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Procedures and Collaborative Information Seeking: A Study of Emergency Departments

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Collaborative Information Seeking

Part of the book series: Computer Supported Cooperative Work ((CSCW))

Abstract

Information seeking is a central and inherently collaborative activity in the emergency department (ED), which is the common entry point to hospitals for nearly all acute patients. In this paper, we investigate how ED clinicians’ collaborative information seeking (CIS) is shaped by the procedures that they follow in the ED. Based on observations in two Danish EDs, we identify four procedures prominent to how CIS is accomplished: the triage procedure, the timeouts, the coordinating nurse, and the recurrent opportunities for information seeking at the whiteboard. We then discuss how CIS activities are impacted by these procedures and the challenges to effective CIS in these settings. We conclude with some thoughts about future studies of CIS in healthcare settings.

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References

  • Ackerman MS (2000) The intellectual challenge of CSCW: the gap between social requirements and technical feasibility. Hum Comput Interact 15(2&3):179–203

    Article  Google Scholar 

  • Bansler JP, Havn E, Mønsted T, Schmidt K (2011) A study of the fragmentation of the medical record. Paper presented at the third international workshop on infrastructures for healthcare, Copenhagen

    Google Scholar 

  • Bardram J, Bossen C (2005) Mobility work: the spatial dimension of collaboration at a hospital. Comput Supported Coop Work 14(2):131–160

    Article  Google Scholar 

  • Ellis D, Haugan M (1997) Modelling the information seeking patterns of engineers and research scientists in an industrial environment. J Doc 53(4):384–403

    Article  Google Scholar 

  • Farrohknia N, Castrén M, Ehrenberg A, Lind L, Oredsson S, Jonsson H, Asplund K, Göransson KE (2011) Emergency department triage scales and their components: a systematic review of the scientific evidence. Scand J Trauma Resusc Emerg Med 19(1):42:01–42:13

    Article  Google Scholar 

  • Foster J (2006) Collaborative information seeking and retrieval. In: Cronin B (ed) Annual review of information science and technology, vol 40. Information Today, Medford, pp 329–356

    Google Scholar 

  • González-Ibáñez R, Shah C (2011) Coagmento: a system for supporting collaborative information seeking. Proc Am Soc Inf Sci Technol 48(1):1–4

    Google Scholar 

  • Gorman PN (1995) Information needs of physicians. J Am Soc Inf Sci 46(10):729–736

    Article  Google Scholar 

  • Hansen P, Järvelin K (2005) Collaborative information retrieval in an information-intensive domain. Inf Process Manag 41(5):1101–1119

    Article  Google Scholar 

  • Hertzum M (2008) Collaborative information seeking: the combined activity of information seeking and collaborative grounding. Inf Process Manag 44(2):957–962

    Article  Google Scholar 

  • Hertzum M (2010) Breakdowns in collaborative information seeking: a study of the medication process. Inf Process Manag 46(6):646–655

    Article  Google Scholar 

  • Hertzum M, Simonsen J (2013) Work-practice changes associated with an electronic emergency department whiteboard. Health Informatics J 19(1):46–60

    Article  Google Scholar 

  • Hertzum M, Simonsen J (2015a) Effects of electronic emergency-department whiteboards on clinicians’ time distribution and mental workload. Health Inf J. doi:10.1177/1460458214529678

  • Hertzum M, Simonsen J (2015b) Visual overview, oral detail: the use of an emergency-department whiteboard. Int J Hum Comput Stud 82:21–30

    Google Scholar 

  • Hutchins E (1995) Cognition in the wild. MIT Press, Cambridge, MA

    Google Scholar 

  • Hyldegård J (2006) Collaborative information behaviour – exploring Kuhlthau’s information search process model in a group-based educational setting. Inf Process Manag 42(1):276–298

    Article  Google Scholar 

  • Iserson KV, Moskop JC (2007) Triage in medicine, part I: concept, history, and types. Ann Emerg Med 49(3):275–281

    Article  Google Scholar 

  • Karunakaran A, Reddy MC, Spence PR (2013) Toward a model of collaborative information behavior in organizations. J Am Soc Inf Sci Technol 64(12):2437–2451

    Article  Google Scholar 

  • Kuhlthau CC (1988) Developing a model of the library search process: cognitive and affective aspects. Ref Q 28(2):232–242

    Google Scholar 

  • Leckie GJ, Pettigrew KE, Sylvain C (1996) Modeling the information seeking of professionals: a general model derived from research on engineers, health care professionals, and lawyers. Libr Q 66(2):161–193

    Article  Google Scholar 

  • McKnight M (2006) The information seeking of on-duty critical care nurses: evidence from participant observation and in-context interviews. J Med Libr Assoc 94(2):145–151

    Google Scholar 

  • Menkov V, Neu DJ, Shi Q (2000) AntWorld: a collaborative web search tool. In: Distributed communities on the web. Springer, Berlin, pp 13–22

    Google Scholar 

  • Morris MR, Horvitz E (2007) SearchTogether: an interface for collaborative web search. In: Proceedings of the UIST’07 symposium on user interface software and technology, ACM Press, New York, pp 3–12

    Google Scholar 

  • Paul SA, Morris MR (2009) CoSense: enhancing sensemaking for collaborative web search. In: Proceedings of the CHI 2009 conference on human factors in computing systems, ACM Press, New York, pp 1771–1780

    Google Scholar 

  • Paul SA. Reddy MC (2010) Understanding together: sensemaking in collaborative information seeking. In: Proceedings of the CSCW 2010 conference on computer supported cooperative work, ACM Press, New York, pp 321–330

    Google Scholar 

  • Prekop P (2002) A qualitative study of collaborative information seeking. J Doc 58(5):533–547

    Article  Google Scholar 

  • Reddy M, Dourish P (2002) A finger on the pulse: temporal rhythms and information seeking in medical work. In: Proceedings of the CSCW‘02 conference on computer supported cooperative work, ACM Press, New York, pp 344–353

    Google Scholar 

  • Reddy M, Jansen BJ (2008) A model for understanding collaborative information behavior in context: a study of two healthcare teams. Inf Process Manag 44(1):256–273

    Article  Google Scholar 

  • Reddy MC, Dourish P, Pratt W (2006) Temporality in medical work: time also matters. Comput Supported Coop Work 15(1):29–53

    Article  Google Scholar 

  • Reddy MC, Spence PR (2008) Collaborative information seeking: a field study of a multidisciplinary patient care team. Inf Process Manag 44(1):242–255

    Article  Google Scholar 

  • Shah C (2014) Collaborative information seeking. J Assoc Inf Sci Technol 65(2):215–236

    Article  Google Scholar 

  • Sonnenwald DH, Pierce LG (2000) Information behavior in dynamic group work contexts: interwoven situational awareness, dense social networks and contested collaboration in command and control. Inf Process Manag 36(3):461–479

    Article  Google Scholar 

  • Spencer R, Coiera E, Logan P (2004) Variation in communication loads on clinical staff in the emergency department. Ann Emerg Med 44(3):268–273

    Article  Google Scholar 

  • Torkilsheyggi Aá, Hertzum M, From G (2013) Whiteboard icons to support the blood-test process in an emergency department: an observational study of temporal patterns. In: Lehrmann CU, Ammenwerth E, Nøhr C (eds) MEDINFO2013: proceedings of the 14th world congress on medical and health informatics, IOS Press, Amsterdam, pp 303–307

    Google Scholar 

  • Westbrook JI, Coiera E, Dunsmuir WTM, Brown BM, Kelk N, Paoloni R, Tran C (2010) The impact of interruptions on clinical task completion. Qual Saf Health Care 19(4):284–289

    Article  Google Scholar 

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Acknowledgements

The research project of which this study is part was devised, planned, and conducted by the first author and Jesper Simonsen in collaboration. We are grateful to the healthcare region, Region Zealand, and to the vendor of the electronic whiteboards, Imatis, for making this project possible and for the collaboration we have had during the project. The project has received funding from Vækstforum Sjælland and Innovasjon Norge. Jesper Simonsen and Arnvør á Torkilsheyggi made part of the observations that form the data for the analysis in this study. The second author’s participation in this paper was made possible through a grant from NSF IIS #0844947. Special thanks are due to the ED clinicians, who have been accommodating toward our observations and other empirical activities in spite of their busy schedules.

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Correspondence to Morten Hertzum .

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Hertzum, M., Reddy, M. (2015). Procedures and Collaborative Information Seeking: A Study of Emergency Departments. In: Hansen, P., Shah, C., Klas, CP. (eds) Collaborative Information Seeking. Computer Supported Cooperative Work. Springer, Cham. https://doi.org/10.1007/978-3-319-18988-8_4

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  • DOI: https://doi.org/10.1007/978-3-319-18988-8_4

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18541-5

  • Online ISBN: 978-3-319-18988-8

  • eBook Packages: Computer ScienceComputer Science (R0)

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