Unintended Consequences of Electronic Medical Records

An Emergency Room Ethnography

Inbunden, Engelska, 2019

1 619 kr

Beställningsvara. Skickas inom 10-15 vardagar. Fri frakt för medlemmar vid köp för minst 249 kr.

Unintended Consequences of Electronic Medical Records: An Emergency Room Ethnography argues that while electronic medical records (EMRs) were supposed to improve health care delivery, EMRs’ unintended consequences have affected emergency medicine providers and patients in alarming ways. Higher healthcare costs, decreased physician productivity, increased provider burnout, lower levels of patient satisfaction, and more medical mistakes are just a few of the consequences Barbara Cook Overton observes while studying one emergency room’s EMR adoption. With data collected over six years, Overton demonstrates how EMRs harm health care organizations and thrust providers into the midst of incompatible rule systems without appropriate strategies for coping with these challenges, thus robbing them of agency. Using structuration theory and its derivatives to frame her analysis, Overton explores the ways providers communicatively and performatively receive and manage EMRs in emergency rooms. Scholars of communication and medicine will find this book particularly useful.

Produktinformation

Utgivningsdatum2019-12-13
Mått161 x 231 x 26 mm
Vikt594 g
FormatInbunden
SpråkEngelska
Antal sidor280
FörlagBloomsbury Publishing Plc
ISBN9781498567459

Tillhör följande kategorier

Förlossningsvård inom Medicin

Introduction: “Inventions of the Devil”Chapter 1: “Computers Destroy Personal Communication”Chapter 2: “If EMRs are Not Ready for Prime Time, Why are We Using Them?”Chapter 3: Theoretical FrameworksChapter 4: Forced Learning Amid Organizational Change: Ways Dissonance and Reactance Hinder EMR TrainingChapter 5: An Appropriation Analysis of Speech Acts and Relating Moves: Ways a “Frustrating” EMR Altered Providers’ Everyday HabitsChapter 6: An Appropriation Analysis of Constraining and Judging Moves: Ways an EMR’s Incoherent Spirit Impinged Providers’ Agency and Changed WorkflowChapter 7: Stuck Between a Rock and Hard Place: How Structurational Divergence in the Emergency Room was Made Worse by an EMRChapter 8: An EMR’s Unintended and Perverse Consequences: “I Don’t Think This is What They had in Mind.”Chapter 9: Implications and SuggestionsConclusion: Goodbye. Farewell. Amen.

Barbara Cook Overton's new examination of communication in U.S. Emergency Departments, Unintended Consequences of Electronic Medical Records: An Emergency Room Ethnography is a superb description and analysis of the real world difficulties the requirement for EMRs created for Emergency Department (ED) teams. This new book uses participant observation, thick description, as well as interviews of ED providers, to illustrate the problems adoption of EMRs have presented to staffs, patients, and hospitals.