Supporting Informality: Team Working and Integrated Care Records

Gillian Hardstone, Mark Hartswood, Rob Procter, Roger Slack, Alex Voss, Gwyneth Rees

Research output: Chapter in Book/Report/Conference proceedingConference contribution


This paper reports findings from an ethnographic study of the work of Adult and Care of the Elderly Community Mental Health Teams in the context of the deployment of an Electronic Medical Record. Our findings highlight the importance of informal discussions and provisional judgments as part of the process by which teams achieve consensual clinical management decisions over time. We show how paper-based documentation supports this collaborative work by affording both the revision of preliminary clinical management options and the accretion of contributions by team members with different clinical perspectives and expertise. Finally, we consider the implications both for teamwork and the Integrated Care Record (ICR) as clinical documentation becomes increasingly held and distributed electronically.
Original languageEnglish
Title of host publicationCSCW '04 Proceedings of the 2004 ACM conference on Computer supported cooperative work
Place of PublicationNew York, NY, USA
Number of pages10
ISBN (Print)1-58113-810-5
Publication statusPublished - 2004


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