The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.
Work coordination, workflow, and workarounds in a medical context
Abstract
In this paper we report an ethnographic study of workarounds-informal temporary practices for handling exceptions to normal workflow-in a hospital environment. Workarounds are a common technique for dealing with the inherent uncertainty of dynamic work environments. Workarounds can help coordinate work, especially under conditions of high time pressure, but they may result in information or work protocols that are unstable, unavailable, or unreliable. We investigated workarounds and their effects through observation and interviews in a major teaching medical center. Our results suggest 4 key features of workarounds that technologies might help address: (a) workarounds differ as a function of people's role; (b) workarounds draw on tacit knowledge of others' abilities and willingness to help; (c) workarounds can have a cascading effect, causing other workarounds down the line; (d) workarounds often rely on principles of fairness and who owes whom a favor. We provide recommendations for designing systems to better support workarounds in dynamic environments.
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“Thus, workarounds perceived as necessary by the user for patient care, efficiency, 33 or safety, 34 may be beneficial, neutral, or dangerous for patients' safety 33,35-37”
From Workarounds to Barcode Medication Administration Systems: Their Occurrences, Causes, and Threats to Patient Safety (2008) · cites this paper as [33]
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Cites
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Self-citationTemporal Coordination –On Time and Coordination of CollaborativeActivities at a Surgical Department
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Managing routine exceptions: A model of nurse problem solving behavior
Tucker, A. L., & Edmondson, A. C. (2004) · Advances in health care management · doi:10.1016/s1474-8231(02)03007-0 · Cited by 91
Dynamic workflow model for complex activity in intensive care unit
Bricon-Souf, N., Renard, J., & Beuscart, R. (1999) · International Journal of Medical Informatics · doi:10.1016/s1386-5056(98)00155-5 · Cited by 44
Coordination challenges in operating-room management: an in-depth field study.
Plasters, C., Seagull, F. J., & Xiao, Y. (2003) · PubMed · Cited by 30
Self-citationAMIA 2003 Symposium Proceedings
Smith, B., Jennifer, W., & Schulze-Kremer, S. (2003) · Cited by 14
Research works printed but not linked: 3
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- Xiao , Y. , Seagull , F.J. , Faraj , S. , & Mackenzie , C.F. ( 2003 ). Coordination Practices for Patient Safety: Knowledge, Cultural, and Supporting Artifact Requirements. Proc . of International Ergonomic Association 2003 (Macroergonomics in Healthcare : Session) . Xiao, Y., Seagull, F.J., Faraj, S., & Mackenzie, C.F. (2003). Coordination Practices for Patient Safety: Knowledge, Cultural, and Supporting Artifact Requirements. Proc. of International Ergonomic Association 2003 (Macroergonomics in Healthcare: Session).
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Koppel, R., Wetterneck, T., Telles, J. L., & Karsh, B.-T. (2008) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m2616 · Cited by 685
Ferneley, E. H., & Sobreperez, P. (2006) · European Journal of Information Systems · doi:10.1057/palgrave.ejis.3000629 · Cited by 324
Alter, S. (2014) · Communications of the Association for Information Systems · doi:10.17705/1cais.03455 · Cited by 338
Nurses’ workarounds in acute healthcare settings: a scoping review
Debono, D. S., Greenfield, D., Travaglia, J., Long, J. C., Black, D. A., Johnson, J. K., & Braithwaite, J. (2013) · BMC Health Services Research · doi:10.1186/1472-6963-13-175 · Cited by 273
The iron cage exposed: Institutional pressures and heterogeneity across the healthcare supply chain
Bhakoo, V., & Choi, T. Y. (2013) · Journal of Operations Management · doi:10.1016/j.jom.2013.07.016 · Cited by 192
Metadata
- Authors
- Kobayashi, M., Fussell, S. R., Xiao, Y., & Seagull, F. J.
- Affiliations
- Carnegie Mellon University (US)
- University of Maryland, Baltimore (US)
- Venue
- CHI '05 Extended Abstracts on Human Factors in Computing Systems
- Publisher
- ACM
- Published
- 2005-04-02
- Pages
- 1561-1564
- OpenAlex
- W2119704473
- Cited by
- 141
- References
- 7
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 3 · 2022: 3 · 2021: 8 · 2020: 7 · 2019: 8 · 2018: 9 · 2017: 12 · 2016: 4 · 2015: 14 · 2014: 12 · 2013: 11 · 2012: 7
- FWCI
- 7.08
- Type
- conference paper
- Language
- en
- Open access
- closed
- Locations
- CHI Conference Extended Abstracts on Human Factors in Computing Systems (CHI EA) (publishedVersion)
- Funders
- National Science Foundation
- Topics
- Social Sciences › Business, Management and Accounting › Management Information Systems › Information Systems Theories and Implementation
- Social Sciences › Psychology › Social Psychology › Team Dynamics and Performance
- Physical Sciences › Computer Science › Human-Computer Interaction › Usability and User Interface Design
- Keywords
- workarounds, informal work practices, hospital workflow, work coordination, tacit knowledge, time pressure, role differences, medical work
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