Groupware and social dynamics: eight challenges for developers
Communications of the ACM
Computer support for clinical practice: embedding and evolving protocols of care
CSCW '96 Proceedings of the 1996 ACM conference on Computer supported cooperative work
Six roles of documents in professionals' work
Proceedings of the Sixth European conference on Computer supported cooperative work
Supporting informality: team working and integrated care records
CSCW '04 Proceedings of the 2004 ACM conference on Computer supported cooperative work
Formalizing work: reallocating redundancy
CSCW '06 Proceedings of the 2006 20th anniversary conference on Computer supported cooperative work
I just don't know why it's gone: maintaining informal information use in inpatient care
Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
Doctors and psychosocial information: records and reuse in inpatient care
Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
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The patient Problem List (PL) is a mandated documentation component of electronic health records supporting the longitudinal summarization of patient information in addition to facilitating the coordination of care by multidisciplinary medical teams. In this paper, we report an ethnographic study that examined the institutionalization of the PL. Specifically, we explored: (1) how different groups (primary care providers, inpatient hospitalists, specialists, and emergency doctors) perceived the purposes of the PL differently; (2) how these deviated perceptions might affect their use of the PL; and (3) how the technical design of the PL facilitated or hindered the clinical practices of these groups. We found significant ambiguity regarding the definition, benefits, and use of the PL across different groups. We also found that certain groups (e.g. primary care providers) had developed effective cooperative strategies regarding the use of the PL; however, suboptimal usage was common among other user types, which could have a profound impact on quality of care and safety. Based on these findings, we provide suggestions to improve the design of the PL, particularly on strengthening its support on longitudinal and cooperative clinical practices.