research-article

Adaptation as design: learning from an EMR deployment study

Authors:

Sun Young Park,

Yunan ChenAuthors Info & Claims

CHI '12: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems

Pages 2097 - 2106

https://doi.org/10.1145/2207676.2208361

Published: 05 May 2012 Publication History

Abstract

We conducted an observational study in an Emergency Department (ED) to examine the adaptation process after deploying an Electronic Medical Records (EMR) system. We investigated how EMR was adapted to the complex clinical work environment and how doctors and nurses engaged in the adaptation process. In this paper, we present three cases in which ED clinicians designed workarounds in order to adapt to the new work practice. Our findings reveal a rich picture of ED clinicians' active reinterpretation and modification of their work practice through their engagement with the system-in-use and its organizational and physical context. These findings call for the adaptation period in designing a socio-technical system in healthcare settings to be critically considered as an active end-user design process, a negotiating process, and a re-routinized process.

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Cited By

Zakreuskaya ABuschek DMackay WAvellino IDove GEskofier B(2024)From Text to Treatment: How Medical Discharge Letters Are Used as a Key Artifact for Managing Patient CareProceedings of Mensch und Computer 202410.1145/3670653.3670665(99-110)Online publication date: 1-Sep-2024
https://dl.acm.org/doi/10.1145/3670653.3670665
Bucalon BWilliams CConley JRankin DVeysey MShaw TKay J(2022)“You can’t improve until you measure”: A Need Finding Study on Repurposed Clinical Indicators for Professional LearningProceedings of the 34th Australian Conference on Human-Computer Interaction10.1145/3572921.3572952(172-179)Online publication date: 29-Nov-2022
https://dl.acm.org/doi/10.1145/3572921.3572952
Kulp LSarcevic ACheng MBurd R(2021)Towards Dynamic ChecklistsACM Transactions on Computer-Human Interaction10.1145/344494728:2(1-33)Online publication date: 17-Apr-2021
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Adaptation as design: learning from an EMR deployment study

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cover image ACM Conferences

CHI '12: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems

May 2012

3276 pages

ISBN:9781450310154

DOI:10.1145/2207676

General Chair:
Joseph A. Konstan
University of Minnesota
,
Program Chairs:
Ed H. Chi
Google
,
Kristina Höök
Mobile Life at KTH

Copyright © 2012 ACM.

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Published: 05 May 2012

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CHI '12: CHI Conference on Human Factors in Computing Systems

May 5 - 10, 2012

Texas, Austin, USA

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https://dl.acm.org/doi/10.1145/3670653.3670665
Bucalon BWilliams CConley JRankin DVeysey MShaw TKay J(2022)“You can’t improve until you measure”: A Need Finding Study on Repurposed Clinical Indicators for Professional LearningProceedings of the 34th Australian Conference on Human-Computer Interaction10.1145/3572921.3572952(172-179)Online publication date: 29-Nov-2022
https://dl.acm.org/doi/10.1145/3572921.3572952
Kulp LSarcevic ACheng MBurd R(2021)Towards Dynamic ChecklistsACM Transactions on Computer-Human Interaction10.1145/344494728:2(1-33)Online publication date: 17-Apr-2021
https://dl.acm.org/doi/10.1145/3444947
Kulp LSarcevic AZheng YCheng MAlberto EBurd RBernhaupt RMueller FVerweij DAndres JMcGrenere JCockburn AAvellino IGoguey ABjørn PZhao SSamson BKocielnik R(2020)Checklist Design Reconsidered: Understanding Checklist Compliance and Timing of InteractionsProceedings of the 2020 CHI Conference on Human Factors in Computing Systems10.1145/3313831.3376853(1-13)Online publication date: 21-Apr-2020
https://dl.acm.org/doi/10.1145/3313831.3376853
Beerepoot Ivan de Weerd IReijers H(2020)The Potential of Workarounds for Improving ProcessesBusiness Process Management Workshops10.1007/978-3-030-37453-2_28(338-350)Online publication date: 3-Jan-2020
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Jagannath SSarcevic AYoung VMyers SBrewster SFitzpatrick GCox AKostakos V(2019)Temporal Rhythms and Patterns of Electronic Documentation in Time-Critical Medical WorkProceedings of the 2019 CHI Conference on Human Factors in Computing Systems10.1145/3290605.3300564(1-13)Online publication date: 2-May-2019
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Jagannath SSarcevic AMyers S(2019)From Paper Forms to Electronic Flowsheets: Documenting Medical Resuscitations in a Time of TransitionInformation in Contemporary Society10.1007/978-3-030-15742-5_68(718-724)Online publication date: 13-Mar-2019
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Gaglio GLewkowicz MTixier MLukosch SSarcevic ALewkowicz MMuller M(2016)"It is Not Because You Have Tools that You Must use Them"Proceedings of the 2016 ACM International Conference on Supporting Group Work10.1145/2957276.2957288(223-233)Online publication date: 13-Nov-2016
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