Computerization and the skill in women`s work
Proceedings of the IFIP WG 9.1 First Working Conference on Woman, Work and Compu on Women, work and computerization: opportunities and disadvantages
Communications of the ACM
Layers of Silence, Arenas of Voice: The Ecology ofVisible and Invisible Work
Computer Supported Cooperative Work - Special issue: a web on the wind: the structure of invisible work
Invisible Work of Telephone Operators: An Ethnocritical Analysis
Computer Supported Cooperative Work - Special issue: a web on the wind: the structure of invisible work
The Invisible World of Intermediaries: A Cautionary Tale
Computer Supported Cooperative Work - Special issue: a web on the wind: the structure of invisible work
Rationalizing Medical Work: Decision-Support Techniques and Medical Practices
Rationalizing Medical Work: Decision-Support Techniques and Medical Practices
Work Practices Surrounding PACS: The Politics of Space in Hospitals
Computer Supported Cooperative Work
Computer Supported Cooperative Work
Boundary Objects and Prototypesat the Interfaces of Engineering Design
Computer Supported Cooperative Work
Ordering Systems: Coordinative Practices and Artifacts in Architectural Design and Planning
Computer Supported Cooperative Work
Mobility Work: The Spatial Dimension of Collaboration at a Hospital
Computer Supported Cooperative Work
CSCW '06 Proceedings of the 2006 20th anniversary conference on Computer supported cooperative work
Making things work: dimensions of configurability as appropriation work
CSCW '06 Proceedings of the 2006 20th anniversary conference on Computer supported cooperative work
Achieving Dependability in the Configuration, Integration and Testing of Healthcare Technologies
Computer Supported Cooperative Work
Coordinating heterogeneous work: information and representation in medical care
ECSCW'01 Proceedings of the seventh conference on European Conference on Computer Supported Cooperative Work
Computer Supported Cooperative Work
Beyond Boundary Objects: Collaborative Reuse in Aircraft Technical Support
Computer Supported Cooperative Work
The DeLone and McLean Model of Information Systems Success: A Ten-Year Update
Journal of Management Information Systems
Collaborative information seeking: A field study of a multidisciplinary patient care team
Information Processing and Management: an International Journal
Providing awareness through situated process maps: the hospital care case
Proceedings of the 2007 international ACM conference on Supporting group work
The "active" gatekeeper in collaborative information seeking activities
Proceedings of the 2007 international ACM conference on Supporting group work
Triage Drift: A Workplace Study in a Pediatric Emergency Department
Computer Supported Cooperative Work
Proceedings of the 2008 ACM conference on Computer supported cooperative work
Proceedings of the 2008 ACM conference on Computer supported cooperative work
Understanding together: sensemaking in collaborative information seeking
Proceedings of the 2010 ACM conference on Computer supported cooperative work
The Dynamics of Material Artifacts in Collaborative Research Teams
Computer Supported Cooperative Work
Proceedings of the 16th ACM international conference on Supporting group work
The Role of Integration in Health-Based Information Infrastructures
Computer Supported Cooperative Work
Cooperative Work and Coordinative Practices: Contributions to the Conceptual Foundations of Computer-Supported Cooperative Work (CSCW)
Layers in Sorting Practices: Sorting out Patients with Potential Cancer
Computer Supported Cooperative Work
Accounting and Co-Constructing: The Development of a Standard for Electronic Health Records
Computer Supported Cooperative Work
Medical secretaries' care of records: the cooperative work of a non-clinical group
Proceedings of the ACM 2012 conference on Computer Supported Cooperative Work
A Review of 25 Years of CSCW Research in Healthcare: Contributions, Challenges and Future Agendas
Computer Supported Cooperative Work
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As health care IT gradually develops from being stand-alone systems towards integrated infrastructures, the work of various groups, occupations and units is likely to become more tightly integrated and dependent upon each other. Hitherto, the focus within health care has been upon the two most prominent professions, physicians and nurses, but most likely other non-clinical occupations will become relevant for the design and implementation of health care IT. In this paper, we describe the cooperative work of medical secretaries at two hospital departments, based on a study evaluating a comprehensive electronic health record (EHR) shortly after implementation. The subset of data on medical secretaries includes observation (11 hours), interviews (three individual and one group) and survey data (31 of 250 respondents were medical secretaries). We depict medical secretaries' core task as to take care of patient records by ensuring that information is complete, up to date, and correctly coded, while they also carry out information gatekeeping and articulation work. The importance of these tasks to the departments' work arrangements was highlighted by the EHR implementation, which also coupled the work of medical secretaries more tightly to that of other staff, and led to task drift among professions. Medical secretaries have been relatively invisible to health informatics and CSCW, and we propose the term `boundary-object trimming' to foreground and conceptualize one core characteristic of their work: maintenance and optimization of the EHR as a boundary object. Finally, we reflect upon the hitherto relative invisibility of medical secretaries which may be related to issues of gender and power.