The importance of coordination in hospitals is well recognized. A better understanding of existing work practices is needed to design and implement effective collaborative technologies. In this field study, we reveal how a cognitive artefact, a patient transport card, originally developed to support a formal patient transport process was subsequently integrated into other informal coordination practices to facilitate: (a) awareness of patient arrival, (b) identification of patient's wheelchair or bed, and (c) transport scheduling decisions. We conclude with implications for current and future research on collaborative artefacts as well as the design and implementation of collaborative technologies.
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References
1.
AbrahamJ.ReddyM. (2009). Challenges to inter-departmental coordination of patient transfers: A workflow perspective. International Journal of Medical Informatics. Article in press.
2.
AlbolinoS.CookR.O'connorM. (2007). Sensemaking, safety, and cooperative work in the intensive care unit. Cogn Tech Wk, 9(3), 131–137.
3.
AshJ. S.BergM.CoieraE. (2004). Some unintended consequences of information technology in health care: The nature of patient care information system-related errors. JAMIA, 11(2): 104–112.
4.
BergM.ToussaintP. (2003). The mantra of modeling and the forgotten powers of paper: A sociotechnical view on the development of process-oriented ICT in health care. IJMI, 69, 223–234.
5.
BardramJ.BossenC. (2005). A web of coordinative artifacts: collaborative work at a hospital ward. Paper presented at the 2005 International ACM SIGGROUP on Supportive group work, New York.
6.
BjornP.RodjeK. (2008). Triage drift: A workplace study in a pediatric emergency department. Comp Supp Coop Wk, 17, 395–419.
7.
Institute of Medicine. (2001). Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press.
8.
GursesA.XiaoY.HuP. (2009). User-designed information tools to support communication and care coordination in a trauma hospital. Journal of Biomedical Informatics, 42, 667.
9.
MaloneT.CrowstonK. (1994). The interdisciplinary study of coordination. ACM Computing Surveys (CSUR), 26(1), 87–119.
10.
MintzbergH. (1979). The structuring of organizations: Prentice-HallEnglewood Cliffs, NJ.
11.
NemethC.NunnallyM.O'connorM.BrandwijkM.KowalskyJ.CookR. (2007). Regularly irregular: How groups reconcile cross-cutting agendas and demand in healthcare. Cogn, Tech & Wk, 9(3), 139–148.
12.
NemethC.O'connorM.KlockP. A.CookR. (2006). Discovering Healthcare cognition: The use of cognitive artifacts to reveal cognitive work. Organization Studies, 27(7), 1011–1035.
13.
NormanD. (1991). Cognitive artifacts. In CarrollJ. M. (Ed.), Designing interaction. Cambridge: Cambridge University Press.
14.
PattersonE. S.WoodsD. D.CookR. I.RenderM. L. (2007). Collaborative cross-checking to enhance resilience. CTW, 9(3), 155–162.
15.
ShortellS. M.ZimmermanJ. E.RousseauD. M.GilliesR. R.WagnerD. P.DraperE. A. (1994). The performance of intensive care units: Does good management make a difference?Medical Care, 32(5), 508–525.
16.
StraussA.FagerhaughS.SuczekB.WienerC. (1985). The social organization of medical work. Chicago: University of Chicago Press.
17.
SymonG.LongK.EllisJ. (1996). The coordination of work activities: Cooperation and conflict in a hospital context. Comp Sup Coop Wk, 5, 1–31.
18.
Van MerodeG. G.GroothuisS.HasmanA. (2004). Enterprise resource planning for hospitals. IJMI, 73, 493–501.
19.
WearsR. L.PerryS. J.WilsonS.GalliersJ.FoneJ. (2007). Emergency department status boards: User-evolved artefacts for inter- and intra-group coordination. Cogn, Tech & Wk, 9(3), 163–170.
20.
XiaoY. (2005). Artifacts and collaborative work in healthcare: Methodological, theoretical, and technological implications of the tangible. Journal of Biomedical Informatics, 38(1), 26–33.
21.
XiaoY.SeagullF. J. (2007). Emergent CSCW systems: The resolution and bandwidth of workplaces. IJMI, 76, 261–266.
22.
YoungG. J.CharnsM. P.DaleyJ.ForbesM. G.HendersonW.KhuriS. F. (1997). Best practices for managing surgical services: The role of coordination. Health Care Management Review, 22(4), 72–81.
