Keeping Distributed Care Together: Medical Summaries Reconsidered

Mønsted, Troels

doi:10.1007/978-3-319-20499-4_8

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…The project involved, first of all, in-depth field studies to investigate existing documentation practices: observing the downloading of data from devices, tracing interpretation and migration of ICD data within the clinic, observing the use of medical records in consultations and interventions . Moreover, the project aimed at and involved the design and experimentation with prototypes for enhanced cooperation and information sharing among clinicians and between clinicians and patients Andersen et al, 2014;Mønsted, 2015).…”

Section: The Studymentioning

confidence: 99%

“…20 It is characteristic that the admission notes place the current episode in the context of the patient's overall illness trajectory and provide a brief 'summary' of the patient's history, clinical picture, test results, etc., which is considered highly useful by clinicians. Admission notes are, therefore, frequently read to get a quick overview of the patient's situation, for instance in preparation for a consultation (Mønsted, 2015).…”

Section: Types Of Notesmentioning

confidence: 99%

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Cooperative Epistemic Work in Medical Practice: An Analysis of Physicians’ Clinical Notes

Bansler

Havn

Schmidt

et al. 2016

Comput Supported Coop Work

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Abstract. We examine an important part of the medical record that has not been studied extensively: physicians' clinical notes. These notes constitute an explanatory medical narrative that documents the patient's illness trajectory by combining each physician's notes into a common text. Although several prior CSCW studies have addressed the role of the medical record in patient care, they have not dealt specifically with the role, structure, and content of these notes. In this article, we present a detailed analysis of a set of physicians' clinical notes recording the acute hospitalization and subsequent treatment of a patient with chronic heart disease. We show that clinical notes are highly structured and conventionalized texts that promote conciseness while at the same time allowing physicians to express themselves in a precise and nuanced way. Based on this analysis, we argue that physicians' clinical notes form the core of the medical record. They serve both as a 'tool for thinking' for the individual physician, enabling him or her to make sense of the patient's past history and current condition, and as a coordinative artifact used by physicians, nurses, and other health care professionals. We conclude by discussing the implications of this research for the design of Electronic Medical Record (EMR) systems.

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Section: The Studymentioning

confidence: 99%

Section: Types Of Notesmentioning

confidence: 99%

Cooperative Epistemic Work in Medical Practice: An Analysis of Physicians’ Clinical Notes

Bansler

Havn

Schmidt

et al. 2016

Comput Supported Coop Work

Self Cite

View full text Add to dashboard Cite

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Information Summary for Chronic Disease Treatment

Zhou

Wang

2020

Proc. ACM Hum.-Comput. Interact.

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The electronic medical record (EMR) systems face many challenges in supporting chronic disease treatment, especially in medical information summary. Many solutions have recently been proposed for hospitals in developed countries. However, these solutions maybe not suitable for hospitals in developing countries because their workflow and patterns may be quite different due to their resource limitations, especially in shortage of physicians. Investigating the information summary alternatives in treating chronic diseases in such hospitals can shed light on EMR system design, especially on that for developing countries. We study one of the best pediatric hospitals in China. It suffers from a severe shortage of physicians. We introduce its information summary alternative, \fs. In particular, we study how and why pediatricians treat chronic diseases with the sheet. Our work unveils the intense work patterns and their corresponding information requirements of hospitals in China. We also demonstrate the characteristics of the \fs\ and accordingly discuss how EMR systems can be optimized.

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Unveiling High-speed Follow-up Consultation for Chronic Disease Treatment: A Pediatric Hospital Case in China

Zhou

Wang

2022

Proc. ACM Hum.-Comput. Interact.

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In developing countries suffering from a severe shortage of physicians, the follow-up clinical consultation of long-term chronic care becomes a high-speed collaborative work, which has to be conducted in a few minutes. Although much existing work studies how time factors affect physicians' workflows and requirements for information systems, high-speed chronic care is yet to be well investigated. This work bridges the gap by presenting a case of a pediatric hospital in China. We focus on the processes of follow-up consultations, the factors enabling physicians to complete consultation in several minutes, as well as the challenges faced by physicians and patients. Through observations and interviews, we find that physicians conduct multiple tasks (information acquisition, patient-provider communication, and medical data documentation) simultaneously to reduce the consultation duration. Adopting an information summary alternative is the key to fast information acquisition. Templates and references in EMR contribute to rapid documentation and prescription. However, multitasking brings physicians a heavy cognitive load. It also severely compresses the duration of patient-provider communication. As a result, some of the patients' needs, especially emotional ones, are neglected. Based on these findings, we discuss the characteristics and requirements of high-speed chronic care and accordingly propose design suggestions.

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Keeping Distributed Care Together: Medical Summaries Reconsidered

Cited by 3 publications

References 27 publications

Cooperative Epistemic Work in Medical Practice: An Analysis of Physicians’ Clinical Notes

Cooperative Epistemic Work in Medical Practice: An Analysis of Physicians’ Clinical Notes

Information Summary for Chronic Disease Treatment

Unveiling High-speed Follow-up Consultation for Chronic Disease Treatment: A Pediatric Hospital Case in China

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