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Implications of transforming the Patient Record into a Knowledge Management System


  • Beckerman, Carina

    () (Dept. of Business Administration, Stockholm School of Economics)


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.

Suggested Citation

  • Beckerman, Carina, 2007. "Implications of transforming the Patient Record into a Knowledge Management System," SSE/EFI Working Paper Series in Business Administration 2007:5, Stockholm School of Economics, revised 11 Aug 2007.
  • Handle: RePEc:hhb:hastba:2007_005

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    References listed on IDEAS

    1. Haridimos Tsoukas, 2001. "What is Organizational Knowledge?," Journal of Management Studies, Wiley Blackwell, vol. 38(7), pages 973-993, November.
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    interpretative schemes; anesthesia patient record; knowledge management system; knowledge management; structuration theory;

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