Plans and situated actions: the problem of human-machine communication
Plans and situated actions: the problem of human-machine communication
Artificial Intelligence - Special volume on computational research on interaction and agency, part 2
Communications of the ACM
Documents and professional practice: “bad” organisational reasons for “good” clinical records
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Coordination mechanisms: towards a conceptual foundation of CSCW systems design
Computer Supported Cooperative Work - Special issue on the design of cooperative systems
Of maps and scripts—the status of formal constructs in cooperative work
GROUP '97 Proceedings of the international ACM SIGGROUP conference on Supporting group work: the integration challenge
Accumulating and Coordinating: Occasions for Information Technologies in Medical Work
Computer Supported Cooperative Work
Process descriptions as organisational accounting devices: the dual use of workflow technologies
GROUP '01 Proceedings of the 2001 International ACM SIGGROUP Conference on Supporting Group Work
Participatory Design: Issues and Concerns
Computer Supported Cooperative Work
ECSCW'91 Proceedings of the second conference on European Conference on Computer-Supported Cooperative Work
Workflow from within and without: technology and cooperative work on the print industry shopfloor
ECSCW'95 Proceedings of the fourth conference on European Conference on Computer-Supported Cooperative Work
Mapping actors and agendas: political frameworks of systems design and participation
Human-Computer Interaction
The Role of Integration in Health-Based Information Infrastructures
Computer Supported Cooperative Work
User gains and PD aims: assessment from a participatory design project
Proceedings of the 11th Biennial Participatory Design Conference
Proceedings of the ACM 2012 conference on Computer Supported Cooperative Work Companion
Medical secretaries' care of records: the cooperative work of a non-clinical group
Proceedings of the ACM 2012 conference on Computer Supported Cooperative Work
Institutional logics of the EMR and the problem of 'perfect' but inaccurate accounts
Proceedings of the 17th ACM conference on Computer supported cooperative work & social computing
A Review of 25 Years of CSCW Research in Healthcare: Contributions, Challenges and Future Agendas
Computer Supported Cooperative Work
Computer Supported Cooperative Work
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Patient records are central, constitutive parts of health care and hospitals. Currently, substantial sums are being invested in making patient records electronic, in order to take advantage of IT's ability to quickly accumulate, compute, and propagate data to multiple sites, to enhance coordination of health care services and cooperation among staff, and make patient records immediately accessible to distributed actors. Investors also aim to increase health care services' accountability and integration, and improve quality and efficiency. This paper analyses a Danish national standard for electronic health records, on the basis of an application prototype test designed to that standard. The analysis shows that, inscribed in the standard is an ambition to increase the accountability of staff and health care services at the cost of increased work, loss of overview, and fragmentation of patient cases. Significantly, despite the standard having been conceived and developed in a process of co-construction involving clinicians, clinicians did not find it adequate for their work. This analysis argues this was the result of the model of work embedded in the standard coming from a stance external to practice. Subsequently, a flip-over effect occurred, in which the model of work became a model for work. Hence, this paper argues that co-construction processes should not only include users as representatives of a profession, but strive to produce experiences and knowledge intrinsic to practice.