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Successfully implementing patient care information systems (PCIS) in health care organizations appears to be a difficult task. After critically examining the very notions of 'success' and 'failure', and after discussing the problematic nature of lists of 'critical success- or failure factors', this paper discusses three myths that often hamper(More)
  • Marc Berg
  • Computer Supported Cooperative Work (CSCW)
  • 1999
This paper attempts to provide a relational understanding of the generative power of information technologies: an understanding that sees information technologies as embedded in workpractices. This theoretical undertaking, inspired by actor-network theory and work within CSCW, has a practical and political aim. The problems it discusses are directly(More)
Those who face the difficulties of developing useful patient care information systems (PCISs) often stress the importance of 'organizational issues'. Building upon recent sociological insights in the construction and use of information technologies for (health care) work, this paper underscores the importance of these insights for the development and(More)
  • Marc Berg
  • Methods of information in medicine
  • 1998
The computer-based patient record (CPR) is a tool likely to have great impact on the practice of medicine in the years to come. Yet, clinical settings with a fully integrated CPR are hard to find. This paper takes a sociological look at the attempts to construe and introduce CPRs. It is argued that part of the current trouble in getting these tools to work(More)
Medical error reduction is an international issue, as is the implementation of patient care information systems (PCISs) as a potential means to achieving it. As researchers conducting separate studies in the United States, The Netherlands, and Australia, using similar qualitative methods to investigate implementing PCISs, the authors have encountered many(More)
OBJECTIVE To describe the perceived effect of computerized physician order entry (CPOE) on professional collaboration, workflow and quality of care. DESIGN Semi-structured interviews with experts involved in the design, implementation and evaluation of computerized physician order systems in the United States. MEASUREMENTS The interview transcripts were(More)
In this article, we review 25 years of sociological scholarship published in Sociology of Health and Illness on medical technologies. We divide the literature into three theoretical perspectives: technological determinism views medical technology as a political force to shape social relationships, social essentialism emphasizes how medical technologies are(More)
The recognition that restructuring care processes is central to effective and efficient health care will result in the emergence of process-oriented electronic patient records (EPRs). How will these technologies come into being? Within informatics, it is often stated that to informate something, we should first model it. This paper queries whether a(More)