This ethnographic research study documented the use and effects of an electronic medical records system (EMR) by healthcare providers working in a community hospital-based emergency room. Using data collected from participant observation, in-depth interviews, questionnaires, and hospital documents, the research findings suggest EMRs impinge providers agency, alter emergency room systems, affect communication patterns among providers, and exacerbate structurational divergence (SD) conditions. Findings suggest that providers attempts to regain lost agency tips the SD-nexus into an SD-cycle, characterized by negative communication spirals between providers. The discussion chapter examines the impact of EMRs on emergency room structures, system reproduction, providers workflow and communication patterns, patients experiences, and unintended consequences, and it expounds implications of the study with regard to what lessons learned from this analysis suggests might be best practices for hospitals and emergency rooms adopting EMRs.
| Identifer | oai:union.ndltd.org:LSU/oai:etd.lsu.edu:etd-07132015-112412 |
| Date | 27 July 2015 |
| Creators | Overton, Barbara Cook |
| Contributors | Pecchioni, Loretta, Frey, Lawrence, Bodie, Graham, Edwards, Renee, Sylvester, Judith |
| Publisher | LSU |
| Source Sets | Louisiana State University |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.lsu.edu/docs/available/etd-07132015-112412/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached herein a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to LSU or its agents the non-exclusive license to archive and make accessible, under the conditions specified below and in appropriate University policies, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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