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Computer Supported Cooperative Work (CSCW)

, Volume 17, Issue 4, pp 395–419 | Cite as

Triage Drift: A Workplace Study in a Pediatric Emergency Department

  • Pernille BjørnEmail author
  • Kjetil Rødje
Article

Abstract

This paper presents a workplace study of triage work practices within an emergency department (ED). We examine the practices, procedures, and organization in which ED staff uses tools and technologies when coordinating the essential activity of assessing and sorting patients arriving at the ED. The paper provides in-depth empirical observations describing the situated work practices of triage work, and the complex collaborative nature of the triage process. We identify and conceptualize triage work practices as comprising patient trajectories, triage nurse activities, coordinative artefacts and exception handling; we also articulate how these four features of triage practices constitute and connect workflows, organize and re-organize time and space during the triage process. Finally we conceptualize these connections as an assessing and sorting mechanism in collaborative work. We argue that the complexities involved in this mechanism are a necessary asset of triage work, which calls for a reassessment of the concept of triage drift.

Key words

emergency work health care triage coordinative artefacts exception handling workplace study assessing and sorting mechanism triage drift 

Notes

Acknowledgement

This study was conducted as a part of the research project ACTION for Health. ACTION for Health is funded by the Social Sciences and Humanities Research Council of Canada, Grant #512-2003-1017, titled ‘The role of technology in the production, consumption and use of health information: Implications for policy and practice’ with contributions from Simon Fraser University and Vancouver General Hospital.

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Copyright information

© Springer Science+Business Media B.V. 2008

Authors and Affiliations

  1. 1.Simon Fraser UniversityBurnabyCanada
  2. 2.IT UniversityCopenhagenDenmark

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