TY - GEN
T1 - Three perspectives of rounds
T2 - 52nd Human Factors and Ergonomics Society Annual Meeting, HFES 2008
AU - Xiao, Yan
AU - Ho, Danny
AU - Vaidya, Vinay
AU - Sen, Ayan
AU - Gorman, Paul
AU - Hazlehurst, Brian
AU - Hu, Peter
AU - Hall, Kendall
PY - 2008
Y1 - 2008
N2 - Communication in acute hospital care occurs frequently in group settings, with "rounds" as the prototypical forum for care providers to review and plan for patient care. Many care providers spend hours each day in rounds. While studies have demonstrated the importance of rounds as a mechanism to improve care coordination, care providers frequently express frustration about rounds. Previous observational studies of rounds have identified factors influencing information transfer: physical, social, cognitive, and supporting artifacts. In this paper, we adopt three perspectives in advancing our understanding of communication during rounds and in devising interventions: distributed cognition, computer-supported cooperative work, and common ground. We use video recordings of rounds discussion of one patient in a pediatric intensive care unit to illustrate the choreography of information flow aided by artifacts, the use of visual "text" in discourse, and the scaffolding process of incrementally building a shared understanding about the care and the status of the patient. We highlight the importance of detailed studies of communication in embedded work practices and the need for a multi-theoretical approach for future studies of communication.
AB - Communication in acute hospital care occurs frequently in group settings, with "rounds" as the prototypical forum for care providers to review and plan for patient care. Many care providers spend hours each day in rounds. While studies have demonstrated the importance of rounds as a mechanism to improve care coordination, care providers frequently express frustration about rounds. Previous observational studies of rounds have identified factors influencing information transfer: physical, social, cognitive, and supporting artifacts. In this paper, we adopt three perspectives in advancing our understanding of communication during rounds and in devising interventions: distributed cognition, computer-supported cooperative work, and common ground. We use video recordings of rounds discussion of one patient in a pediatric intensive care unit to illustrate the choreography of information flow aided by artifacts, the use of visual "text" in discourse, and the scaffolding process of incrementally building a shared understanding about the care and the status of the patient. We highlight the importance of detailed studies of communication in embedded work practices and the need for a multi-theoretical approach for future studies of communication.
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M3 - Conference contribution
AN - SCOPUS:78049414336
SN - 9781605606859
T3 - Proceedings of the Human Factors and Ergonomics Society
SP - 825
EP - 829
BT - 52nd Human Factors and Ergonomics Society Annual Meeting, HFES 2008
Y2 - 22 September 2008 through 26 September 2008
ER -