Modes of dying in the electronic patient record.

To die in a medical ward is to die in a context aimed at saving lives and ensuring an efficient patient turnover. At the centre of securing treatment and care for patients is the electronic patient record (EPR). In this study, we will argue that the EPR is not only a container of relevant informatio...

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Publicado en:Mortality Vol. 27; no. 3; pp. 336 - 351
Autores principales: Hov, Laila, Pasveer, Bernike, Synnes, Oddgeir
Formato: Artículo
Publicado: Taylor & Francis Ltd Aug2022
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        10.1080/13576275.2020.1865294
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        atl: Modes of dying in the electronic patient record.
      aug:
        au:
          Hov, Laila
          Pasveer, Bernike
          Synnes, Oddgeir
        affil:
          Faculty of Arts and Social Sciences, Maastricht University, Maastricht, The Netherlands
          Centre for Diaconia and Professional Practice, VID Specialized University, Oslo, Norway
      su:
        Causes of death
        Documentation
        Palliative treatment
        Time
        Hospital mortality
        Electronic health records
      sug:
        subj:
          Causes of death
          Documentation
          Palliative treatment
          Time
          Hospital mortality
          Electronic health records
      keyword:
        dying
        Electronic medical record
        hospital
        modes of ordering
        performativity
        dying
        Electronic medical record
        hospital
        modes of ordering
        performativity
      ab: To die in a medical ward is to die in a context aimed at saving lives and ensuring an efficient patient turnover. At the centre of securing treatment and care for patients is the electronic patient record (EPR). In this study, we will argue that the EPR is not only a container of relevant information about a patient and a record of past events but that it also performs how to go about dying, thereby also actively contributing to orderings of dying. Based on excerpts from 42 EPRs from the last 24 hours of life, we distinguish and analyse three hegemonic modes of ordering – numbering, timing and classifying. These modes primarily perform a 'master narrative' loyal to a heroic curative medicine wherein dying is cloaked, in the sense of being sequestered, and is made invisible. But zooming in on the gaps and cracks of the EPR notes, we argue that here we find traces of a different kind of cloaking attentive to palliative care of the dying process.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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