Many attempts to get clinicians to use electronic health records have failed, often because of
difficulties with data entry. 1–4 Technology should complement and improve clinical care …

In this article, we describe the state of the art and directions of current development and
research with respect to the inclusion of medical narratives in electronic medical-record …

Medical error reduction is an international issue, as is the implementation of patient care
information systems (PCISs) as a potential means to achieving it. As researchers conducting …

Those who face the difficulties of developing useful patient care information systems (PCISs)
often stress the importance of 'organizational issues'. Building upon recent sociological …

Despite years of work, no re-usable clinical terminology has yet been demonstrated in
widespread use. This paper puts forward ten reasons why developing such terminologies is …

Successful design of information systems in health care starts with a thorough
understanding of the practices in which the systems are to function. In this paper, we discuss …

Purpose: Despite widespread reliance on chart abstraction for quality measurement,
concerns persist about its reliability and validity. We prospectively evaluated the validity of …

Objective: To assess the effects of a computer-based patient record system on human
cognition. Computer-based patient record systems can be considered “cognitive artifacts,” …

In almost all Western countries, concerted efforts are made to stimulate the use of
information and communication technology (ICT) in health care. Yet the number of success …

This paper argues that we should understand the process of IT design as the development
of sociotechnical configurations. Drawing upon our experiences with an electronic patient …