ABSTRACT
This paper uses a long term ethnographic study of the design and implementation of an electronic patient records (EPR) system in a UK hospital Trust to consider issues arising in the multi-faceted process of integration when a customizable-off-the-shelf (COTS) system is configured and deployed in a complex setting. The process involves trying to artfully work out how disparate technologies integrate with existing and evolving patterns of work within developing regulatory requirements. We conclude by suggesting ways in which ethnographic interventions and user involvement may be timed and targeted to aid in achieving this process.
- Berg, M. (1997). Rationalizing Medical Work: Decision Support Techniques and Medical Practices. Cambridge, MA, MIT Press. Google ScholarDigital Library
- Bloomfield, B. & Vurdubakis, T. (1997). Visions of Organization and Organizations of Vision. Accounting, Organizations and Society 22, 7, 639--668.Google ScholarCross Ref
- Button, G. & Sharrock, W. (1994) Occasioned practices in the work of software engineers. In Requirements Engineering Social & Technical Issues, eds M Jirotka & J Goguen. London. Academic Press. Google ScholarDigital Library
- Button, G. & Sharrock, W. (1996). Project work: the organisation of collaborative design and development in software engineering, in JCSCW, v.5 n.4, p.369--386. Google ScholarDigital Library
- Coble, J., Karat, J. and Kahn, M. (1997) Maintaining a Focus on User Requirements Throughout the Development of Clinical Workstation Software. Proceedings of CHI '97. ACM Press. pp 170--179. Google ScholarDigital Library
- Ellingsen, G. and Monterio, E. (2000). A patchwork planet: The heterogeneity of electronic patient record systems in hospitals. In Proc. IRIS'2000 (Uddevalla, Sweden, August).Google Scholar
- Finkelstein, A (1993) The Report of the Inquiry into the London Ambulance Service. SW Thames Health Authority.Google Scholar
- Grimson, J., Grimson, W. and Hasselbring, W. (2000): The SI Challenge in Healthcare. Communications of the ACM, vol. 43(6), pp. 49--55. ACM Press. Google ScholarDigital Library
- Grudin, J. (1991). Systematic Sources of Suboptimal Interface Design in Large Product Development Organizations. Human-Computer Interaction, Vol. 6, pp. 147--196, Lawrence Erlbaum Associates.Google Scholar
- Hartswood, M., Procter, R., Rouncefield, M. and Slack, R. (2003). Making a Case in Medical Work: Implications for the Electronic Medical Record. JCSCW, 12, pp. 241--266. Google ScholarDigital Library
- Hughes, J., Randall, D. & Shapiro, D. (1992). Faltering from Ethnography to Design. In proceedings of CSCW 92. ©© ACM press. Google ScholarDigital Library
- Hughes, J., King, V., Rodden, T. & Andersen, H. (1994). Moving Out of the Control Room: Ethnography in system design. In proceedings of CSCW 94. ©© ACM press. Google ScholarDigital Library
- Poltrock, S., and Grudin, J. (1994). Organizational Obstacles to Interface Design and Development: Two Participant-Observer Studies. ToCHI, Vol. 1, No. 1, pp 52--80. ACM. Google ScholarDigital Library
- Sommerville, I., Rodden, T., Sawyer, P. & Bentley, R. (1992). Sociologists can be surprisingly useful in interactive systems design. In proceedings of HCI '92, CUP. Google ScholarDigital Library
Index Terms
- Timing in the art of integration: 'that's how the bastille got stormed'
Recommendations
How physicians 'achieve overview': a case-based study in a hospital ward
CSCW '14: Proceedings of the 17th ACM conference on Computer supported cooperative work & social computingClinicians' work in hospitals is safety- and time-critical, and often stressful due to the number and complexity of patient cases they must attend to. Therefore, how clinicians gather information, identify problems and make decisions concerning patients ...
Bridging Work Practice and System Design: Integrating Systemic Analysis, Appreciative Intervention and Practitioner Participation
This article discusses the integration of work practice and system design. By scrutinising the unfolding discourse of workshop participants the co-construction of work practice issues as relevant design considerations is described. Through a mutual ...
Infrastructuring and Ordering Devices in Health Care: Medication Plans and Practices on a Hospital Ward
In this paper, we analyse physicians' and nurses' practices of prescribing and administering medication through the use of paper-based, and digitalized medication plans. Our point of departure is an ethnographic study of the implications of upgrading an ...
Comments