Physicians’ Progress Notes: The Integrative Core of the Medical Record

Jørgen Bansler, Erling C. Havn, Troels Mønsted, Kjeld Schmidt, Jesper Hastrup Svendsen

    Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-review

    Abstract

    This paper examines physicians’ progress notes, an artifact that, in spite of its obvious importance in the coordination of cooperative work in clinical settings, has not been subjected to systematic study under CSCW auspices. While several studies have addressed the role of the medical record in patient care, they have not dealt specifically with the role, structure, and content of the progress notes. As a consequence, CSCW research has not yet taken fully into account the fact that progress notes are coordinative artifacts of a rather special kind, an open-ended chain of prose texts, written sequentially by cooperating physicians for their own use as well as for that of their colleagues. We argue that progress notes are the core of the medical record, in that they marshal and summarize the overwhelming amount of data that is available in the modern hospital environment, and that their narrative format is uniquely adequate for the pivotal epistemic aspect of cooperative clinical work: the narrative format enables physicians to not only record ‘facts’ but also—by filtering, interpreting, organizing, and qualifying information—to make sense and act concertedly under conditions of uncertainty and contingency.
    Original languageEnglish
    Title of host publicationProceedings of the 13th European Conference on Computer Supported Cooperative Work (ECSCW 2013)
    EditorsO.W. Bertelsen
    Place of Publicationlondon
    PublisherSpringer
    Publication date2013
    Pages123-142
    ISBN (Print)978-1-4471-5346-7
    Publication statusPublished - 2013
    Event13th European Conference on Computer Supported Cooperative Work - Paphos, Cyprus
    Duration: 21 Sep 201325 Sep 2013
    Conference number: 13
    https://ecscw2013.cs.ucy.ac.cy/

    Conference

    Conference13th European Conference on Computer Supported Cooperative Work
    Number13
    CountryCyprus
    CityPaphos
    Period21/09/201325/09/2013
    Internet address

    Bibliographical note

    ECSCW 2013: Proceedings of the 13th European Conference on Computer Supported Cooperative Work, 21-25 September 2013, Paphos, Cyprus
    2013, pp 123-142

    Fingerprint Dive into the research topics of 'Physicians’ Progress Notes: The Integrative Core of the Medical Record'. Together they form a unique fingerprint.

    Cite this