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.
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.
Barbara Cook Overton holds a PhD in communication studies from Louisiana State University.
Inhaltsangabe
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.
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.
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