Local-universality: Designing EMR to support localized informal documentation practices

Sun Young Park, Kathleen H. Pine, Yunan Chen

Research output: Chapter in Book/Report/Conference proceedingConference contribution

14 Scopus citations

Abstract

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.

Original languageEnglish (US)
Title of host publicationCSCW 2013 - Proceedings of the 2013 ACM Conference on Computer Supported Cooperative Work
Pages55-66
Number of pages12
DOIs
StatePublished - Mar 18 2013
Externally publishedYes
Event2013 2nd ACM Conference on Computer Supported Cooperative Work, CSCW 2013 - San Antonio, TX, United States
Duration: Feb 23 2013Feb 27 2013

Publication series

NameProceedings of the ACM Conference on Computer Supported Cooperative Work, CSCW

Conference

Conference2013 2nd ACM Conference on Computer Supported Cooperative Work, CSCW 2013
CountryUnited States
CitySan Antonio, TX
Period2/23/132/27/13

Keywords

  • Documentation
  • Electronic medical record (EMR)
  • Informal documentation practices
  • Locality
  • Universality

ASJC Scopus subject areas

  • Software
  • Human-Computer Interaction
  • Computer Networks and Communications

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  • Cite this

    Park, S. Y., Pine, K. H., & Chen, Y. (2013). Local-universality: Designing EMR to support localized informal documentation practices. In CSCW 2013 - Proceedings of the 2013 ACM Conference on Computer Supported Cooperative Work (pp. 55-66). (Proceedings of the ACM Conference on Computer Supported Cooperative Work, CSCW). https://doi.org/10.1145/2441776.2441786