Abstract
It has been suggested that mobile Information and communication technologies (MICTs) are better suited than traditional desktop devices to support work practices where participants are either moving around or conduct their work in different spatially dispersed settings. One such practice, which might be expected to benefit from MICT support, is the ward rounds conducted by hospital doctors. After a brief description of this practice, data are presented on the usage of laptop PCs in ward rounds in the Medicine Service of a U.S. hospital with a well-established IT infrastructure. Drawing on questionnaires, Interviews, and observational evidence, the paper explores why, 5 years after the laptops were first introduced, a quarter of the clinicians had never used them, and only a quarter took advantage of more than their basic functionality. A number of possible reasons for the failure of doctors to adopt a technology that is seen as offering significant benefits to their work are discussed. In particular, it appeared that the reliability of the technology, differences in senior doctors’ ward round practices, and social inertia contributed to the low level of uptake. Other local factors, such as the architecture of the building and departmental practices regarding laptop usage, also affected doctors’ use. Implications for research on ubiquitous Computing are drawn.
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References
Atkinson, P. The Clinical Experience, London: Gower, 1981.
Bardram, J., Kjær, T. A. K., and Nielsen, C. “Supporting Local Mobility in Healthcare by Application Roaming among Heterogeneous Devices,” in Proceedings of the Fifth International Conference on Human Computer Interaction with Mobile Devices and Services (Mobile HCI’03), Berlin: Springer Verlag, 2003 (available online at http://www.daimi.au.dk/~bardram/docs/mobile_HCI.pdf).
Barret, J. R., Strayer, S. M., and Schubart, J. R. “Assessing Medical Residents’ Usage and Perceived Needs for Personal Digital Assistants,” International Journal of Medical Informatics (73:1), 2004, pp. 25–34..
Cox, J. “Wireless Woos Doctors: Networked Mobile Devices Help Improve Patient Care and Diagnosis,” Network World Fusion, December 9, 2002 (available online at http://www.nwfusion.com/research/2002/1209sector.html).
Davis, G. B. “Anytime/Anyplace Computing and the Future of Knowledge Work,” Communications of the ACM (45:12), 2002, pp. 67–73.
Esbjörnsson, M. “Mobile Reporting: Supporting Road Inspectors,” in Proceedings of Interact’01-IFIP TC 13 International Conference on Human-Computer Interaction, Amsterdam: IOS Press, 200, pp. 747–748 (available online at http://www.tii.se/mobility/publications.htm).
Esbjörnsson, M., Juhlin, O., and Östergren, M. “Making Motor Bikers Come Together—Fast Moving Users and Mobile Ad Hoc Networks,” in Proceedings of 25 th Information Systems Research Seminar in Scandinavia, Bautahøj, Denmark, 2002.
Esbjörnsson, M., and Östergren, M. “Hocman: Supporting Mobile Group Collaboration,” in Extended Abstracts of the Conference on Human Factors in Computing Systems, New York: ACM Press, 2002, pp. 838–839 (available online at http://www.tii.se/mobility/Files/Hocmanpaper.pdf).
Freeman, H. E., and Reeder, L. G. “Medical Sociology: A Review of the Literature,” American Sociological Review (22:1), 1957, pp. 73–81.
Glaser, B. G., and Strauss, A. L. The Discovery of Grounded Theory: Strategies for Qualitative Research, New York: Aldine, 1967.
Grasso, B. C., and Genest, R. “Use of a Personal Digital Assistant in Reducing Medication Error Rates,” Psychiatric Services (52:7), 2001, pp. 883–884, 886.
Holleran, K., Pappas, J., Lou, H., Rubalcaba, P., Lee, R., Clay, S., Cutone, J., Flammini, S., Kuperman, G., and Middleton, B. “Mobile Technology in a Clinical Setting,” in Proceedings of the AMIA Annual Fall Symposium, 2003, p. 863.
Kelly, J. “Going Wireless,” Hospital Health Networks (74:11), 2001, pp. 65–66, 68.
Martins, H. M. G., and Jones, M. R. “What’s So Different about Mobile Information Communication Technologies (MICT) for Clinical Work Practices: A Review of Selected Pilot Studies,” Health Informatics Journal (fortheoming).
McLeod, T. G., Ebbert, J. O., and Lymp, J. F. “Survey Assessment of Personal Digital Assistant Use among Trainees and Attending Physicians,” Journal of American Medical Association (10:6), 2003, pp. 605–607.
Strauss, A. L., Shizuko, F., Suczek, B., and Wiener, C. Social Organization of Medical Work, New Brunswick, NJ: Transaction Publisher, 1997.
Zuboff, S. In the Age of the Smart Machine, New York: Basic Books, 1987.
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© 2005 International Federation for Information Processing
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Martins, H.M.G., Jones, M.R. (2005). Mobility in the Round: Use of Wireless Laptop PCs in Clinical Ward Rounds. In: Sørensen, C., Yoo, Y., Lyytinen, K., DeGross, J.I. (eds) Designing Ubiquitous Information Environments: Socio-Technical Issues and Challenges. IFIP — The International Federation for Information Processing, vol 185. Springer, Boston, MA. https://doi.org/10.1007/0-387-28918-6_9
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DOI: https://doi.org/10.1007/0-387-28918-6_9
Publisher Name: Springer, Boston, MA
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