Article

Timing in the art of integration: 'that's how the bastille got stormed'

Authors:

Dave RandallAuthors Info & Claims

GROUP '05: Proceedings of the 2005 ACM International Conference on Supporting Group Work

Pages 313 - 322

https://doi.org/10.1145/1099203.1099256

Published: 06 November 2005 Publication History

Get Access

Abstract

This paper uses a long term ethnographic study of the design and implementation of an electronic patient records (EPR) system in a UK hospital Trust to consider issues arising in the multi-faceted process of integration when a customizable-off-the-shelf (COTS) system is configured and deployed in a complex setting. The process involves trying to artfully work out how disparate technologies integrate with existing and evolving patterns of work within developing regulatory requirements. We conclude by suggesting ways in which ethnographic interventions and user involvement may be timed and targeted to aid in achieving this process.

References

[1]

Berg, M. (1997). Rationalizing Medical Work: Decision Support Techniques and Medical Practices. Cambridge, MA, MIT Press.

Digital Library

Google Scholar

[2]

Bloomfield, B. & Vurdubakis, T. (1997). Visions of Organization and Organizations of Vision. Accounting, Organizations and Society 22, 7, 639--668.

Crossref

Google Scholar

[3]

Button, G. & Sharrock, W. (1994) Occasioned practices in the work of software engineers. In Requirements Engineering Social & Technical Issues, eds M Jirotka & J Goguen. London. Academic Press.

Digital Library

Google Scholar

[4]

Button, G. & Sharrock, W. (1996). Project work: the organisation of collaborative design and development in software engineering, in JCSCW, v.5 n.4, p.369--386.

Digital Library

Google Scholar

[5]

Coble, J., Karat, J. and Kahn, M. (1997) Maintaining a Focus on User Requirements Throughout the Development of Clinical Workstation Software. Proceedings of CHI '97. ACM Press. pp 170--179.

Digital Library

Google Scholar

[6]

Ellingsen, G. and Monterio, E. (2000). A patchwork planet: The heterogeneity of electronic patient record systems in hospitals. In Proc. IRIS'2000 (Uddevalla, Sweden, August).

Google Scholar

[7]

Finkelstein, A (1993) The Report of the Inquiry into the London Ambulance Service. SW Thames Health Authority.

Google Scholar

[8]

Grimson, J., Grimson, W. and Hasselbring, W. (2000): The SI Challenge in Healthcare. Communications of the ACM, vol. 43(6), pp. 49--55. ACM Press.

Digital Library

Google Scholar

[9]

Grudin, J. (1991). Systematic Sources of Suboptimal Interface Design in Large Product Development Organizations. Human-Computer Interaction, Vol. 6, pp. 147--196, Lawrence Erlbaum Associates.

Google Scholar

[10]

Hartswood, M., Procter, R., Rouncefield, M. and Slack, R. (2003). Making a Case in Medical Work: Implications for the Electronic Medical Record. JCSCW, 12, pp. 241--266.

Digital Library

Google Scholar

[11]

Hughes, J., Randall, D. & Shapiro, D. (1992). Faltering from Ethnography to Design. In proceedings of CSCW 92. ©© ACM press.

Digital Library

Google Scholar

[12]

Hughes, J., King, V., Rodden, T. & Andersen, H. (1994). Moving Out of the Control Room: Ethnography in system design. In proceedings of CSCW 94. ©© ACM press.

Digital Library

Google Scholar

[13]

Poltrock, S., and Grudin, J. (1994). Organizational Obstacles to Interface Design and Development: Two Participant-Observer Studies. ToCHI, Vol. 1, No. 1, pp 52--80. ACM.

Digital Library

Google Scholar

[14]

Sommerville, I., Rodden, T., Sawyer, P. & Bentley, R. (1992). Sociologists can be surprisingly useful in interactive systems design. In proceedings of HCI '92, CUP.

Digital Library

Google Scholar

Cited By

View all

Duckert MBarkhuus L(2022)Protecting Personal Health Data through Privacy AwarenessProceedings of the ACM on Human-Computer Interaction10.1145/34928306:GROUP(1-22)Online publication date: 14-Jan-2022
https://dl.acm.org/doi/10.1145/3492830
Feltus CNicolas DPoupart CPoet RMuttukrishnan R(2014)Towards a HL7 based Metamodeling Integration Approach for Embracing the Privacy of Healthcare Patient Records AdministrationProceedings of the 7th International Conference on Security of Information and Networks10.1145/2659651.2659674(109-116)Online publication date: 9-Sep-2014
https://dl.acm.org/doi/10.1145/2659651.2659674
Fitzpatrick GEllingsen G(2013)A Review of 25 Years of CSCW Research in HealthcareComputer Supported Cooperative Work10.1007/s10606-012-9168-022:4-6(609-665)Online publication date: 1-Aug-2013
https://dl.acm.org/doi/10.1007/s10606-012-9168-0
Show More Cited By

Index Terms

Timing in the art of integration: 'that's how the bastille got stormed'

Recommendations

How physicians 'achieve overview': a case-based study in a hospital ward
CSCW '14: Proceedings of the 17th ACM conference on Computer supported cooperative work & social computing

Clinicians' work in hospitals is safety- and time-critical, and often stressful due to the number and complexity of patient cases they must attend to. Therefore, how clinicians gather information, identify problems and make decisions concerning patients ...
Bridging Work Practice and System Design: Integrating Systemic Analysis, Appreciative Intervention and Practitioner Participation

This article discusses the integration of work practice and system design. By scrutinising the unfolding discourse of workshop participants the co-construction of work practice issues as relevant design considerations is described. Through a mutual ...
Infrastructuring and Ordering Devices in Health Care: Medication Plans and Practices on a Hospital Ward

In this paper, we analyse physicians' and nurses' practices of prescribing and administering medication through the use of paper-based, and digitalized medication plans. Our point of departure is an ethnographic study of the implications of upgrading an ...

Comments

Please enable JavaScript to view thecomments powered by Disqus.

Information & Contributors

Information

Published In

GROUP '05: Proceedings of the 2005 ACM International Conference on Supporting Group Work

November 2005

368 pages

ISBN:1595932232

DOI:10.1145/1099203

General Chairs:
Mark Pendergast
Florida Gulf Coast University, USA
,
Kjeld Schmidt
IT University of Copenhagen, Denmark
,
Program Chairs:
Gloria Mark
University of California, Irvine, USA
,
Mark Ackerman
University of Michigan, USA

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]

Publisher

Association for Computing Machinery

New York, NY, United States

Publication History

Published: 06 November 2005

Permissions

Request permissions for this article.

Request Permissions

Check for updates

Author Tags

Qualifiers

Article

Conference

GROUP05

Sponsor:

GROUP05: ACM 2005 International Conference on Supporting Group Work

November 6 - 9, 2005

Florida, Sanibel Island, USA

Acceptance Rates

Overall Acceptance Rate 125 of 405 submissions, 31%

Upcoming Conference

GROUP '25

Sponsor:
sigchi

The 2025 ACM International Conference on Supporting Group Work

January 12 - 15, 2025

Hilton Head , SC , USA

Contributors

Other Metrics

View Article Metrics

Bibliometrics & Citations

Bibliometrics

Article Metrics

8
Total Citations
View Citations
838
Total Downloads

Downloads (Last 12 months)2
Downloads (Last 6 weeks)0

Reflects downloads up to 19 Dec 2024

Other Metrics

View Author Metrics

Citations

Cited By

View all

Duckert MBarkhuus L(2022)Protecting Personal Health Data through Privacy AwarenessProceedings of the ACM on Human-Computer Interaction10.1145/34928306:GROUP(1-22)Online publication date: 14-Jan-2022
https://dl.acm.org/doi/10.1145/3492830
Feltus CNicolas DPoupart CPoet RMuttukrishnan R(2014)Towards a HL7 based Metamodeling Integration Approach for Embracing the Privacy of Healthcare Patient Records AdministrationProceedings of the 7th International Conference on Security of Information and Networks10.1145/2659651.2659674(109-116)Online publication date: 9-Sep-2014
https://dl.acm.org/doi/10.1145/2659651.2659674
Fitzpatrick GEllingsen G(2013)A Review of 25 Years of CSCW Research in HealthcareComputer Supported Cooperative Work10.1007/s10606-012-9168-022:4-6(609-665)Online publication date: 1-Aug-2013
https://dl.acm.org/doi/10.1007/s10606-012-9168-0
Morrison CBlackwell A(2009)Observing End-User Customisation of Electronic Patient RecordsProceedings of the 2nd International Symposium on End-User Development - Volume 543510.5555/3093119.3093138(275-284)Online publication date: 2-Mar-2009
https://dl.acm.org/doi/10.5555/3093119.3093138
MARTIN NWALL P(2009)The Secret Life of Medical Records: A Study of Medical Records and the People Who Manage ThemEthnographic Praxis in Industry Conference Proceedings10.1111/j.1559-8918.2008.tb00094.x2008:1(51-63)Online publication date: 21-Jul-2009
https://doi.org/10.1111/j.1559-8918.2008.tb00094.x
Morrison CBlackwell A(2009)Observing End-User Customisation of Electronic Patient RecordsEnd-User Development10.1007/978-3-642-00427-8_16(275-284)Online publication date: 2009
https://doi.org/10.1007/978-3-642-00427-8_16
Martin DMariani JRouncefield M(2008)Practicalities of Participation: Stakeholder Involvement in an Electronic Patient Records ProjectConfiguring User-Designer Relations10.1007/978-1-84628-925-5_7(133-155)Online publication date: 20-Sep-2008
https://doi.org/10.1007/978-1-84628-925-5_7
Martin DSommerville I(2006)Ethnography and the social structure of workStructure for Dependability: Computer-Based Systems from an Interdisciplinary Perspective10.1007/1-84628-111-3_9(169-188)Online publication date: 2006
https://doi.org/10.1007/1-84628-111-3_9

View Options

Login options

Check if you have access through your login credentials or your institution to get full access on this article.

Cited By

Index Terms

Recommendations

How physicians 'achieve overview': a case-based study in a hospital ward

Bridging Work Practice and System Design: Integrating Systemic Analysis, Appreciative Intervention and Practitioner Participation

Infrastructuring and Ordering Devices in Health Care: Medication Plans and Practices on a Hospital Ward