<?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%">Doctors and Psychosocial Information: Records and Reuse in Inpatient Care</style></title><secondary-title><style face="normal" font="default" size="100%">Proceedings of the ACM Conference on Human Factors in Computing Systems (CHI’10)</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">EHR</style></keyword><keyword><style  face="normal" font="default" size="100%">electronic patient records</style></keyword><keyword><style  face="normal" font="default" size="100%">health informaticshealth informatics</style></keyword><keyword><style  face="normal" font="default" size="100%">information access</style></keyword><keyword><style  face="normal" font="default" size="100%">information reuse</style></keyword><keyword><style  face="normal" font="default" size="100%">medical information</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%">physician information needs</style></keyword><keyword><style  face="normal" font="default" size="100%">psychosocial information</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2010</style></year></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 at a large teaching hospital to examine doctors’ use and documentation of patient care information, with a special focus on a patient’s psychosocial information. We were particularly interested in the gaps between the medical work and any representations of the patient. The paper describes how doctors record this information for immediate and long-term use. We found that doctors documented a considerable amount of psychosocial information in their electronic health records (EHR) system. Yet, we also observed that such information was recorded selectively, and a medicalized view-point is a key contributing factor. Our study shows how missing or problematic representations of a patient affect work activities and patient care. We accordingly suggest that EHR systems could be made more usable and useful in the long run, by supporting both representations of medical processes and of patients.&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>