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British Journal of Anaesthesia, Vol 78, Issue 6 762-767, Copyright © 1997 by The Board of Management and Trustees of the British Journal of Anaesthesia

COMMENTARIES

Toward the paperless hospital?

RHR. Harper, KPA. O'Hara, A. J. Sellen and DJR. Duthie
Rank Xerox Research Centre, Cambridge Laboratory, 61 Regent Street, Cambridge CB2 1AB; Department of Anaesthesia, Papworth Hospital, Papworth Everard, Cambridge CB3 8RF

This report describes an ethnographic study of document use by anaesthetists. In doing so, it focuses on the role of the preoperative risk assessment form as used in anaesthetic practice at a cardiothoracic hospital, and considers what would be the advantages and disadvantages of shifting the paper into the electronic form. Evidence from this case study is used to comment on how the practical use of documents by medical professionals can be fundamentally at odds with how the organization at large would like to use them. We argue that hospital trusts need to take into account this practical perspective in order to build effective, on-line document systems.
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