Implications of transforming the Patient Record into a Knowledge Management System

Carina Beckerman (carina.beckerman@carinabeckerman.se)
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Carina Beckerman: Dept. of Business Administration, Stockholm School of Economics

No 2007:5, SSE/EFI Working Paper Series in Business Administration from Stockholm School of Economics

Abstract: In this paper I theorize about how transforming the interpretative scheme for what a patient record is might restructure a health care setting. The observations presented here were obtained when I during three years followed implications of constructing and computerizing a patient record at three different hospitals. The results were then analyzed and interpreted within a framework combining theories about knowledge management with concepts from structuration theory and cognitive theories about schema-use, representations and sense-making. The findings indicate that thinking about the patient record as a knowledge management system might start a horizontal and vertical movement, a movement of coordination and enhancement. I propose that what the employees want to achieve with the knowledge management system depends on what strategy they have for it.

Keywords: interpretative schemes; anesthesia patient record; knowledge management system; knowledge management; structuration theory (search for similar items in EconPapers)
Pages: 19 pages
Date: 2007-03-14, Revised 2007-08-11
New Economics Papers: this item is included in nep-knm
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