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008191130s2020 xx o 000 0 eng d
015 ▼a GBB9I6201 ▼2 bnb
0167 ▼a 019610892 ▼2 Uk
020 ▼a 1498567460
020 ▼a 9781498567466 ▼q (electronic bk.)
020 ▼z 9781498567459 (hbk.)
035 ▼a 2318641 ▼b (N$T)
035 ▼a (OCoLC)1129196428
037 ▼a 9781498567466 ▼b Ingram Content Group
040 ▼a EBLCP ▼b eng ▼c EBLCP ▼d UKMGB ▼d OCLCO ▼d N$T ▼d 248032
049 ▼a MAIN
050 4 ▼a RA976
08204 ▼a 610.285 ▼2 23
1001 ▼a Overton, Barbara Cook.
24510 ▼a Unintended Consequences of Electronic Medical Records ▼h [electronic resource] : ▼b An Emergency Room Ethnography.
260 ▼a Lanham : ▼b Lexington Books, ▼c 2020.
300 ▼a 1 online resource (281 p.)
336 ▼a text ▼2 rdacontent
336 ▼a still image ▼2 rdacontent
337 ▼a computer ▼2 rdamedia
338 ▼a online resource ▼2 rdacarrier
500 ▼a Description based upon print version of record.
5050 ▼a Cover; Unintended Consequences of Electronic Medical Records; Unintended Consequences of Electronic Medical Records: An Emergency Room Ethnography; Copyright; Dedication; Contents; Acknowledgments; Introduction; EMR Flaws Are Not Idiosyncratic; Chapter 1; "Computers Destroy Personal Communication"; Preliminary Research; A Primer on Emergency Room Culture; My EMR Epiphany; Research Methods; Chapter 2; "If EMRs Are Not Ready for Prime Time, Why Are We Using Them?"; The HITECH Act; What Happens When EMRs are Put in ERs; Chapter 3; Theoretical Frameworks; Facework; Structuration Theory
5058 ▼a Adaptive Structuration TheoryStructurational Divergence Theory; Chapter 4; Forced Learning Amid Organizational Change; Formal EMR Training; Informal EMR Training; "There's No Such Thing as Good EMR Training"; A Few Modest Proposals for Hospital Administrators; Chapter 5; An Appropriation Analysis of Speech Acts and Relating Moves; Analysis of Speech Acts; Analysis of Relating Moves; Chapter 6; An Appropriation Analysis of Constraining and Judging Moves; Analysis of Constraining Moves; Analysis of Judging Moves; Chapter 7; Stuck Between a Rock and Hard Place
5058 ▼a Incompatible Structures Produced an SD-nexusProviders' Dissatisfaction and Burnout Fueled the SD-nexus; "Us" versus "Them" Language Characterized the SD-cycle; Negative Communication Spirals between Providers and Administrators; Providers' Diminished Agency; Structurational Divergence Scores; Practical Implications; Chapter 8; An EMR's Unintended and Perverse Consequences; Unintended Changes to Providers' Communication Practices; Ways the EMR Altered Provider-Patient Relationships and Interactions; Billing Issues; Metrics and Surveillance; Strategies and Workarounds
5058 ▼a Consequences for Older ProvidersEMRs Increase Malpractice Risk; Wage Theft; Chapter 9; Implications and Suggestions; Research Goals; Summary of Major Findings; Theoretical Implications; Practical Implications; Methodological Implications, Limitations, and Directions for Future Research; Conclusion: Goodbye. Farewell. Amen.; References; Index; About the Author
520 ▼a This book argues that the unintended consequences of Electronic Medical Records (EMRs) do more harm than good-namely, that EMRs negatively impact health care providers, threaten patients' safety, and bankrupt hospitals. The author examines ways in which EMRs fundamentally change emergency medicine practice and providers-not always for the better.
590 ▼a Master record variable field(s) change: 050
650 0 ▼a Medical records ▼x Data processing.
650 0 ▼a Emergency medicine ▼x Management.
650 0 ▼a Medicine ▼x Information services.
655 4 ▼a Electronic books.
77608 ▼i Print version: ▼a Cook Overton, Barbara ▼t Unintended Consequences of Electronic Medical Records : An Emergency Room Ethnography ▼d Lanham : Lexington Books,c2019 ▼z 9781498567459
85640 ▼3 EBSCOhost ▼u http://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&db=nlabk&AN=2318641
938 ▼a ProQuest Ebook Central ▼b EBLB ▼n EBL5984663
938 ▼a EBSCOhost ▼b EBSC ▼n 2318641
990 ▼a 관리자
994 ▼a 92 ▼b N$T