This is a qualitative case study of socio-technical work. This study provided a rare example of an in-depth study of an electronic patient record system in (recent) use, in the only site in Wales where this was possible. The study explored the actual use of the Welsh Individual Health Record (IHR) technology by the multi-disciplinary team members working in an emergency medical assessment unit (EMAU). Purposeful sampling was used. Data collection methods were interviews, informal observations and documents. Interviews were audio recorded and transcribed verbatim. Complex Adaptive Systems Theory was used as the lens during data analysis. Three main themes emerged: Managing the dynamic context of the EMAU; Patient safety and Issues with the adoption of the IHR. Clear findings emerged on the usefulness of electronic patient record re: medication safety, bridging the intersection of care, as a vessel for information in the case of patients unable to give their medical histories and facilitating co-production to enhance safe, patient-centred care. The IHR system can mediate the information gaps and should not be developed as static entities but should be allowed to grow and adapt to emergent user requirements.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:685513 |
| Date | January 2016 |
| Creators | Tang, Pauline Chai-Tin |
| Publisher | Cardiff University |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Source | http://orca.cf.ac.uk/90505/ |
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