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Health Informatics Journal
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The challenging nature of patient identifiers: an ethnographic study of patient identification at a London walk-in centre

Valentina Lichtner

Centre for Human Computer Interaction Design City University Northampton Square London EC1V 0HB, UK, v.lichtner{at}soi.city.ac.uk

Stephanie Wilson

Centre for Human Computer Interaction Design, steph{at}soi.city.ac.uk

Julia R. Galliers

Centre for Human Computer Interaction Design, jrg{at}soi.city.ac.uk

The correct identification of a patient's health record is the foundation of any safe patient record system. There is no building of a `patient history', no sharing or integration of a patient's data without the retrieval and matching of existing records. Yet there can often be errors in this process and these may remain invisible until a safety incident occurs. This article presents the findings of an ethnographic study of patient identification at a walk-in centre in the UK. We offer a view of patient identifiers as used in practice and show how seemingly simple data, such as a person's name or date of birth, are more complex than they may at first appear and how they potentially pose problems for the use of integrated health records. We further report and discuss a dichotomy between the identifiers needed to access health records and the identifiers used by practitioners in their everyday work.

Key Words: ethnographic study • health records • identifiers • patient identification • walk-in centre

Health Informatics Journal, Vol. 14, No. 2, 141-150 (2008)
DOI: 10.1177/1081180X08089321


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