Infrastructural arrangements for integrated care: implementing an electronic nursing plan in a psychogeriatric ward

Ellingsen, Gunnar; Munkvold, Glenn

doi:10.5334/ijic.190

Cited by 14 publications

(10 citation statements)

References 30 publications

(70 reference statements)

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“…Both individual semi-structured interviews and focus group interviews were conducted. Individual interviews are well-known within the interpretative information system research traditions [11,22,30], and focus group interviews have also been recommended [23] and used [24] in later studies. Table 1 provides an overview of the study design.…”

Section: Methodsmentioning

confidence: 99%

"Garbage in, garbage out"

Johansen

Scholl

Hasvold

et al. 2008

Proceedings of the 2008 ACM Conference on Computer Supported Cooperative Work

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This paper presents an interpretive case study on extraction of disease surveillance data from Electronic Patient Records (EPRs) in primary care. The General Practitioners (GPs) use of the EPR system, and the effect this has on data content, such as symptoms reported by patients and diagnoses reported by GPs, is discussed. The paper contributes to greater understanding of sociotechnical issues related to disease surveillance, and contains illustrative examples of many issues important to CSCW. This includes how data collected in one context may be applied to a different context, and the delicate interplay between organizational and technical design challenges.

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Section: Methodsmentioning

confidence: 99%

"Garbage in, garbage out"

Johansen

Scholl

Hasvold

et al. 2008

Proceedings of the 2008 ACM Conference on Computer Supported Cooperative Work

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“…Based on the work of Star and others, this set of information infrastructures research seeks to understand the complex IT landscapes that make up healthcare systems in general and, more specifically, hospital systems [19,23]. The interest is to understand how and why it is so difficult to design and implement largescale systems supporting governmental healthcare policies that enable the exchange of information across institutions within Scandinavian countries [36].…”

Section: Information Infrastructuresmentioning

confidence: 99%

Why Replacing Legacy Systems Is So Hard in Global Software Development

Matthiesen

Bjørn

2015

Proceedings of the 18th ACM Conference on Computer Supported Cooperative Work &Amp; Social Computing

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We report on an ethnographic study of an outsourcing global software development (GSD) setup between a Danish IT company and an Indian IT vendor developing a system to replace a legacy system for social services administration in Denmark. Physical distance and GSD collaboration issues tend to be obvious explanations for why GSD tasks fail to reach completion; however, we account for the difficulties within the technical nature of the software system task. We use the framework of information infrastructure to show how replacing a legacy system in governmental information infrastructures includes the work of tracing back to knowledge concerning law, technical specifications, as well as how information infrastructures have dynamically evolved over time. Not easily carried out in a GSD setup is the work around technical tasks that requires careful examination of mundane technical aspects, standards, and bureaucratic forms, as well as the excavation work that keeps the information infrastructure afloat.

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“…Nevertheless, the assumption of consistent use of the EPR by different individuals in different times, places and specialisms, has been shown to be a somewhat problematic assumption associated with this technology (Greenhalgh et al, 2009). This is because of the contextualisation work required in order to make sense of, and act upon, information in practice (Ellingsen and Munkvold, 2007). The larger the system -i.e.…”

Section: Insert Table 2 About Herementioning

confidence: 99%

Dismembering organisation: The coordination of algorithmic work in healthcare

et al. 2020

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Algorithms are increasingly being adopted in healthcare settings, promising increased safety, productivity and efficiency. The growing sociological literature on algorithms in healthcare shares an assumption that algorithms are introduced to ‘support’ decisions within an interactive order that is predominantly human-oriented. This article presents a different argument, calling attention to the manner in which organisations can end up introducing a non-negotiable disjuncture between human-initiated care work and work that supports algorithms, which the authors call algorithmic work. Drawing on an ethnographic study, the authors describe how two hospitals in England implemented an Acute Kidney Injury (AKI) algorithm and analyse ‘interruptions’ to the algorithm’s expected performance. When the coordination of algorithmic work occludes care work, the study finds a ‘dismembered’ organisation that is algorithmically-oriented rather than human-oriented. In the discussion, the authors examine the consequences of coordinating human and non-human work in each hospital and conclude by urging sociologists of organisation to attend to the importance of the formal in algorithmic work. As the use of algorithms becomes widespread, the analysis provides insight into how organisations outside of healthcare can also end up severing tasks from human experience when algorithmic automation is introduced.

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Infrastructural arrangements for integrated care: implementing an electronic nursing plan in a psychogeriatric ward

Cited by 14 publications

References 30 publications

"Garbage in, garbage out"

"Garbage in, garbage out"

Why Replacing Legacy Systems Is So Hard in Global Software Development

Dismembering organisation: The coordination of algorithmic work in healthcare

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