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Trusting the record
K Clarke1, M Hartswood, R Procter
1Department of Computing, Lancaster University, Lancaster LA1 4YR, United Kingdom. m.rouncefield@lancaster.ac.uk
Methods of Information in Medicine
|October 10, 2003
Summary
This study examines patient record keeping in a clinic, finding that trust is central to healthcare work. Understanding document work is crucial for effective electronic medical record system implementation.
Area of Science:
- Healthcare Management
- Sociology of Work
- Medical Informatics
Background:
- Documents and paperwork are integral to healthcare operations.
- Previous research highlights the significance of patient records in clinical settings.
Purpose of the Study:
- To investigate the role of everyday work with patient records in a clinic.
- To explore how document work influences trust in healthcare interactions.
Main Methods:
- Conducted an ethnographic study of record-keeping practices.
- Focused on a deliberate self-harm clinic setting.
Main Results:
- Document work is essential for building trust in routine social interactions.
- Trust plays a critical role in the complexities of organizational functioning within healthcare.
Conclusions:
- Organizational trust is deeply intertwined with document management practices.
- Findings offer implications for the design and utilization of electronic medical record systems.