Deborah Swinglehurst

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CONTEXT The extensive research literature on electronic patient records (EPRs) presents challenges to systematic reviewers because it covers multiple research traditions with different underlying philosophical assumptions and methodological approaches. METHODS Using the meta-narrative method and searching beyond the Medline-indexed literature, this review(More)
OBJECTIVE To investigate how electronic templates shape, enable and constrain consultations about chronic diseases. DESIGN Ethnographic case study, combining field notes, video-recording, screen capture with a microanalysis of talk, body language and data entry-an approach called linguistic ethnography. SETTING Two general practices in England. (More)
OBJECTIVE To describe, explore, and compare organisational routines for repeat prescribing in general practice to identify contributors and barriers to safety and quality. DESIGN Ethnographic case study. SETTING Four urban UK general practices with diverse organisational characteristics using electronic patient records that supported semi-automation of(More)
Information and communications technologies (ICTs) in healthcare are often introduced with expectations of higher-quality, more efficient, and safer care. Many fail to meet these expectations. We argue here that the well-documented failures of ICTs in healthcare are partly attributable to the philosophical foundations of much health informatics research.(More)
OBJECTIVES To describe and evaluate two different models of a clinical informaticist service. DESIGN A case study approach, using various qualitative methods to illuminate the complexity of the project groups' experiences. SETTING UK primary health care. INTERVENTIONS Two informaticist projects to provide evidence based answers to questions arising in(More)
Seventy six senior academics from 11 countries invite The BMJ's editors to reconsider their policy of rejecting qualitative research on the grounds of low priority. They challenge the journal to develop a proactive, scholarly, and pluralist approach to research that aligns with its stated mission Trisha Greenhalgh professor of primary care health sciences,(More)
BACKGROUND This article considers the moral notion of care in the context of Quality of Care discourses. Whilst care has clear normative implications for the delivery of health care it is less clear how Quality of Care, something that is centrally involved in the governance of UK health care, relates to practice. DISCUSSION This paper presents a social(More)
BACKGROUND Health informatics research has traditionally been dominated by experimental and quasi-experimental designs. An emerging area of study in organisational sociology is routinisation (how collaborative work practices become business-as-usual). There is growing interest in the use of ethnography and other in-depth qualitative approaches to explore(More)
BACKGROUND The quality of information recorded about patient care is considered key to improving the overall quality, safety and efficiency of patient care. Assigning codes to patients' records is an important aspect of this documentation. Current interest in large datasets in which individual patient data are collated (e.g. proposed NHS care.data project)(More)