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Formalization and Accountability in Surgery Planning

Published: 13 November 2016 Publication History

Abstract

Due to poor resource utilization in surgery performance, there is increasing interest in applying workflow systems. Notably, due to their ability to "steer" the execution of the process toward an intended goal, according to an arrangement of things, data and resources compliant with "best practice", the systems are supposed to improve surgery planning and, hence, resource utilization. This study reports from a large-scale Electronic Patient Record development project, which also included workflow support in a surgery planning module. By applying an understanding of workflow systems and their ordering and coordinative mechanisms, this study investigates the effect of such systems on interdisciplinary work in surgery planning. The study shows that interdisciplinary work is affected by workflow systems in the way that the systems "order" responsibility and sequential dependency of tasks. The collective responsibility was affected by the sequential ordering and user role constraints inherent to the system. Moreover, there was a clear redistribution of tasks as a consequence of the formalization and the accountability mechanism.

References

[1]
Aalst, W.M.P. van der et al. 2009. Declarative workflows: Balancing between flexibility and support. Computer Science - Research and Development. 23, 2 (Mar. 2009), 99--113.
[2]
Aaserud, M. et al. 2001. {Elective surgery-cancellations, ring fencing and efficiency}. Tidsskrift for den Norske lægeforening: tidsskrift for praktisk medicin, ny række. 121, 21 (Sep. 2001), 2516--2519.
[3]
Bardram, J.E. 1997. Plans as Situated Action: An Activity Theory Approach to Workflow Systems. Proceedings of the Fifth European Conference on Computer Supported Cooperative Work. Springer Netherlands. 17--32.
[4]
Bardram, J.E. 2000. Temporal Coordination -- On Time and Coordination of Collaborative Activities at a Surgical Department. Computer Supported Cooperative Work (CSCW). 9, 2 (May 2000), 157--187.
[5]
Bardram, J.E. et al. 2006. Why the plan doesn't hold a Study of Situated Planning, Articulation and Coordination Work in a Surgical Ward. Proceedings of the 2006 20th anniversary conference on Computer supported cooperative work (New York, NY, USA, 2006), 109--118.
[6]
Berg, M. 2005. Bridging the quality chasm: integrating professional and organizational approaches to quality. International Journal for Quality in Health Care. 17, 1 (Feb. 2005), 75--82.
[7]
Berg, M. 2004. Health information management: integrating information technology in health care work. Routledge.
[8]
Berg, M. 1999. Patient care information systems and health care work: a sociotechnical approach. International Journal of Medical Informatics. 55, 2 (Aug. 1999), 87--101.
[9]
Berg, M. 1997. Rationalizing Medical Work: Decision-support Techniques and Medical Practices. MIT Press.
[10]
Bjørn, P. and Balka, E. 2007. Health care categories have politics too: Unpacking the managerial agendas of electronic triage systems. ECSCW 2007. Springer. 371--390.
[11]
Bossen, C. 2011. Accounting and Co-Constructing: The Development of a Standard for Electronic Health Records. Computer Supported Cooperative Work (CSCW). 20, 6 (Jul. 2011), 473--495.
[12]
Bossen, C. 2006. Representations at Work: A National Standard for Electronic Health Records. Proceedings of the 2006 20th Anniversary Conference on Computer Supported Cooperative Work (New York, NY, USA, 2006), 69--78.
[13]
Bossen, C. and Markussen, R. 2010. Infrastructuring and Ordering Devices in Health Care: Medication Plans and Practices on a Hospital Ward. Computer Supported Cooperative Work (CSCW). 19, 6 (Nov. 2010), 615--637.
[14]
Bowers, J. et al. 1995. Workflow From Within and Without. Proceedings of the Fourth European Conference on Computer-Supported Cooperative Work ECSCW'95: 10-14 September, 1995, Stockholm, Sweden (1995), 51.
[15]
Cabitza, F. and Simone, C. 2013. Computational Coordination Mechanisms: A tale of a struggle for flexibility. Computer Supported Cooperative Work (CSCW). 22, 4-6 (Mar. 2013), 475--529.
[16]
Cardoen, B. et al. 2010. Operating room planning and scheduling: A literature review. European Journal of Operational Research. 201, 3 (Mar. 2010), 921--932.
[17]
Christensen, B. and Ellingsen, G. 2013. Standardizing Clinical Pathways for Surgery Patients through ICT. (Edinburgh, Scotland, 2013), 9.
[18]
Dourish, P. et al. 1996. Freeflow: mediating between representation and action in workflow systems. Proceedings of the 1996 ACM conference on Computer supported cooperative work (1996), 190--198.
[19]
Dourish, P. 2001. Process Descriptions As Organisational Accounting Devices: The Dual Use of Workflow Technologies. Proceedings of the 2001 International ACM SIGGROUP Conference on Supporting Group Work (New York, NY, USA, 2001), 52--60.
[20]
Ellingsen, G. 2004. Tightrope Walking: Standardisation Meets Local Work-Practice in a Hospital. International Journal of IT Standards and Standardization Research (IJITSR). 2, 1 (2004), 1--22.
[21]
Ellingsen, G. and Monteiro, E. 2003. A patchwork planet integration and cooperation in hospitals. Computer Supported Cooperative Work (CSCW). 12, 1 (2003), 71--95.
[22]
Eriksén, S. 2002. Designing for accountability. Proceedings of the second Nordic conference on Human-computer interaction (2002), 177--186.
[23]
Grinter, R.E. 2000. Workflow Systems: Occasions for Success and Failure. Computer Supported Cooperative Work (CSCW). 9, 2 (May 2000), 189--214.
[24]
Hanseth, O. and Monteiro, E. 1997. Inscribing behaviour in information infrastructure standards. Accounting, management and information technologies. 7, 4 (1997), 183--211.
[25]
Heath, C. and Luff, P. 2000. Technology in Action. Cambridge University Press.
[26]
Hovlid, E. et al. 2012. A new pathway for elective surgery to reduce cancellation rates. BMC Health Services Research. 12, 1 (2012), 154.
[27]
Klein, H.K. and Myers, M.D. 1999. A set of principles for conducting and evaluating interpretive field studies in information systems. MIS quarterly. (1999), 67--93.
[28]
Ko, R.K.L. et al. 1995. Business process management (BPM) standards: a survey. Business Process Management Journal. 15, 5 (1995), 744--791.
[29]
Merkle, W. 2016. Risk Management in Medicine. Springer.
[30]
Pine, K.H. and Mazmanian, M. 2014. Institutional logics of the EMR and the problem of "perfect" but inaccurate accounts. (Feb. 2014), 283--294.
[31]
Plasters, C.L. et al. 2003. Coordination Challenges in Operating-Room Management: An In-Depth Field Study. AMIA Annual Symposium Proceedings. 2003, (2003), 524--528.
[32]
Ren, Y. et al. 2008. Multiple Group Coordination in Complex and Dynamic Task Environments: Interruptions, Coping Mechanisms, and Technology Recommendations. Journal of Management Information Systems. 25, 1 (Jul. 2008), 105--130.
[33]
Schmidt, K. 1997. Of maps and scripts the status of formal constructs in cooperative work. (1997), 138--147.
[34]
Schmidt, K. and Simonee, C. 1996. Coordination mechanisms: Towards a conceptual foundation of CSCW systems design. Computer Supported Cooperative Work (CSCW). 5, 2-3 (Jun. 1996), 155--200.
[35]
Schmidt, K. and Wagner, I. 2004. Ordering Systems: Coordinative Practices and Artifacts in Architectural Design and Planning. Computer Supported Cooperative Work (CSCW). 13, 5-6 (Dec. 2004), 349--408.
[36]
Silsand, L. and Ellingsen, G. 2014. Generification by Translation: Designing Generic Systems in Context of the Local. Journal of the Association for Information Systems. 15, 4 (Apr. 2014), 177--196.
[37]
Simonsen, J. and Robertson, T. 2012. Routledge Handbook of Participatory Design. Routledge.
[38]
Suchman, L. 1994. Do categories have politics? Computer Supported Cooperative Work (CSCW). 2, 3 (1994), 177--190.
[39]
Suchman, L. 1994. Working Relations of Technology Production and Use. Computer Supported Cooperative Work (CSCW). 2, 1 (1994), 21--39.
[40]
Suchman, L.A. 2007. Human-machine reconfigurations: plans and situated actions. Cambridge University Press.
[41]
Symon, G. et al. The coordination of work activities: Cooperation and conflict in a hospital context. Computer Supported Cooperative Work (CSCW). 5, 1, 1--31.
[42]
Teich, S.T. and Faddoul, F.F. 2013. Lean Management--The Journey from Toyota to Healthcare. Rambam Maimonides Medical Journal. 4, 2 (Apr. 2013).
[43]
Timmermans, S. and Berg, M. 1997. Standardization in Action: Achieving Local Universality through Medical Protocols. Social Studies of Science. 27, 2 (Jan. 1997), 273--305.
[44]
Walsham, G. 1995. Interpretive case studies in IS research: nature and method. European Journal of Information Systems. 4, 2 (May 1995), 74--81.
[45]
Winograd, T. 1993. Categories, disciplines, and social coordination. Computer Supported Cooperative Work (CSCW). 2, 3 (1993), 191--197.

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  • (2023)Building Knowledge through Action: Considerations for Machine Learning in the WorkplaceACM Transactions on Computer-Human Interaction10.1145/358494730:5(1-51)Online publication date: 23-Sep-2023

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cover image ACM Conferences
GROUP '16: Proceedings of the 2016 ACM International Conference on Supporting Group Work
November 2016
534 pages
ISBN:9781450342766
DOI:10.1145/2957276
Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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Publication History

Published: 13 November 2016

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Author Tags

  1. electronic patient record
  2. interdisciplinary work
  3. surgery planning
  4. workflow systems

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GROUP '16
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GROUP '16: 2016 ACM Conference on Supporting Groupwork
November 13 - 16, 2016
Florida, Sanibel Island, USA

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GROUP '16 Paper Acceptance Rate 36 of 111 submissions, 32%;
Overall Acceptance Rate 125 of 405 submissions, 31%

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  • (2023)Building Knowledge through Action: Considerations for Machine Learning in the WorkplaceACM Transactions on Computer-Human Interaction10.1145/358494730:5(1-51)Online publication date: 23-Sep-2023

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