The hospital organization, characterized by a complex activity, is strongly challenged by the computerized patient record which is put at the disposal of doctors, medical staffs and the administrative service. The division of the medical information, suitable to improve the responsibily assumption on consulting or hospitalized patient, is under the control of the legislator and the authorities of
... [Show full abstract] health. How does the implementation of the computerized patient record contribute to the improvement of the quality of health care? From an exploratory approach carried out in a hospital of the Paris region, it appears tensions in coordinating the care of the patients.