title: Electronic patient records in action: Transforming information into professionally relevant knowledge.
abstract: The implementation of generic models for organizing information in complex institutions like those in healthcare creates a gap between standardization and the need for locally relevant knowledge. The present study addresses how this gap can be bridged by focusing on the practical work of healthcare staff in transforming information in EPRs into knowledge that is useful for everyday work. Video recording of shift handovers on a rehabilitation ward serves as the empirical case. The results show how extensive selections and reorganizations of information in EPRs are carried out in order to transform information into professionally relevant accounts. We argue that knowledge about the institutional obligations and professional ways of construing information are fundamental for these transitions. The findings point to the need to consider the role of professional knowledge inherent in unpacking information in efforts to develop information systems intended to bridge between institutional and professional boundaries in healthcare.
authors.affiliation: University West, Trollhättan, Sweden. Thomas.winman@hv.se
authors.forename: Thomas
authors.initials: T
authors.lastname: Winman
authors.affiliation: University of Gothenburg, Sweden.
authors.forename: Hans
authors.initials: H
authors.lastname: Rystedt
mesh_terms: D000068598:Data Accuracy; D057286:Electronic Health Records / Q000592:standards* / Q000706:statistics & numerical data; D066275:Health Information Exchange / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans
keywords: communication; electronic patient records; professional knowledge; shift handovers; workplace studies