<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>47</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Xiaomu Zhou</style></author><author><style face="normal" font="default" size="100%">Mark S. Ackerman</style></author><author><style face="normal" font="default" size="100%">Kai Zheng</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Computerization and information assembling process: nursing work and CPOE adoption</style></title><secondary-title><style face="normal" font="default" size="100%">Proceedings of the 1st ACM International Health Informatics Symposium (IHI ’10)</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">CPOE</style></keyword><keyword><style  face="normal" font="default" size="100%">electronic medical records</style></keyword><keyword><style  face="normal" font="default" size="100%">health informatics</style></keyword><keyword><style  face="normal" font="default" size="100%">information access</style></keyword><keyword><style  face="normal" font="default" size="100%">information assembling</style></keyword><keyword><style  face="normal" font="default" size="100%">information system</style></keyword><keyword><style  face="normal" font="default" size="100%">medical informatics</style></keyword><keyword><style  face="normal" font="default" size="100%">personal sheet</style></keyword><keyword><style  face="normal" font="default" size="100%">shift change</style></keyword><keyword><style  face="normal" font="default" size="100%">working document</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2010</style></year><pub-dates><date><style  face="normal" font="default" size="100%">11/2010</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">Complete</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;This paper presents an ethnographic study investigating how nurses assemble information to start their shift’s work. We examined this process before and after the adoption of a Computerized Prescriber Order Entry (CPOE) system in an inpatient unit of a large teaching hospital. Before the CPOE adoption, nurses used several collaboratively-created group working documents to assist in this information assembling process; after the CPOE adoption, they mainly used the CPOE itself for their information needs. We found while computerization facilitated medical data assembling process and improved order handling practice, it also resulted in some information gaps in understanding patients in their larger care context. We analyzed what it means when the computerization of medical information turns local knowledge into more readily available and public information objects, as well as what that means for patients and patient care.&lt;/p&gt;
</style></abstract></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>47</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Xiaomu Zhou</style></author><author><style face="normal" font="default" size="100%">Mark S. Ackerman</style></author><author><style face="normal" font="default" size="100%">Kai Zheng</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">I just don&#039;t know why it&#039;s gone: Maintaining Informal Information Use in Inpatient Care</style></title><secondary-title><style face="normal" font="default" size="100%">ACM Conference on Human Factors in Computing Systems (CHI&#039;09)</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">CPOE</style></keyword><keyword><style  face="normal" font="default" size="100%">electronic patient records</style></keyword><keyword><style  face="normal" font="default" size="100%">informal information</style></keyword><keyword><style  face="normal" font="default" size="100%">medical informatics.</style></keyword><keyword><style  face="normal" font="default" size="100%">medical records</style></keyword><keyword><style  face="normal" font="default" size="100%">organizational memory</style></keyword><keyword><style  face="normal" font="default" size="100%">psychosocial information</style></keyword><keyword><style  face="normal" font="default" size="100%">shift change</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2009</style></year><pub-dates><date><style  face="normal" font="default" size="100%">04/2009</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">Complete</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;We conducted a field-based study examining informal nursing information. We examined the use of this information before and after the adoption of a CPOE (Computerized Provider Order Entry) system in an inpatient unit of a large teaching hospital. Before CPOE adoption,&lt;br&gt;nurses used paper working documents to detail psychosocial information about patients; after the CPOE adoption, they did not use paper or digital notes as was planned. The paper describes this process and analyses how several interlocked reasons contributed to the loss of this information in written form. We found that a change in physical location, sufficient convenience, visibility of the information, and permanency of information account for some, but not all, of the outcome. As well, we found that computerization of the nursing data led to a shift in the politics of the information itself – the nurses no longer had a cohesive agreement about the kinds of data to enter into the system. The findings address the requirements of healthcare computerization to support both formal and informal work practices, respecting the nature of nursing work and the politics of information inherent in complex medical work.&lt;/p&gt;</style></abstract></record></records></xml>