Physicians’ progress notes

Jørgen P. Bansler, Erling C. Havn, Troels Mønsted, Kjeld Schmidt, Jesper Hastrup Svendsen

Abstract

Thispaperexaminesphysicians’progressnotes,anartifactthat,inspite of its obvious importance in the coordination of cooperative work in clinical set- tings, 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 coopera- tive 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.
Original languageEnglish
Title of host publicationECSCW 2013 : Proceedings of the 13th European Conference on Computer Supported Cooperative Work, 2013, Paphos, Cyprus
EditorsOlav W. Bertelsen, Luigina Ciolfi, Maria Antonietta Grasso, George Angelos Papadopoulos
Number of pages20
PublisherSpringer
Publication date2013
Pages123-142
ISBN (Print)978-1-4471-5345-0
ISBN (Electronic)978-1-4471-5346-7
DOIs
Publication statusPublished - 2013
Event13th European Conference on Computer Supported Cooperative Work - Paphos, Cyprus
Duration: 21 Sept 201325 Sept 2013
Conference number: 13

Conference

Conference13th European Conference on Computer Supported Cooperative Work
Number13
Country/TerritoryCyprus
CityPaphos
Period21/09/201325/09/2013

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