Artefactual Multiplicity: A Study of Emergency-Department Whiteboards

Whiteboards are highly important to the work in emergency departments (EDs). As a collaborative technology ED whiteboards are usually placed in the dynamic centre of the ED, and all ED staff will approach the whiteboard regularly to organize their individual yet interdependent work. Currently, digital whiteboards are replacing the ordinary dry-erase whiteboards in EDs, which bring the design and use of whiteboards in ED to our attention. Previous studies have applied the theoretical lenses of common information spaces, coordination, and awareness to the investigation of whiteboard use and design. Based on an ethnographic study of the work practices involving two differently designed ED whiteboards, we found these concepts insufficient to explain one essential characteristic of these heterogeneous artefacts. In this paper, we suggest an additional theoretical concept describing this characteristic of heterogeneous artefacts; namely artefactual multiplicity. Artefactual multiplicity identifies not only the multiple functions of heterogeneous artefacts but also the intricate relations between these multiple functionalities.

[1]  Gavriel Salvendy,et al.  Handbook of Human Factors and Ergonomics , 2005 .

[2]  Howard Abrams,et al.  Electronic inpatient whiteboards: Improving multidisciplinary communication and coordination of care , 2009, Int. J. Medical Informatics.

[3]  Kjeld Schmidt,et al.  Taking CSCW seriously , 1992, Computer Supported Cooperative Work (CSCW).

[4]  A. Strauss.  Social Organization of Medical Work , 1985 .

[5]  Saul Greenberg,et al.  Supporting transitions in work: informing large display application design by understanding whiteboard use , 2009, GROUP.

[6]  Steve Whittaker,et al.  Meetings of the Board: The Impact of Scheduling Medium on Long Term Group Coordination in Software Development , 1999, Computer Supported Cooperative Work (CSCW).

[7]  Pernille Bjørn,et al.  Triage Drift: A Workplace Study in a Pediatric Emergency Department , 2008, Computer Supported Cooperative Work (CSCW).

[8]  S. Gronlund,et al.  Situation Awareness , 2006 .

[9]  Jonathan Grudin,et al.  Ethnography and design , 1994, Computer Supported Cooperative Work (CSCW).

[10]  Claus Bossen,et al.  Mobility Work: The Spatial Dimension of Collaboration at a Hospital , 2005, Computer Supported Cooperative Work (CSCW).

[11]  Christine Hine,et al.  Multi-sited Ethnography as a Middle Range Methodology for Contemporary STS , 2007 .

[12]  A. Mol.  The Body Multiple: Ontology in Medical Practice , 2003 .

[13]  Pernille Bjørn,et al.  Steps toward a typology for health informatics , 2008, CSCW.

[14]  Lucy A. Suchman,et al.  Making work visible , 1995, CACM.

[15]  Claus Bossen,et al.  The parameters of common information spaces:: the heterogeneity of cooperative work at a hospital ward , 2002, CSCW '02.

[16]  Marc Berg,et al.  Differences in Medicine: Unraveling Practices, Techniques, and Bodies , 1999 .

[17]  Dominik Aronsky,et al.  Emergency physicians' behaviors and workload in the presence of an electronic whiteboard , 2005, Int. J. Medical Informatics.

[18]  Ina Wagner,et al.  Negotiating temporal orders , 1992, Computer Supported Cooperative Work (CSCW).

[19]  Jesper Simonsen,et al.  Positive effects of electronic patient records on three clinical activities , 2008, Int. J. Medical Informatics.

[20]  Carla Simone,et al.  Coordination mechanisms: Towards a conceptual foundation of CSCW systems design , 1996, Computer Supported Cooperative Work (CSCW).

[21]  P. Wuthisuthimethawee,et al.  Canadian triage and acuity scale in the Emergency Department , 2010 .

[22]  Kjeld Schmidt,et al.  Taking CSCW Seriously: Supporting Articulation Work * , 1992 .

[23]  Hilda Tellioglu,et al.  Understanding Complex Coordination Processes in Health Care , 1999, Scand. J. Inf. Syst..

[24]  Whiteboards: one tool to improve patient flow , 2009, The Medical journal of Australia.

[25]  Catherine M. Burns,et al.  Navigation strategies with ecological displays , 2000, Int. J. Hum. Comput. Stud..

[26]  Jakob E. Bardram,et al.  AwareMedia: a shared interactive display supporting social, temporal, and spatial awareness in surgery , 2006, CSCW '06.

[27]  Diana E. Forsythe,et al.  “It's Just a Matter of Common Sense”: Ethnography as Invisible Work , 1999, Computer Supported Cooperative Work (CSCW).

[28]  Pernille Bjørn,et al.  Boundary factors and contextual contingencies: configuring electronic templates for healthcare professionals , 2009, Eur. J. Inf. Syst..

[29]  Yan Xiao,et al.  Supporting coordination in surgical suites: physical aspects of common information spaces , 2010, CHI.

[30]  Nicolas Dodier,et al.  Multiplicity in Scientific Medicine: The Experience of HIV-Positive Patients , 2002 .

[31]  Kjeld Schmidt,et al.  The Problem with `Awareness': Introductory Remarks on `Awareness in CSCW' , 2002, Computer Supported Cooperative Work (CSCW).

[32]  Colin F. Mackenzie,et al.  Cognitive properties of a whiteboard: A case study in a trauma centre , 2001, ECSCW.

[33]  Claus Bossen,et al.  A web of coordinative artifacts: collaborative work at a hospital ward , 2005, GROUP.

[34]  Edeltraud Egger,et al.  The Case of Collaborative Time Management in a Surgery Clinic , 1993 .

[35]  Dominik Aronsky,et al.  Supporting Patient Care in the Emergency Department with a Computerized Whiteboard System , 2022 .

[36]  Alex Wilkie,et al.  Expectation and Mobilisation , 2009 .

[37]  Les Gasser,et al.  The integration of computing and routine work , 1986, TOIS.

[38]  Elizabeth Manias,et al.  Whiteboards: mediating professional tensions in clinical practice. , 2007, Communication & medicine.

[39]  K. Schmidt.  The Problem with ''Awareness" , 2002 .

[40]  M. Berg,et al.  Introduction – Bodies on Trial: Performances and Politics in Medicine and Biology , 2004 .

[41]  Gloria Mark,et al.  Conventions and Commitments in Distributed CSCW Groups , 2002, Computer Supported Cooperative Work (CSCW).

[42]  Marcus Sanchez Svensson,et al.  Configuring Awareness , 2002, Computer Supported Cooperative Work (CSCW).

[43]  Christian Heath,et al.  Collaboration and controlCrisis management and multimedia technology in London Underground Line Control Rooms , 1992, Computer Supported Cooperative Work (CSCW).

[44]  Jakob E. Bardram,et al.  Temporal Coordination –On Time and Coordination of CollaborativeActivities at a Surgical Department , 2000, Computer Supported Cooperative Work (CSCW).

[45]  Niels Taatgen,et al.  Handbook of human factors in web design , 2005 .

[46]  Liam J. Bannon,et al.  Constructing Common Information Spaces , 1997, ECSCW.

[47]  J. Law.  After Method: Mess in Social Science Research , 2004 .