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The Economic Research Institute, Stockholm School of Economics SSE/EFI Working Paper Series in Business Administration

No 2007:5:
Implications of transforming the Patient Record into a Knowledge Management System

Carina Beckerman ()

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; (follow links to similar papers)

19 pages, March 14, 2007, Revised August 11, 2007

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