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40
A Finger on the Pulse: Temporal Rhythms and Information Seeking in Medical Work
, 2002
"... Most cooperative work takes place in information-rich environments. However, studies of "information work" tend to focus on the decontextualized access and retrieval problems faced by individual information seekers. Our work is directed towards understanding how information management is s ..."
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Cited by 96 (10 self)
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Most cooperative work takes place in information-rich environments. However, studies of "information work" tend to focus on the decontextualized access and retrieval problems faced by individual information seekers. Our work is directed towards understanding how information management is seamlessly integrated into the course of everyday activities. Drawing on an ethnographic study of medical work, we explore the relationship between information and temporal coordination and discuss the role of temporal patterns or "rhythms" in providing individuals with the means to coordinate information and work.
Cognitive properties of a whiteboard: a case study in a trauma centre
- Proc. ECSCW
, 2001
"... edu, Abstract. Distributed cognition as an approach to collaborative work holds that a work unit is cognitive system in which cognitive activities are carried out jointly by workers with the use of tools. This approach has several direct implications to the study of collaborative work In this paper, ..."
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Cited by 47 (2 self)
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edu, Abstract. Distributed cognition as an approach to collaborative work holds that a work unit is cognitive system in which cognitive activities are carried out jointly by workers with the use of tools. This approach has several direct implications to the study of collaborative work In this paper, we analysed staff interactions with a large display board in a Level I trauma centre operating room unit. Coordination needs are exacerbated by the unpredictability of incoming emergency surgery patients admitted to the trauma centre as well as other contingencies (such as changes in scheduled surgery cases or staffing) The public display board has evolved into a key component for supporting collaborative work. The physical and perceptual properties of the board are exploited by the clinicians to support rapid paced, highly dynamic work. The canvas-like appearances of the display board, combined with magnetic objects attached to the board, afford its users to taylor the board as an effective coordinative tool and to invent new ways of representing information Based on the concept of display-based cognition, our analysis illustrates the role of public displays in facilitating negotiation of scheduling, joint planning, and augmenting inter-personal communication.
Moving to get aHead: Local Mobility and Collaborative Work
- In CSCW
"... Abstract: Local mobility is a central aspect of collaborative work that is in need of close analysis. Between the face-to-face interaction of offices or control rooms and long-distance interaction facilitated through e.g. telephones, e-mail, the www or teleconfer-ences lie a number of work-settings ..."
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Cited by 23 (3 self)
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Abstract: Local mobility is a central aspect of collaborative work that is in need of close analysis. Between the face-to-face interaction of offices or control rooms and long-distance interaction facilitated through e.g. telephones, e-mail, the www or teleconfer-ences lie a number of work-settings in which actors move about continuously in order to accomplish their work. They do so because they need to get access to knowledge, re-sources, persons and/or places. We analyze the integral nature of mobility to this kind of work practice from the ethnographic description of a hospital department, and the chal-lenges that actors have to face to accomplish their work. Based on this ethnographic case, we propose a set of concepts for understanding local mobility as an intermediate field of distributed cooperation between centres of coordination and remote collaboration. Finally, we introduce the concept of ‘mobility work ’ as complementary to the concept of ‘articulation work’.
Work coordination, workflow, and workarounds in a medical context
- Proc. Of CHI’05
, 2005
"... In this paper we report an ethnographic study of workarounds—informal temporary practices for handling exceptions to normal workflow—in a hospital environment. Workarounds are a common technique for dealing with the inherent uncertainty of dynamic work environments. Workarounds can help coordinate w ..."
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Cited by 13 (1 self)
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In this paper we report an ethnographic study of workarounds—informal temporary practices for handling exceptions to normal workflow—in a hospital environment. Workarounds are a common technique for dealing with the inherent uncertainty of dynamic work environments. Workarounds can help coordinate work, especially under conditions of high time pressure, but they may result in information or work protocols that are unstable, unavailable, or unreliable. We investigated workarounds and their effects through observation and interviews in a major teaching medical center. Our results suggest 4 key features of workarounds that technologies might help address: (a) workarounds differ as a function of people’s role; (b) workarounds draw on tacit knowledge of others’ abilities and willingness to help; (c) workarounds can have a cascading effect, causing other workarounds down the line; (d) workarounds often rely on principles of fairness and who owes whom a favor. We provide recommendations for designing systems to better support workarounds in dynamic environments.
Evaluating the Deployment of a Mobile Technology in a Hospital Ward
- Proc. CSCW 2008
"... Since health care teams are often distributed across time and location, information sharing is crucial for effective patient care. Studying the use of a mobile information technology in a local hospital ward at two months and eleven months after its deployment identifies both shortand long-term phen ..."
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Cited by 9 (4 self)
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Since health care teams are often distributed across time and location, information sharing is crucial for effective patient care. Studying the use of a mobile information technology in a local hospital ward at two months and eleven months after its deployment identifies both shortand long-term phenomena and reveals a mismatch between the intentions behind the deployed mobile technology and the nurses ’ current work practices. We contrast the new mobile technology with the paper artifacts that were previously relied upon in nursing work. Finally, in light of these findings, we suggest design directions for future technology to support the nursing shift work. Author Keywords Observation, shift change, information flow, mobile
Transactive memory in trauma resuscitation
- in CSCW ’08: Proceedings of the ACM 2008 conference on Computer supported cooperative work
, 2008
"... This paper describes an ethnographic study conducted to explore the possibilities for future design and development of technological support for trauma teams. We videotaped 10 trauma resuscitations and transcribed each event. Using a framework that we developed, we coded each transcript to allow qua ..."
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Cited by 9 (7 self)
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This paper describes an ethnographic study conducted to explore the possibilities for future design and development of technological support for trauma teams. We videotaped 10 trauma resuscitations and transcribed each event. Using a framework that we developed, we coded each transcript to allow qualitative and quantitative analysis of the trauma teams ’ collaborative processes. We analyzed teams ’ tasks, interactions, and communication patterns that support information acquisition and sharing. Our results showed the importance of team transactive memory, but also pointed to inefficiencies in communication processes, which enable the functioning of this collective memory system. Based on quantitative and qualitative observations of trauma teamwork, we present opportunities for technological solutions that may reduce the cognitive effort needed for maintaining the working memory of trauma teams. Author Keywords Teamwork, communication, transactive memory, cognitive
Why the Plan Doesn’t Hold – a Study of Situated Planning, Articulation and Coordination Work in a Surgical Ward
"... Most studies of plans and situated work have applied ethnographic methods and and thus fail to provide any quantitative insight into the extent of this phenomenon. We present a study of planning and executing operations in an operating suite. Quantitative analysis of log data reveals the extent to w ..."
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Cited by 8 (2 self)
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Most studies of plans and situated work have applied ethnographic methods and and thus fail to provide any quantitative insight into the extent of this phenomenon. We present a study of planning and executing operations in an operating suite. Quantitative analysis of log data reveals the extent to which operation schedules are carried out as planned, and qualitative studies reveal the reasons behind changes to the plan, the consequences of such changes, and the strategies used to cope with them. 67 % of the plan is changed and only 56 % of all operations are planned ahead. We discuss how operation schedules are subject to “continuous planning”, and how this needs to be supported by technology. ACM Classification Keywords
Supporting Coordination in Surgical Suites: Physical Aspects of Common Information Spaces
"... To accommodate frequent emergencies, interruptions, and delays, hospital staff continually make and coordinate changes to the surgery schedule. The technical and social aspects of coordination in surgical suites have been described by prior studies. This paper addresses an understudied aspect of coo ..."
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Cited by 7 (1 self)
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To accommodate frequent emergencies, interruptions, and delays, hospital staff continually make and coordinate changes to the surgery schedule. The technical and social aspects of coordination in surgical suites have been described by prior studies. This paper addresses an understudied aspect of coordination: the physical environment. Based on a field study of four surgical suites in two large academic centers, we show how the physical layout of hallways and rooms, and barriers and spaces around displays and key coordinators, support or fail to support the common information spaces used for coordination. We use the concept “information hotspots ” to represent how physical places and their characteristics facilitate coordination. We developed design principles based on the concept of information hotspots that should guide architectural considerations for coordination in dynamic environments such as hospitals. Author Keywords Coordination; physical environment; shared displays;
Temporal Implications of Information Technology for Work Practices: Organizing in and for Time in an Emergency Department
"... We investigate the temporal implications of information technology by examining its use in the work practices of physicians and nurses in an emergency department. We conceptualize the temporality in work practices being constituted by temporal enactment (e.g., linearity), temporal construal (e.g., a ..."
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Cited by 5 (0 self)
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We investigate the temporal implications of information technology by examining its use in the work practices of physicians and nurses in an emergency department. We conceptualize the temporality in work practices being constituted by temporal enactment (e.g., linearity), temporal construal (e.g., autonomy), and temporal spatiality (e.g., regionalization). By using this categorization we found that information technology impinges on temporal organizing by imposing its specific temporal logics and by being location dependent. Distinct information technologies have different impacts on temporality in work, and temporal effects of the same information technology vary across work groups. This highlights the need for alternative technological configurations to support varying temporal practices. The findings underscore the potential of information technology as a temporal boundary object that reconciles differences in temporal organization among work groups.
Loosely formed patient care teams: Communication challenges and technology design
- In Proc. CSCW 2012, ACM Press
, 2012
"... ABSTRACT We conducted an observational study to investigate nurses' communication behaviors in an Emergency Department (ED). Our observations reveal unique collaboration practices exercised by ED staff, which we term as "loosely formed team collaboration." Specifically, ED patient ca ..."
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Cited by 4 (1 self)
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ABSTRACT We conducted an observational study to investigate nurses' communication behaviors in an Emergency Department (ED). Our observations reveal unique collaboration practices exercised by ED staff, which we term as "loosely formed team collaboration." Specifically, ED patient care teams are dynamically and quickly assembled upon patient arrival, wherein team members engage in interdependent and complex care activities. The responsible care team then disassembles when a patient leaves the ED. The coordination mechanism required for these work practices challenges nurses' communication processes, often increasing breakdown susceptibility. Our analysis of the ED nurses' communication behaviors and use of communication channels highlights the importance of maintaining team awareness and supporting role-based communication. This points to the need for explicit efforts to coordinate tasks and informative interruptions. These findings call for the design of future communication technologies to meet the needs of loosely formed collaborative environments to provide team-based communication, lightweight feedback, and information transparency.