Unintended Consequences of Electronic Medical Records: An Emergency Room Ethnography argues that while electronic medical records (EMRs) were supposed to improve health care delivery, EMRs' unintended consequences have affected emergency medicine providers and patients in alarming ways. Higher healthcare costs, decreased physician productivity, increased provider burnout, lower levels of patient satisfaction, and more medical mistakes are just a few of the consequences Barbara Cook Overton observes while studying one emergency room's EMR adoption. With data collected over six years, Overton demonstrates how EMRs harm health care organizations and thrust providers into the midst of incompatible rule systems without appropriate strategies for coping with these challenges, thus robbing them of agency. Using structuration theory and its derivatives to frame her analysis, Overton explores the ways providers communicatively and performatively receive and manage EMRs in emergency rooms. Scholars of communication and medicine will find this book particularly useful.
Autorentext
Barbara Cook Overton holds a PhD in communication studies from Louisiana State University.
Klappentext
argues that while electronic medical records (EMRs) were supposed to improve health care delivery, EMRs' unintended consequences have affected emergency medicine providers and patients in alarming ways. Higher healthcare costs, decreased physician productivity, increased provider burnout, lower levels of patient satisfaction, and more medical mistakes are just a few of the consequences Barbara Cook Overton observes while studying one emergency room's EMR adoption. With data collected over six years, Overton demonstrates how EMRs harm health care organizations and thrust providers into the midst of incompatible rule systems without appropriate strategies for coping with these challenges, thus robbing them of agency. Using structuration theory and its derivatives to frame her analysis, Overton explores the ways providers communicatively and performatively receive and manage EMRs in emergency rooms. Scholars of communication and medicine will find this book particularly useful.
Inhalt
Introduction: Inventions of the Devil
Chapter 1: Computers Destroy Personal Communication
Chapter 2: If EMRs are Not Ready for Prime Time, Why are We Using Them?
Chapter 3: Theoretical Frameworks
Chapter 4: Forced Learning Amid Organizational Change: Ways Dissonance and Reactance Hinder EMR Training
Chapter 5: An Appropriation Analysis of Speech Acts and Relating Moves: Ways a Frustrating EMR Altered Providers' Everyday Habits
Chapter 6: An Appropriation Analysis of Constraining and Judging Moves: Ways an EMR's Incoherent Spirit Impinged Providers' Agency and Changed Workflow
Chapter 7: Stuck Between a Rock and Hard Place: How Structurational Divergence in the Emergency Room was Made Worse by an EMR
Chapter 8: An EMR's Unintended and Perverse Consequences: I Don't Think This is What They had in Mind.
Chapter 9: Implications and Suggestions
Conclusion: Goodbye. Farewell. Amen.