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Informating Hospital Workflow Coordination
Computer Supported Cooperative Work ( IF 2.4 ) Pub Date : 2019-05-28 , DOI: 10.1007/s10606-019-09362-z
Terje Aksel Sanner , Egil Øvrelid

Through a qualitative case study at Kalnes general hospital in Norway, we investigate the use of workflow information to manage hospital resources and coordinate patient flow from emergency unit admission to patient transfer and discharge. We draw on Zuboff’s (1988) notion of “informating” – turning descriptions and measurements of activities, events and objects into information – to examine how hospital staff leverage an integrated hospital information infrastructure to share, validate and use workflow information. We contribute to CSCW literature by explicating how information transparency, the meticulous boundary-spanning work of dedicated coordinators, and the regular conduct of coordinative meetings can help to establish the legitimacy of workflow information in practice. In our case, interdepartmental visibility of workflow information raises awareness of menial and often-overlooked hospital housekeeping work, and simultaneously motivates collaborative efforts to monitor and improve workflows. Our findings highlight the need for a broad and inclusive approach to the legitimation of workflow information, both in daily coordinative practice and in efforts to streamline hospital workflows.

中文翻译:

信息化医院工作流程协调

通过在挪威卡恩斯综合医院进行的定性案例研究,我们研究了使用工作流信息来管理医院资源并协调从急诊室入院到患者转移出院的患者流程。我们利用Zuboff(1988)的“信息化”概念-将活动,事件和对象的描述和度量转化为信息-以检查医院工作人员如何利用集成的医院信息基础结构共享,验证和使用工作流信息。通过阐述信息透明性,专职协调员的精心跨界工作以及定期举行的协调会议如何在实践中帮助确立工作流程信息的合法性,我们为CSCW文献做出了贡献。就我们而言 工作流信息的部门间可见性提高了人们对经常被忽视的医院家政工作的认识,同时激发了协作努力来监视和改善工作流。我们的研究结果突显了在日常协调实践和简化医院工作流程的工作中,需要采用广泛而全面的方法来使工作流程信息合法化。
更新日期:2019-05-28
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