The “gloss” as an articulating device of emergency care
Keywords:
emergency room, clinical recordsAbstract
In the emergency department, there are written records that reflect the trajectories of care. The objective of this study was to observe, describe and analyze the health personnel social interactions and the integration of the gloss to document patients´ classification, diagnosis and referral process. Methodologically, relational ethnography was used in the emergency room of a second-level care hospital between September 2022 and February 2023 in the Mexican capital. The results describe, through retrospective narratives of the researchers, health situations where agents´ knowledge, feelings, skills and interests are involved and the relation with written documents that account the proccess, also highlighting the precariousness of the technological resources for the registry. In the discussion, the emergency room is interpreted as a gateway, intermediate space or transitional zone that operates as a structured site to address the non-specific with assertiveness and speed in decision-making and action. Organizational devices intervene in the plots of attention, which is reflected in the diversity of formal and informal written documents of the gloss, whose final phase is ephemeral.
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References
Agamben, G. (2011). ¿Qué es un dispositivo? Sociológica. 73 (26), 249-264.
Ahmadpour, S.; Bayramzadeh, S.; Aghaei, P. (2021). Efficiency and teamwork in emergency departments: Perception of staff on design interventions. HERD, 14 (4), 310–23.
Alvarez, C.; Rojas, E.; Arias, M.; Munoz-Gama, J.; Sepúlveda, M.; Herskovic, V. & Capurro, D. (2018). Discovering role interaction models in the Emergency Room using Process Mining. J Biomed Inform, 78, 60-77. http://dx.doi.org/10.1016/j.jbi.2017.12.015 [consulta: 28 de enero de 2024].
American College of Emergency Physicians. (2022). Patient Medical Records in the Emergency Department. https://www.medleague.com/knowledge-base/analyzing-emergency-room-records/ [consulta: 28 de enero de 2024].
Atkinson, P. (1997). The Clinical Experience. Aldershot UK: Ashgate.
Bowden, T.; Lyell, D.; Coiera, E. (2020). Emergency care access to primary care records: an observational study. BMJ Health Care Inform. 27(3), e100153. http://dx.doi.org/10.1136/bmjhci-2020-100153
Brandstorp, H.; Kirkengen, AL.; Halvorsen, PA.; Sterud, B.; Haugland, B. (2012). Training interaction in primary care emergency teams: the role of the patient. The International Journal of Person Centered Medicine, 2 (4), 656-663. https://doi.org/10.5750/ijpcm.v2i4.307 [consulta: 28 de enero de 2024].
Chihu Amparán, A. (2018). Los marcos de la experiencia. Sociológica, 33 (93), 87-117.
Cisterna, C. (2005). Categorización y triangulación como procesos de validación del conocimiento en investigación cualitativa. Theoria, 14, 61–71.
Emergency room record. (2020). Harris health system guidelines and protocols, no. 10. https://med.uth.edu/harrishealth/wp- content/uploads/sites/26/2020/09/E10.20-EMERGENCY-ROOM-RECORD.pdf [consulta: 28 de enero de 2024].
Fernandez, R.; Kozlowski, SWJ.; Shapiro, MJ.; Salas, E. (2008). Toward a definition of teamwork in emergency medicine. Acad Emerg Med, 15(11), 1104–12.
Fischer-Lichte, E. (2011). Estética de lo Performativo. Madrid: Abada Editores.
Gifford, R.; Van Der Vaart, T.; Molleman, E.; Van Der Linden, MC. (2022). Working together in emergency care? How profesional boundaries influence integration efforts and operational performance. International Journal of Operations & Production Management. 42 (13), 144–3577.
Goffman, E. (2006). Frameanalysis: los marcos de la experiencia. Madrid: Centro de Investigaciones Sociológicas.
Gómez, G.; Sánchez, P. (2018). Utilidad de los expedientes clínicos para la investigación bioantropológica en salud. Espacio Abierto Cuaderno Venezolano de Sociología. 278, 85–104.
Good, B. J. (2003). Medicina, racionalidad y experiencia: una perspectiva antropológica. México: Ediciones Bellaterra.
Hamui, L. (Coord). (2022). Interacciones y narrativas en la clínica. Más allá del cerebro. México: Facultad de Medicina.
Hamui, L. & Josefina, R. (2021). Etnografía Clínica y Narrativas. Revista Dimensión Antropológica, (81), 7-30.
Hamui, L.; Vives, T. (2022). Las preguntas analíticas en investigación cualitativa. Investigación en Educación Médica, 11(41), 97–102.
Hillman, A. (2013). “Why must I wait?” The performance of legitimacy in a hospital emergency department. Sociology of Health & Illness, 36, 485 – 99.
Insunza, I. (2019). Origen y usos de la idea de liminalidad. https://www.revistahiedra.cl/opinion/origen-y-usos-de-la-idea-de-liminalidad/ [consulta: 27 de enero de 2024].
Janesick, V. (1994). The Choreography of Qualitative Re-search Design. Handbook of Qualitative Research, 379-399.
Kelley, C. (2020). How to communicate with emergency services using a SOAP note. https://blog.nols.edu/2020/05/18/soap-report [consulta: 28 de enero de 2024].
Khademian, Z.; Sharif, F.; Tabei, SZ.; Bolandparvaz, S.; Abbaszadeh, A.; Abbasi, HR. (2013). Teamwork improvement in emergency trauma departments. Iran J Nurs Midwifery Res., 18 (4), 333–9.
Kilner, E. & Sheppard, LA. (2010). The role of teamwork and communication in the emergency department: a systematic review. Int Emerg Nurs, 18(3), 127–37.
Kleinman, A.; Eisenberg, L., Good, B. (2006). Culture, Illness, and Care: Clinical Lessons from Anthropologic and Cross-Cultural Research. Focus the journal of lifelong learning in psychiatry, IV (1), 140-149.
Latour, B. (2005). Reassembling the Social. An introduction to actor-network-theory. Oxford: Oxford UniversityPress.
Lock, M. & Nguyen, V. K. (2010). An anthropology of biomedicine. Reino Unido: Wiley Blackwelle Publishing.
Mattingly, C. (1998). Healing dramas and clinical plots. The narrative structure of experience. New York: Cambridge University Press.
MedLeague. (2015). Analysing Emergency Room Records. https://www.medleague.com/knowledge-base/analyzing-emergency-room- records/ [consulta: 28 de enero de 2024].
Milton, J.; Erichsen, A.; Åberg, ND.; Gillespie, BM.; Oxelmark, L. (2022). Healthcare professionals’ perceptions of interprofessional teamwork in the emergency department: a critical incident study. Scand J Trauma ResuscEmergMed. 30 (1), 46.
Negpal, V.; Nicks, BA. (2018). Communication and Interpersonal interactions. International Emergency Medicine Education Project. https://iem-student.org/ [consulta: 28 de enero de 2024].
Norma Oficial Mexicana (2012). NOM 004-SSA3-2012. Del expediente clínico. https://dof.gob.mx/nota_detalle.php?codigo=5272787&fecha=15/10/2012#gsc.tab=0 [consulta: 28 de enero de 2024].
OpenAI (2024). ChatGPT (versión del 20 de abril) [definición del término liminal]. https://chat.openai.com/chat
OpenAI (2024). ChatGPT (versión del 20 de abril) [definición del término triage]. https://chat.openai.com/chat
OpenAI (2024). ChatGPT (versión del 20 de abril) [definición del término derechohabiente]. https://chat.openai.com/chat
OpenAI (2024). ChatGPT (versión del 20 de abril) [definición del término glosa]. https://chat.openai.com/chat
Ornelas, JM. (2013). El expediente clínico. México: Manual Moderno.
Pozas, MA. (2015). En busca del actor en la Teoría del Actor Red. https://cdsa.aacademica.org/000-079/51.pdf [consulta: 28 de enero de 2024].
Scheper-Hughes, N. & Lock, M. (1987). The Mindful Body: A Prolegomenon to Future Work in Medical Anthropology. Medical Anthropology Quarterly, 1, 6-41. https://doi.org/10.1525/maq.1987.1.1.02a00020 [consulta: 28 de enero de 2024].
Schmutz, J.B.; Meier, L.L.; Manser, T. (2019). How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. BMJ Open, 9 (9), e028280. http://dx.doi.org/10.1136/bmjopen-2018-028280
Slade, D.; Stein-Parbury, J.; Scheeres, H.; Widin, J.; Smith, V. & Townsend, L. (2011). CHEC Communication for Health in Emergency Contexts. https://www.uts.edu.au/sites/default/files/CHEC-interactive.pdf [consulta: 28 de enero de 2024].
Society for Participatory Medicine. (2017). What Patients Observe about Teamwork in the ED: Development of the PIVOT Questionnaire. https://participatorymedicine.org/journal/what-patientsobserve-about-teamwork-appendix-a/ [consulta: 28 de enero de 2024].
Somolinos, J. (2021). Fundamentos del diagnóstico. https://www.fundamentosdeldiagnostico.com/cap%C3%ADtulo-2-el-expediente-cl%C3%ADnico-a-traves-de-la-historia [consulta: 28 de enero de 2024].
Spinelli, H. (2022). Sentirjugarhacerpensar: la acción en el campo de la salud. Remedios de Escalada: Universidad Nacional de Lanús.
Turner, V. (1998). El proceso ritual: estructura y antiestructura. España: Taurus.
Vaid, U.; Lundgren, H.; Watkins, KE.; Ziring, D.; Alcid, GA.; Marsick, VJ. & Papanagnou, D. (2023). Making decisions “in the dark”: Learning through uncertainty in clinical practice during Covid-19. AEM Educ Train. 7(5), e10909.
Van Gennep, A. (2008). Los ritos de paso. Madrid: Alianza Editorial.
Wenger-Trayner, E. & Wenger-Trayne, B. (2019). Comunidades de práctica una breve introducción. http://www.pent.org.ar/institucional/publicaciones/comunidades-practica-una-breve-introduccion[consulta: 27 de enero de 2024].
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