in arriving at final agreements about patients’ future care. The results show that decision making in interprofessional team rounds involves a prestructuring of a pathological reality. Further, the results demonstrate how information in EPRs is deconstructed and recast into patterns that presuppose knowledge about the EPR’s structural organization. This means that EPRs are highly flexible technologies and that their design does not determine their usefulness. A major conclusion is that the members’ knowledge on how to bridge between standardized categories in EPRs and their local meanings is decisive for understanding the basic conditions necessary for how EPRs could support interprofessional collaboration.http://humantechnology.jyu.fi/articles/volume8/2012/Winman_Rystedt.pdfelectronic patient recordsdecision makingcategoriesstandardizationcommunicationinformation technologies
spellingShingle Thomas Winman
Hans Rystedt
Electronic Patient Records In Interprofessional Decision Making: Standardized Categories And Local Use
Human Technology
electronic patient records
decision making
categories
standardization
communication
information technologies
title Electronic Patient Records In Interprofessional Decision Making: Standardized Categories And Local Use
title_full Electronic Patient Records In Interprofessional Decision Making: Standardized Categories And Local Use
title_fullStr Electronic Patient Records In Interprofessional Decision Making: Standardized Categories And Local Use
title_full_unstemmed Electronic Patient Records In Interprofessional Decision Making: Standardized Categories And Local Use
title_short Electronic Patient Records In Interprofessional Decision Making: Standardized Categories And Local Use
title_sort electronic patient records in interprofessional decision making standardized categories and local use
topic electronic patient records
decision making
categories
standardization
communication
information technologies
url http://humantechnology.jyu.fi/articles/volume8/2012/Winman_Rystedt.pdf
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