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Multidisciplinary Medical Team Meetings: An Analysis of Collaborative Working with Special Attention to Timing and Teleconferencing

Published: 01 December 2006 Publication History

Abstract

In this paper we describe the process of a multi-disciplinary medical team meeting (MDTM), its functions and operation in colocated and teleconference discussions. Our goal is to identify the elements and mechanics of operation that enhance or threaten the dependability of the MDTM as a "system" and propose technologies and measures to make this system more reliable. In particular, we assess the effect of adding teleconferencing to the MDTM, and identify strengths and vulnerabilities introduced into the system by the addition of teleconferencing technology. We show that, with respect to the system's external task environment, rhythms of execution of pre-meeting and post-meeting activities are critical for MDTM success and that the extension of the MDTM to wider geographic locations with teleconferencing might disrupt such rhythms thereby posing potential threats to dependability. On the other hand, an analysis of vocalisation patterns demonstrates that despite difficulties related to coordination and awareness in video-mediated communication (evidenced by increased time spent in case discussion, longer turns, decreased turn frequency and near lack of informal exchanges) the overall case discussion structure is unaffected by the addition of teleconferencing technology into proceedings.

References

[1]
AJCC. (1992): Manual for Cancer Staging. American Joint Committee on Cancer, 4th edn.
[2]
Michael Alberts, W., G. Bepler, T. Hazelton, J.C. Ruckdeschel and J.H. Williams (2003): Practice Organization. Chest 123(1 Supplement), 332S-337S.
[3]
Arnaudova, A. and E. Jakubowski (2005): Eighth Futures Forum on governance of patient safety. Copenhagen, Denmark: WHO.
[4]
Aviuzienis, A., J.C. Laprie, B. Randell and C. Landwehr (2004): Basic Concepts and Taxonomy of Dependable and Secure Computing. IEEE Transactions on Dependable and Secure Computing, vol. 1, 11-33.
[5]
Bannon, L. and S. Bødker (1997): Constructing Common Information Spaces. In: Proceedings of the Fifth European Conference on Computer-Supported Cooperative Work, pp. 81-96.
[6]
Bly, S. (2003): Talking about Talking about Things. Human-Computer Interaction, vol. 18, 181-191.
[7]
Bossen, C. (2002): The Parameters of Common Information Spaces: The Heterogeneity of Cooperative Work at a Hospital Ward. Proceedings of the CSCW'02.
[8]
Calman, K. and D. Hine (1995): A Policy Framework for Commissioning Cancer Services. Welsh Office: Department of Health.
[9]
Cohen, K.M. (1982): Speaker Interaction: Video Teleconferences versus Face-to-Face Meetings. In: Proceedings of Teleconferencing and Electronic Communications.
[10]
Crabtree, A. (2003): Designing Collaborative Systems A Practical Guide to Ethnography. Verlag: Springer.
[11]
Dabbs, J.J. Jr. and R. Ruback (1987): Dimensions of Group Process: Amount and Structure of Vocal Interaction. Advances in Experimental Social Psychology, vol. 20, 123-169.
[12]
Dourish, P. (2004): What We Talk about When we Talk about Context. Pers Ubiquit Comput, vol. 8, 19-30.
[13]
Elan. Elan-eucido Linguistic Annotator. Max-Planck-Institute for Psycholinguistics, http:// www.mpi.nl/tools/elan.html, March 2005.
[14]
Finn, K.E., A.J. Sellen and S.B. Wilbur (1997): Video-Mediated Communication. Lawrence Erlbaum Associates, Inc.
[15]
Goodwin, C. (1994): Professional Vision. American Anthropologist, vol. 96, no. 3, pp. 606-633.
[16]
Hackman, R.J. (1980): Work Redesign. Addison Wesley.
[17]
Hardstone, G., M. Hartswood, R. Proctor, R. Slack and A. Voss (2004): Supporting Informality: Team Working and Integrated Care Records. In: CSCW Chicago.
[18]
Harper, R.H.R. (2000): The Organization in Ethnography. Computer Supported Cooperative Work (CSCW), vol. 9, 239-264.
[19]
Hartswood, M., R. Proctor, M. Rouncefield and R. Slack (2003): Making a case in Medical Work: Implications for the Electronic Patient Record. Computer Supported Cooperative Work, vol. 12, 241-266.
[20]
Hollywood, D.P. (2003): The Development of Radiation Oncology services in Ireland. Dublin: Department of Health and Children. The Stationary Office.
[21]
Housley, W. (2000): Category Work and Knowledgeability within Muitidisciplinary Team Meetings. Text and Talk, vol. 20, no. 1, pp. 83-108.
[22]
Howell, W.C. (1991): Handbook of Industrial and Organizational Psychology, Vol. 2 Chapt. Human Factors in the Workplace, Consulting Psychologists Press.
[23]
Jaffe, J. and S. Feldstein (1970): Rhythms of Dialogue. Academic Press.
[24]
Jordan, B. and A. Henderson (1995): Interaction Analysis: Foundations and Practice. The Journal of the Learning Sciences, vol. 4, no. 1, pp. 39-103.
[25]
Kane, B. and S. Luz (2006): Probing the Use and Value of Video for Multi-Disciplinary Medical Teams in Teleconference. In: Proceedings of the 19th IEEE International Symposium on Computer-Based Medical Systems.
[26]
Kane, B., S. Luz, G. Menezes, and D.P. Hollywood (2005): Enabling Change in Healthcare Structures through Teleconferencing. In: Proceedings of the 18th IEEE International Symposium on Computer-Based Medical Systems, pp. 76-81, IEEE Computer Society, 2005.
[27]
Kempner, K.M., D. Chow, P. Choyke, J.R. Cox, J.E. Elson, C.A. Johnson, P. Okunieff, H. Ostrow, J.C. Pfeifer and R.L. Martino (1997): The Development of an ATM-based Radiology Consultation workstation for Radiotherapy Treatment Planning. Medical Imaging 1997 Image Display, vol. 3031, 550-511.
[28]
Masoodian, M., M. Apperley and L. Frederickson (1995): Video Support for Shared Work-Space Interaction: An Empirical Study. Interacting with Computers, vol. 7, no. 3, pp. 237- 253.
[29]
McAleer, J., D. O'Loan and D. Hollywood (2001): Broadcast Quality Teleconferencing for Oncology. Oncologist, vol. 6, no. 5, pp. 459-462.
[30]
McGrath, J.E. (1988): The Social Psychology of Time. Sage Publications.
[31]
NCCAC. (2005): The Diagnosis and Treatment of Lung Cancer. National Institute for Clinical Excellence (NICE).
[32]
O'Conaill, B., S. Whittaker and S. Wilbur (1993): Conversations Over Video Conferences: An Evaluation of the Spoken Aspects of Video-Mediated Communication. Human-Computer Interaction, vol. 8, no. 4, pp. 389-428.
[33]
O'Connell F. (2004): Guidelines for the Clinical Management of Lung Cancer. Irish Medical Journal, vol. 97, no. 2 (Supplement).
[34]
Olson, J.S., G.M. Olson and D. Meader (2000): Distance Matters. In: K.E. Finn, A.J. Sellen and S.B. Wilbur (eds.): Video-Mediated Communication. ACM Press, Chapt. Face-to-Face Group Work compared to Remote Group Work with and without Video.
[35]
Øvretveit, J. (1999): Integrated Quality Development for Public Healthcare. Norwegian Medical Association.
[36]
Øvretveit, J. (2000): System Negligence is at the Root of Medical Error. International Journal of Health Care Quality Assurance, vol. 13, no. 3, pp. 103-105.
[37]
Paterno, F. (1999): Model-Based Design and Evaluation of Interactive Applications. Applied Computing: Springer Verlag.
[38]
Pinelle, D., C. Gutwin and S. Greenberg (2003): Task Analysis for Groupware Usability Evaluation: Modeling Shared-Workspace Tasks with the Mechanics of Collaboration. ACM Transactions on Compututer-Human Interaction, vol. 10, no. 4, pp. 281-311.
[39]
Reddy, M. and P. Dourish (2002): A Finger on the Pulse: Temporal Rhythms and Information Seeking in Medical Work. CSCW'02 pp. 344-353.
[40]
Sacks, H., E.A. Schegloff and G. Jefferson (1974): A Simplest Systematics for the Organization of Turn Taking in Conversation. Language, vol. 50, no. 4, pp. 696-735.
[41]
Schmidt, K. and L. Bannon (1992): Taking CSCW Seriously: Supporting Articulation work. Computer Supported Cooperative Work, vol. 1, no. 1/2, pp. 7-40.
[42]
Sellen, A.J. (1992): Speech Patterns in Video-mediated Conversations. In: ACM (ed.): Proceedings of the Computer Human Interactions (CHI)'92.
[43]
Shannon, C.E. and W. Weaver (1949): The Mathematical Theory of Communication. Urbana II: University of Illinois Press.
[44]
Star, S.L. and J.R. Griesemer (1989): Institutional Ecology, Translations and Boundary Objects: Amateurs and Professionals in Berkeley's Museum of Vertebrate Zoology, 1907- 1939. Social Studies of Science, vol. 19, 387-420.
[45]
Symon, G., K. Long and J. Ellis (1996): The Coordination of Work Activities: Cooperation and Conflict in a Hospital Context. Computer Supported Cooperative Work (CSCW), vol. 5, no. 1, pp. 1-31.
[46]
Veer, G. van der, B.F. Lenting and B.A.J. Bergevoet (1996): GTA: Groupware Task Analysis - Modeling Complexity. Acta Psychologica, vol. 91, 297-322.
[47]
Whittaker, S. (2003): Things to talk about when talking about things. Human-Computer Interaction, vol. 18, 149-170.

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  1. Multidisciplinary Medical Team Meetings: An Analysis of Collaborative Working with Special Attention to Timing and Teleconferencing

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      cover image Computer Supported Cooperative Work
      Computer Supported Cooperative Work  Volume 15, Issue 5-6
      December 2006
      157 pages

      Publisher

      Kluwer Academic Publishers

      United States

      Publication History

      Published: 01 December 2006

      Author Tags

      1. ethnography
      2. healthcare
      3. interaction analysis
      4. multidisciplinary medical team meetings
      5. teleconference

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