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Between representation, reorganization and control : the informal technification of intensive care units and the consequences

[journal article]

Manzei, Alexandra

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Please use the following Persistent Identifier (PID) to cite this document:http://nbn-resolving.de/urn:nbn:de:0168-ssoar-294512

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Abstract "Relying upon an ethnographical study in the field of intensive care medicine, the paper shows how economic requirements are restructuring medical knowledge and practice on intensive care units (ICUs). As such, emphasis is placed on the special role that the IT network plays in this reorganizing process. The digitalization process allows linking the monitoring system, not only with the electronic patient record, but also with the management information system beyond the ward. Thereby, the former socially and ethically closed sphere of the ICU is opened up to organisational and economical requirements. Presenting two examples from the case-study, the paper illustrates how the IT network allows the accounting department to control the organization of work on the ICU as well as displaying the way in which medical classification systems are transformed into economic indicators. Furthermore, the paper explicitly shows how the medical and nursing stuff deal with the conflict of objectives that result from this digitalization and economization process." [author's abstract]
Keywords intensive care medicine; sociotechnical system; information technology; digitalization; mechanization; information system; economization
Classification Medical Sociology; Sociology of Science, Sociology of Technology, Research on Science and Technology
Document language English
Publication Year 2007
Page/Pages p. 53-61
Journal The International Journal of Technology, Knowledge and Society, 3 (2007) 6
Status Published Version; reviewed
Licence Creative Commons - Attribution-Noncommercial-No Derivative Works