Overton, Barbara Cook
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자료유형 | E-BOOK |
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서명/저자사항 | Unintended Consequences of Electronic Medical Records [electronic resource] : An Emergency Room Ethnography. |
개인저자 | Overton, Barbara Cook. |
발행사항 | Lanham: Lexington Books, 2020. |
형태사항 | 1 online resource (281 p.). |
기타형태 저록 | Print version: Cook Overton, Barbara Unintended Consequences of Electronic Medical Records : An Emergency Room Ethnography Lanham : Lexington Books,c2019 9781498567459 |
ISBN | 1498567460 9781498567466 |
일반주기 |
Description based upon print version of record.
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내용주기 | Cover; Unintended Consequences of Electronic Medical Records; Unintended Consequences of Electronic Medical Records: An Emergency Room Ethnography; Copyright; Dedication; Contents; Acknowledgments; Introduction; EMR Flaws Are Not Idiosyncratic; Chapter 1; "Computers Destroy Personal Communication"; Preliminary Research; A Primer on Emergency Room Culture; My EMR Epiphany; Research Methods; Chapter 2; "If EMRs Are Not Ready for Prime Time, Why Are We Using Them?"; The HITECH Act; What Happens When EMRs are Put in ERs; Chapter 3; Theoretical Frameworks; Facework; Structuration Theory Adaptive Structuration TheoryStructurational Divergence Theory; Chapter 4; Forced Learning Amid Organizational Change; Formal EMR Training; Informal EMR Training; "There's No Such Thing as Good EMR Training"; A Few Modest Proposals for Hospital Administrators; Chapter 5; An Appropriation Analysis of Speech Acts and Relating Moves; Analysis of Speech Acts; Analysis of Relating Moves; Chapter 6; An Appropriation Analysis of Constraining and Judging Moves; Analysis of Constraining Moves; Analysis of Judging Moves; Chapter 7; Stuck Between a Rock and Hard Place Incompatible Structures Produced an SD-nexusProviders' Dissatisfaction and Burnout Fueled the SD-nexus; "Us" versus "Them" Language Characterized the SD-cycle; Negative Communication Spirals between Providers and Administrators; Providers' Diminished Agency; Structurational Divergence Scores; Practical Implications; Chapter 8; An EMR's Unintended and Perverse Consequences; Unintended Changes to Providers' Communication Practices; Ways the EMR Altered Provider-Patient Relationships and Interactions; Billing Issues; Metrics and Surveillance; Strategies and Workarounds Consequences for Older ProvidersEMRs Increase Malpractice Risk; Wage Theft; Chapter 9; Implications and Suggestions; Research Goals; Summary of Major Findings; Theoretical Implications; Practical Implications; Methodological Implications, Limitations, and Directions for Future Research; Conclusion: Goodbye. Farewell. Amen.; References; Index; About the Author |
요약 | This book argues that the unintended consequences of Electronic Medical Records (EMRs) do more harm than good-namely, that EMRs negatively impact health care providers, threaten patients' safety, and bankrupt hospitals. The author examines ways in which EMRs fundamentally change emergency medicine practice and providers-not always for the better. |
일반주제명 | Medical records --Data processing. Emergency medicine --Management. Medicine --Information services. |
언어 | 영어 |
바로가기 | URL |
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