Documents and professional practice: “bad” organisational reasons for “good” clinical records
CSCW '96 Proceedings of the 1996 ACM conference on Computer supported cooperative work
A set of principles for conducting and evaluating interpretive field studies in information systems
MIS Quarterly - Special issue on intensive research in information systems
A finger on the pulse: temporal rhythms and information seeking in medical work
CSCW '02 Proceedings of the 2002 ACM conference on Computer supported cooperative work
Making a Case in Medical Work: Implications forthe Electronic Medical Record
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
Mobility Work: The Spatial Dimension of Collaboration at a Hospital
Computer Supported Cooperative Work
Designing routines: On the folly of designing artifacts, while hoping for patterns of action
Information and Organization
Steps toward a typology for health informatics
Proceedings of the 2008 ACM 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
Documenting transitional information in EMR
Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
Physician-driven management of patient progress notes in an intensive care unit
Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
Fragmentation and choreography: caring for a patient and a chart during childbirth
Proceedings of the ACM 2012 conference on Computer Supported Cooperative Work
Adaptation as design: learning from an EMR deployment study
Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
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In this paper, we describe a practice that is common across multiple heterogeneous contexts but enacted differently depending on the unique constellation of resources and demands present in each local context. Using the case of informal documentation practices in two departments of a single hospital, Emergency and Labor & Delivery, we describe how clinicians in each department develop contextualized informal documentation practices after deployment of a new EMR system. We describe three underlying functions of informal documentation that are inherent to the practice of medical personnel: "memory work," abstraction work," and "future work." We then find that the newly deployed EMR technology does not support these kinds of work. We argue that hospital documentation work systems should be designed with an eye to such universal work practices, while keeping in mind that the effectiveness of informal documentation practices is rooted in its adaptive and flexible deployment in heterogeneous work settings.