| The impact of medical record technologies on collaboration in emergency medicine. | |
| | |
MedLine Citation:
|
PMID: 21036659 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
PURPOSE: Electronic medical records (EMR) promise potential benefits for the practice of medical care. However, individual technologies such as EMR must interact with the work system as a whole - including people, technology and work practices - to enable or hinder the coordination of dynamic work demands. Based on this extended perspective, we address in this paper how support technologies (should) impact the coordination of work across multiple agents, controlling a dynamic domain with multiple, interacting processes. The technology we address is the medical record and the dynamic domain is emergency medicine as it is practiced in the U.S. METHOD: We performed 500 hours of naturalistic observations of physicians in two different hospital emergency departments in the Midwestern U.S differing in their reliance on paper or electronic medical records. RESULTS AND CONCLUSIONS: An analysis of work practice across the two hospitals revealed the role of medical records in facilitating or hindering the coordination of time sensitive and context dependent distributed work, as well as the specific influence of EMR. Recognizing that work practice compensates for the limitations of technology, we suggest four requirements for the design of EMR to promote workplace efficiency: facilitation of locally customized data presentations; support for integration of hitherto fragmented record systems and data formats; support for effective multi-user coordination of control tasks; and guidance for standardizing a level of detail in planning and documenting care. |
| | |
Authors:
|
Markus A Feufel; F Eric Robinson; Valerie L Shalin |
Related Documents
:
|
17411789 - The digital curriculum vitae. 11747669 - Online consulting. the experience of a commercial service. 10206109 - Using boolean reasoning to anonymize databases. 19048089 - Informatics-based medical procedure assistance during space missions. 12154599 - Doing away with paper. part 2--starting up your new system. 10121089 - Electronic roundtables for medical ethics. 18601669 - The effect of three different visual monitoring strategies on the accuracy of leg-befor... 18841189 - Kava hepatotoxicity: a european view. 8007929 - Drug compatibilities and infusion sites. |
Publication Detail:
|
Type: Journal Article Date: 2010-10-30 |
Journal Detail:
|
Title: International journal of medical informatics Volume: 80 ISSN: 1872-8243 ISO Abbreviation: Int J Med Inform Publication Date: 2011 Aug |
Date Detail:
|
Created Date: 2011-07-11 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9711057 Medline TA: Int J Med Inform Country: Ireland |
Other Details:
|
Languages: eng Pagination: e85-95 Citation Subset: IM |
Copyright Information:
|
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
|
Max Planck Institute for Human Development, Center for Adaptive Behavior & Cognition, Lentzeallee 94, 14195 Berlin, Germany. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Cell polarity and the control of apical growth in Streptomyces.
Next Document: Ontology driven health information systems architectures enable pHealth for empowered patients.