Is it Health Information Technology? Task Complexity and Work Substitution

New technology is making it possible to replace professions built on complex knowledge, e.g. medicine. In our exploratory research we examined how Information Technologies might be replacing some of the tasks formerly processed by physician anesthesiologists (MDAs). Data (N=1178) were collected at a specialized hospital in the Netherlands. We observed the tasks carried out by fourteen MDAs during their daily work in the operating room and map these tasks to McGrath’s (1984) circumplex. Our results show that MDAs frequently carry out two or three tasks concomitantly; mainly intellective, planning and psychomotor tasks. Based on the results of the interviews, we find that MDAs feel ill equipped on conflict resolution and negotiation tasks. Yet they feel it is exactly on those segments where their added value lies. Information Technologies may outsmart MDAs where they spent most of their time: in planning, problem solving and psychomotor tasks.

[1]  W. Wiegand : The System of Professions: An Essay on the Division of Expert Labor , 1990 .

[2]  Michael Marien,et al.  Book Review: The Second Machine Age: Work, Progress, and Prosperity in a Time of Brilliant Technologies , 2014 .

[3]  F Adnet,et al.  The Intubation Difficulty Scale (IDS): Proposal and Evaluation of a New Score Characterizing the Complexity of Endotracheal Intubation , 1997, Anesthesiology.

[4]  T Walsh,et al.  Human factors error and patient monitoring. , 2002, Physiological measurement.

[5]  Alexei Grinbaum,et al.  What Is “Responsible” about Responsible Innovation? Understanding the Ethical Issues , 2013 .

[6]  I. Holloway,et al.  Qualitative Research in Nursing and Healthcare , 2009 .

[7]  Thomas M. Hemmerling,et al.  Robotics and regional anesthesia , 2014, Current opinion in anaesthesiology.

[8]  Mark A. Warner,et al.  Who Better Than Anesthesiologists?: The 44th Rovenstine Lecture , 2006, Anesthesiology.

[9]  Thomas K. Ferris,et al.  Continuously Informing Vibrotactile Displays in Support of Attention Management and Multitasking in Anesthesiology , 2011, Hum. Factors.

[10]  Thomas M. Hemmerling,et al.  First Robotic Ultrasound-Guided Nerve Blocks in Humans Using the Magellan System , 2013, Anesthesia and analgesia.

[11]  Matthew B. Weinger,et al.  An Objective Methodology for Task Analysis and Workload Assessment in Anesthesia Providers , 1994, Anesthesiology.

[12]  Detmar W. Straub,et al.  Riding the Wave: Past Trends and Future Directions for Health IT Research , 2012 .

[13]  N Girard,et al.  The barbarians are at the gate. , 1994, Seminars in perioperative nursing.

[14]  P. Kapur,et al.  Leading into the Future: The 50th Annual Rovenstine Lecture , 2012, Anesthesiology.

[15]  Anne-Françoise Rutkowski,et al.  The Generational Impact of Software , 2013, IEEE Software.

[16]  B A Shapiro,et al.  Why must the practice of anesthesiology change? It's economics, doctor! , 1997, Anesthesiology.

[17]  K. Tremper,et al.  Anesthesiology: From Patient Safety to Population Outcomes: The 49th Annual Rovenstine Lecture , 2011, Anesthesiology.

[18]  J. Modell,et al.  Assessing the Past and Shaping the Future of Anesthesiology: The 43rd Rovenstine Lecture , 2005, Anesthesiology.

[19]  Nick Sevdalis,et al.  The role of non-technical skills in surgery , 2015, Annals of medicine and surgery.

[20]  Thomas M. Hemmerling,et al.  The Kepler Intubation System , 2012, Anesthesia and analgesia.

[21]  Susan G. Straus,et al.  Testing a Typology of Tasks , 1999 .

[22]  Matthew B. Weinger,et al.  Reengineering Intravenous Drug and Fluid Administration Processes in the Operating Room: Step One: Task Analysis of Existing Processes , 2002, Anesthesiology.

[23]  Mark A. Warner Who Better Than Anesthesiologists , 2011 .

[24]  E.,et al.  GROUPS : INTERACTION AND PERFORMANCE , 2001 .

[25]  John S Brownstein,et al.  Measuring vaccine confidence: analysis of data obtained by a media surveillance system used to analyse public concerns about vaccines. , 2013, The Lancet. Infectious diseases.

[26]  M T Rabkin,et al.  Will disruptive innovations cure health care? , 2001, Harvard business review.

[27]  Kirk Shelley Is the automation of anesthesia possible or even desirable? , 2008, Current opinion in anaesthesiology.

[28]  Nicole J. Borges,et al.  Personality and Medical Specialty Choice: Technique Orientation versus People Orientation , 2001 .

[29]  D. Longnecker,et al.  Navigation in Uncharted Waters: Is Anesthesiology on Course for the 21st Century? , 1997, Anesthesiology.

[30]  R S Newbower,et al.  An Analysis of Major Errors and Equipment Failures in Anesthesia Management: Considerations for Prevention and Detection , 1984, Anesthesiology.

[31]  John VanReenen The Race Between Education and Technology , 2010 .

[32]  C. Hug,et al.  Rovenstine Lecture: Patient Values, Hippocrates, Science, and Technology: What We (Physicians) Can Do versus What We Should Do for the Patient , 2000, Anesthesiology.

[33]  Antonio Chialastri Automation in aviation , 2012 .

[34]  A. Manning,et al.  Lousy and Lovely Jobs: The Rising Polarization of Work in Britain , 2007, The Review of Economics and Statistics.

[35]  T. Hemmerling,et al.  First robotic tracheal intubations in humans using the Kepler intubation system. , 2012, British journal of anaesthesia.

[36]  R. Flin,et al.  The role of non-technical skills in anaesthesia: a review of current literature. , 2002, British journal of anaesthesia.

[37]  M. Porter,et al.  The Big Idea : How to Solve the Cost Crisis in Health Care , 2012 .

[38]  Vijay K. Vemuri,et al.  The Second Machine Age: Work, Progress, and Prosperity in a Time of Brilliant Technologies, by Erik Brynjolfsson and Andrew McAfee , 2014 .

[39]  MATTHEW B. WEINGER,et al.  Human Factors Research in Anesthesia Patient Safety: Techniques to Elucidate Factors Affecting Clinical Task Performance and Decision Making , 2002, J. Am. Medical Informatics Assoc..

[40]  Ravindra S. Goonetilleke,et al.  The relationship between monochronicity, polychronicity and individual characteristics , 2010, Behav. Inf. Technol..

[41]  R. Loeb Monitor Surveillance and Vigilance of Anesthesia Residents , 1994, Anesthesiology.

[42]  Franklin Dexter,et al.  Influence of Supervision Ratios by Anesthesiologists on First-case Starts and Critical Portions of Anesthetics , 2012, Anesthesiology.

[43]  David Autor,et al.  The Growth of Low Skill Service Jobs and the Polarization of the U.S. Labor Market , 2009, SSRN Electronic Journal.

[44]  David C. Nagel,et al.  Pilots of the Future: Human or Computer? , 1985, Computer.

[45]  V. Kanuha "Being" native versus "going native": conducting social work research as an insider. , 2000, Social work.

[46]  E. Freidson Claims Examined. (Book Reviews: Profession of Medicine. A Study of the Sociology of Applied Knowledge) , 1970 .

[47]  Ronald D. Miller,et al.  The Pursuit of Excellence: The 47th Annual Rovenstine Lecture , 2009 .

[48]  K. K. Kim,et al.  An examination of factors for the strategic use of information systems in the healthcare industry , 1990 .

[49]  D M Gaba,et al.  Measuring the Workload of the Anesthesiologist , 1990, Anesthesia and analgesia.

[50]  C. Goldin,et al.  The Race between Education and Technology: The Evolution of U.S. Educational Wage Differentials, 1890 to 2005 , 2007 .

[51]  Alim Punja Basics of Anesthesia, 6th Edition , 2011 .

[52]  Thomas M Hemmerling,et al.  Robotic Anesthesia – A Vision for the Future of Anesthesia , 2011, Translational medicine @ UniSa.

[53]  Michael A. Osborne,et al.  The future of employment: How susceptible are jobs to computerisation? , 2017 .