Ski hill injuries and ghost charts: Socio-technical issues in achieving e-Health interoperability across jurisdictions

  title={Ski hill injuries and ghost charts: Socio-technical issues in achieving e-Health interoperability across jurisdictions},
  author={Ellen Balka and Sandra Whitehouse and Shannon T. Coates and Dug Andrusiek},
  journal={Information Systems Frontiers},
This paper looks at the challenges associated with consolidating and leveraging patient information recorded at various points in a distributed, multijurisdictional health care system. We draw on insights from two ethnographic case studies to illuminate varied issues related to interoperability of information management systems. Our first case study is an investigation of duplicate medical charts which exist in several ambulatory care clinics located on the same campus at an acute care hospital… CONTINUE READING

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