Characterising cooperation in the ward: framework for producing requirements to mobile electronic healthcare records

We present a framework for characterising hospital scenarios involving the patient chart. The paper-based chart is regarded as simple, efficient, and handy for mobile use by patient-care teams. However, the chart is available in only one physical place at a time, and it needs to be manually synchronised with the electronic healthcare record (EHR). The framework presented in this paper has been developed for use in non-participatory, observational studies performed at the University Hospital of Trondheim, conducted as a part of the MOBEL (MOBile ELectronic patient chart) project at NTNU. We have developed the framework iteratively; repeatedly observing groups in the ward, characterising observations in the framework, and changing attributes and outcome values. This paper presents our latest framework, a representative choice of scenarios, and their characterisation. We conclude with a discussion of results so far, the method, and the utility in the development of the MEPC.

[1]  B. Buchanan,et al.  Expanding the concept of medical information: an observational study of physicians' information needs. , 1992, Computers and biomedical research, an international journal.

[2]  Kari Kuutti,et al.  Work processes: scenarios as a preliminary vocabulary , 1995 .

[3]  Computer supported cooperative work: The journal of collaborative computing , 1996, Computer Supported Cooperative Work (CSCW).

[4]  T.M. Duffy,et al.  Scenario-Based Design: Envisioning Work and Technology in System Development [Book Review] , 1996, IEEE Transactions on Professional Communication.

[5]  George Hripcsak,et al.  Using Palmtop Computers to Retrieve Clinical Information , 1997, AMIA.

[6]  Anne Tyler A Patchwork Planet , 1998 .

[7]  Marc Berg,et al.  Considerations for sociotechnical design: experiences with an electronic patient record in a clinical context , 1998, Int. J. Medical Informatics.

[8]  Enrico W. Coiera,et al.  Communication behaviours in a hospital setting: an observational study , 1998, BMJ.

[9]  S. L. Star,et al.  Social science, technical systems, and cooperative work: beyond the great divide , 1999 .

[10]  Nasrin Rahmati,et al.  The development and use of a framework for categorising acts of collaborative work , 1999, Proceedings of the 32nd Annual Hawaii International Conference on Systems Sciences. 1999. HICSS-32. Abstracts and CD-ROM of Full Papers.

[11]  Marc Berg,et al.  Patient care information systems and health care work: a sociotechnical approach , 1999, Int. J. Medical Informatics.

[12]  Elske Ammenwerth,et al.  Mobile information and communication tools in the hospital , 2000, Int. J. Medical Informatics.

[13]  Massimo Ancona,et al.  Mobile computing in a hospital: the WARD-IN-HAND project , 2000, SAC '00.

[14]  Reidar Conradi,et al.  The MOWAHS Characterisation Framework for Mobile Work , 2002 .

[15]  Dan Shapiro,et al.  From ethnographic record to system design , 1992, Computer Supported Cooperative Work (CSCW).

[16]  Gillian Symon,et al.  The coordination of work activities: Cooperation and conflict in a hospital context , 1996, Computer Supported Cooperative Work (CSCW).

[17]  Ina Wagner,et al.  Constructing the ‘Dossier Représentatif’ , 1992, Computer Supported Cooperative Work (CSCW).

[18]  Gunnar Ellingsen,et al.  A Patchwork Planet Integration and Cooperation in Hospitals , 2003, Computer Supported Cooperative Work (CSCW).