A mobile voice communication system in medical setting

Tang, Choon Yik; Carpendale, Sheelagh

doi:10.1145/1518701.1519012

Cited by 27 publications

(20 citation statements)

References 15 publications

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“…Collaborative healthcare practices often require that workers have timely access to people, information, and resources (Bardram and Bossen 2005 (Hanada et al 2006;Tang and Carpendale 2009a). In particular, such devices allow clinicians to continue with a current task while communicating with team members about other patients or tasks, improving the efficiency and the quality of patient care (Tang and Carpendale 2009a).…”

Section: Technology For Supporting Distributed Communicationmentioning

confidence: 99%

“…In particular, such devices allow clinicians to continue with a current task while communicating with team members about other patients or tasks, improving the efficiency and the quality of patient care (Tang and Carpendale 2009a). Similarly, Richardson and Ash (2008) found that the use of hands-free communication devices in clinical settings provided clinicians with better communication access and also better control over the information they could access.…”

Section: Technology For Supporting Distributed Communicationmentioning

confidence: 99%

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Design for Supporting Healthcare Teams

et al. 2015

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Healthcare today is a team sport, no longer dominated by the vision of a single nurse or doctor interacting with a patient. Rather, modern healthcare occurs through a coordinated action of many individuals, possessing diverse skills and expertise, sometimes collocated but often distributed in time and space. Obvious examples of healthcare teams include a surgical team performing an operation, emergency department (ED) personnel stabilizing a trauma patient, a "code team" responding to in-hospital cardiac arrest, and daily bedside rounds by multi-disciplinary teams in an intensive care unit. Less obvious are examples of health professional communication and collaboration that do not occur face-to-face. For example, a nurse may notice unexpected symptoms in her patient during night-shift, contact a pharmacist to learn that this is a medication side effect, pass this information on verbally at shift report so other nurses can monitor the effects, record the information in the medical record for all clinicians to be aware of, and perhaps add a paper or electronic "post-it" note for the physician, suggesting a change of the medication order at morning rounds.In these contexts, electronic health records (EHR) and other health information technologies (HIT) can function in ways that support healthcare teams, becoming a

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Section: Technology For Supporting Distributed Communicationmentioning

confidence: 99%

Section: Technology For Supporting Distributed Communicationmentioning

confidence: 99%

Design for Supporting Healthcare Teams

et al. 2015

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“…In the near future (already in some hospitals), scheduling information will be distributed to handheld devices (e.g., [12], [14], [29]). Some of the designs we have seen obviate group discussions around the schedule.…”

Section: Discussionmentioning

confidence: 99%

“…To support these work processes, hospital staff rely on a variety of artifacts, including paper schedules, electronic records, schedule boards, and mobile devices (e.g., [29], [33], [21]). …”

Section: Figurementioning

confidence: 99%

Architecture and information technology as factors in surgical suite information sharing and coordination

Scupelli

Fussell

Kiesler

2010

Proceedings of the 1st ACM International Health Informatics Symposium

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Scheduling surgeries in hospitals is one of the most challenging activities for surgical staff. Schedule changes occur as often as every few moments, affecting necessary coordination of tasks, resources, and people within and across staff groups, and the stress people feel. In prior fieldwork at four sites, we observed that the physical layout of hallways and rooms, and barriers and spaces around schedule displays and key coordinators, affected information sharing and coordination of the surgery schedule. To generalize beyond the sites studied, we conducted a survey of 135 surgical suite directors across the USA. Our findings suggest how the architecture of the physical space and information availability and practices influence information sharing and coordination outcomes. Visual access between the shared surgery schedule display and the nursing control desk influenced whether staff groups congregated around schedule boards. Traffic-free areas around the surgery schedule display and up-to-date surgery schedule display information reduced coordination stress. We discuss implications for information practices and new information technology in hospital settings.

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“…In recent years, the literature has abounded with examples of partially successful implementations that result in resistance to adoption, increased patient safety concerns, and changed workflows in unanticipated ways [1,2]. The introduction of technology into the healthcare clinical environment has been shown to change clinical patient care in ways that prevent communication of important psycho-social patient parameters [2], to create conditions predisposing to medical errors [1], to desensitize clinicians to alerts [3], or to change the nature of collaborative work such as the task of handover [4]. The most common and overt consequences are incurred investment overhead of increased demand for training, repeated rollouts, costly inservices, as well as workarounds devised by end-users, which undermine the benefits of the implemented technology.…”

Section: Introductionmentioning

confidence: 99%

Operating room coordination with the eWhiteboard: the fine line between successful and challenged technology adoption

et al. 2011

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With the goal to achieve a better understanding of the challenges to communication technology adoption in the clinical setting, we conducted intensive observations of activities of clinical and administrative staff in a large teaching hospital's surgical unit prior to and 8-months postimplementation of an electronic whiteboard communication tool (eWhiteboard). The hospital IT department developed the e-Whiteboard for the support of inter-team coordination of patient status within the surgical flow. After the system had been integrated into the work process for 8 months, we conducted another round of intensive observations. The RATE data collection platform was utilized in both studies. Data were coded and analyzed quantitatively. Qualitative observational notes complemented the statistical results. We compared the pre-and post-implementation observational data with regard to communication load, types of coordination breakdowns, triggers, and consequences. Additionally, a questionnaire on perceived usefulness of the eWhiteboard was administered. We found that the introduction of the electronic whiteboard reduced the communication load associated with patient care. Participants reported the application useful and the overall satisfaction was rated very high. However, the observational data indicated an increase in coordination breakdowns related to patient status and the rise of an unanticipated communication load enabler and interruptions source -the lack of trust in other humans. We conclude that the types of metrics used to evaluate technology adoption may very well influence the outcomes reported. In the environment we studied, we identified a socio-technical issue, lack of trust in other humans, as the principle challenge to what would have otherwise been termed successful adoption. One implication is the development of a predictive model of user experience, including trust, based on strong candidate predictors derived from meta-analysis of existing related studies.

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A mobile voice communication system in medical setting

Cited by 27 publications

References 15 publications

Design for Supporting Healthcare Teams

Design for Supporting Healthcare Teams

Architecture and information technology as factors in surgical suite information sharing and coordination

Operating room coordination with the eWhiteboard: the fine line between successful and challenged technology adoption

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