Managing information. Misrepresentation in the patient’s notes

Dariusz Galasiński , Justyna Ziółkowska

Abstract

Doctors are required to document their examinations of the patient. This task is particularly important in psychiatry, where what the patient says is practically the only source of information available to the clinician. In our article we shall focus on the process of information management in psychiatry and trace the information which was recorded in the patients’ notes back to its origin in the interview. Our data consists of eight recordings of psychiatric interviews along with the patients’ notes. Our main argument is that the notes are not merely written from the point of view of the psychiatrist, but might have little or nothing to do with the interview. We demonstrate, first, that accurate notes are a record of how the doctor conducted the interview. Second, the notes doctors made also misrepresent the interview with the patient: doctors record false information, distort it, take out of its context.
Author Dariusz Galasiński
Dariusz Galasiński,,
-
, Justyna Ziółkowska (Wydział Zamiejscowy we Wrocławiu)
Justyna Ziółkowska,,
- Wydział Zamiejscowy we Wrocławiu
Journal seriesQualitative Inquiry, ISSN 1077-8004, (A 40 pkt)
Issue year2013
Vol19
No8
Pages589-599
Publication size in sheets0
ASJC Classification3301 Social Sciences (miscellaneous); 3314 Anthropology
DOIDOI:10.1177/1077800413494346
URL http://qix.sagepub.com/content/19/8/589.abstract?rss=1
Languageen angielski
File
QUAL INQ.pdf 677.85 KB
Score (nominal)40
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2014 = 1.615; WoS Impact Factor: 2013 = 0.738 (2) - 2013=0.847 (5)
Citation count*6 (2020-09-28)
Additional fields
Dorobek Naukowy - Preview URLhttp://dn.swps.edu.pl/Podglad.aspx?WpisID=14429
Dorobek Naukowy - Approve URLhttp://dn.swps.edu.pl/Biuro/ZatwierdzanieWpisu.aspx?WpisID=14429
Dorobek Naukowy - Preview URLhttp://dn.swps.edu.pl/Podglad.aspx?WpisID=17208
Dorobek Naukowy - Approve URLhttp://dn.swps.edu.pl/Biuro/ZatwierdzanieWpisu.aspx?WpisID=17208
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* presented citation count is obtained through Internet information analysis and it is close to the number calculated by the Publish or Perish system.
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