Implications of Transforming the Patient Record into a Knowledge Management System Initiating a Movement of Coordination and Enhancement

• Today there is often a need to re-innovate who you are and what you do and re-think the tools that are used and the business models that guide action. The purpose of this paper is to show how transforming a document, such as a patient record, might start a horizontal and vertical movement, a movement of coordination and enhancement in an organizational setting, such as a hospital clinic. The observations presented here and the conclusions drawn were obtained during a three year case study following implications of constructing and computerizing a patient record at three different hospitals. The results were then analyzed, interpreted and discussed within a framework combining theories about knowledge management and with cognitive theories about use of interpretative schemes and representations. This paper tries to look beyond the implications of reconstructing a patient record on a micro-level or explore if it is good or bad to computerize it. Instead this paper theorizes about how re-thinking the interpretative scheme for what a patient record is and how it may be used might restructure a health care setting. It proposes that what the employees want to achieve with the knowledge management system depends on what strategy they have for it.

Ämnesord

Natural Sciences  (hsv)

Computer and Information Sciences  (hsv)

Language Technology (Computational Linguistics)  (hsv)

Naturvetenskap  (hsv)

Data- och informationsvetenskap  (hsv)

Språkteknologi (språkvetenskaplig databehandling)  (hsv)

Natural Sciences  (hsv)

Computer and Information Sciences  (hsv)

Information Systems  (hsv)

Naturvetenskap  (hsv)

Data- och informationsvetenskap  (hsv)

Systemvetenskap, informationssystem och informatik  (hsv)

Medical and Health Sciences  (hsv)

Health Sciences  (hsv)

Health Care Service and Management, Health Policy and Services and Health Economy  (hsv)

Medicin och hälsovetenskap  (hsv)

Hälsovetenskaper  (hsv)

Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi  (hsv)

Social Sciences  (hsv)

Other Social Sciences  (hsv)

Other Social Sciences not elsewhere specified  (hsv)

Samhällsvetenskap  (hsv)

Annan samhällsvetenskap  (hsv)

Övrig annan samhällsvetenskap  (hsv)

SOCIAL SCIENCES  (svep)

Statistics, computer and systems science  (svep)

Informatics, computer and systems science  (svep)

Information and language technology  (svep)

SAMHÄLLSVETENSKAP  (svep)

Statistik, data- och systemvetenskap  (svep)

Informatik, data- och systemvetenskap  (svep)

Informations- och språkteknologi  (svep)

SOCIAL SCIENCES  (svep)

Statistics, computer and systems science  (svep)

Informatics, computer and systems science  (svep)

Information technology  (svep)

SAMHÄLLSVETENSKAP  (svep)

Statistik, data- och systemvetenskap  (svep)

Informatik, data- och systemvetenskap  (svep)

Informationsteknologi  (svep)

SOCIAL SCIENCES  (svep)

Other social sciences  (svep)

Administration of health and care  (svep)

SAMHÄLLSVETENSKAP  (svep)

Övrig samhällsvetenskap  (svep)

Hälso- och sjukvårdsadministration  (svep)

INTERDISCIPLINARY RESEARCH AREAS  (svep)

Health and medical services in society  (svep)

TVÄRVETENSKAPLIGA FORSKNINGSOMRÅDEN  (svep)

Hälso- och sjukvård i samhället  (svep)

INTERDISCIPLINARY RESEARCH AREAS  (svep)

Technology and social change  (svep)

TVÄRVETENSKAPLIGA FORSKNINGSOMRÅDEN  (svep)

Teknik och social förändring  (svep)

Nyckelord

interpretative schemes

anesthesia patient record

knowledge management system

knowledge management

structuration theory.