This paper empirically investigates a Common Information Space (CIS) established by medical secretaries so they could support each other during their workplace’s transition to a new comprehensive electronic health record, called the Healthcare Platform (HP). With the new system, the secretaries were expected to become partially obsolete, as doctors were to take on a significant load of the clerical work, such as documenting and coding. To handle their changing work situation, the medical secretaries set up an online support group in parallel to, but independent from, the official implementation support organization. The paper’s contribution is a characterization of the support group as a common information space (CIS), and analysis of the specific qualities of a worker-driven CIS as a forum for 1) articulation work required for re-grounding changing tasks and responsibilities, 2) archiving discussions (posts) and guidelines to further their collective interpretation, and 3) creating a space independent of management for employees to work out their new role in an organization in a situation of transition and change.

本文对由医疗秘书建立的公共信息空间（CIS）进行了实证研究，以便他们在工作场所向新的综合电子健康记录（称为医疗保健平台（HP））过渡期间可以互相支持。随着新系统的发展，秘书将被部分淘汰，因为医生将承担文书和编码等大量文书工作。为了应对不断变化的工作状况，医务秘书与官方实施支持组织并行但独立地设立了一个在线支持小组。本文的贡献是将支持小组表征为一个公共信息空间（CIS），并分析了一个由 工作人员驱动的特殊素质 CIS作为一个论坛，以供以下人员使用：1）重新确定不断变化的任务和职责所需的明确表达工作； 2）归档讨论（帖子）和准则以进一步进行集体解释； 3）创建独立于管理层的空间，使员工可以制定新的在过渡和变化的情况下在组织中的角色。