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Physicians’ progress notes The integrative core of the medical record

Abstract

This paper examines physicians’ progress notes, an artifact that, in spite of its obvious importance in the coordination of cooperative work in clinical settings, has not been subjected to systematic study under CSCW auspices. While several studies have addressed the role of the medical record in patient care, they have not dealt specifically with the role, structure, and content of the progress notes. As a consequence, CSCW research has not yet taken fully into account the fact that progress notes are coordinative artifacts of a rather special kind, an open-ended chain of prose texts, written sequentially by cooperating physicians for their own use as well as for that of their colleagues. We argue that progress notes are the core of the medical record, in that they marshal and summarize the overwhelming amount of data that is available in the modern hospital environment, and that their narrative format is uniquely adequate for the pivotal epistemic aspect of cooperative clinical work: the narrative format enables physicians to not only record ‘facts’ but also – by filtering, interpreting, organizing, and qualifying information – to make sense and act concertedly under conditions of uncertainty and contingency.

Description

Bansler, Jørgen P.; Havn, Erling; Mønsted, Troels; Schmid,t Kjeld; Svendsen, Jesper Hastrup (2013): Physicians’ progress notes The integrative core of the medical record. ECSCW 2013: Proceedings of the 13th European Conference on Computer Supported Cooperative Work. DOI: 10.1007/978-1-4471-5346-7_7. Springer, London. ISBN: 978-1-4471-5345-0. pp. 123-142. Full Papers. Paphos, Cyprus. 21-25 September 2013

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Number of citations to item: 9

  • Marius Mikalsen (2014): A Case Study of an Information Infrastructure Supporting Knowledge Work in Oil and Gas Exploration, In: COOP 2014 - Proceedings of the 11th International Conference on the Design of Cooperative Systems, 27-30 May 2014, Nice (France), doi:10.1007/978-3-319-06498-7_8
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