Procedures and Collaborative Information Seeking: A Study of Emergency Departments

Part of the Computer Supported Cooperative Work book series (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.

Keywords

Collaborative information seeking Information behavior Work procedures Emergency medicine Healthcare 

Notes

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.

References

  1. Ackerman MS (2000) The intellectual challenge of CSCW: the gap between social requirements and technical feasibility. Hum Comput Interact 15(2&3):179–203CrossRefGoogle Scholar
  2. 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, CopenhagenGoogle Scholar
  3. Bardram J, Bossen C (2005) Mobility work: the spatial dimension of collaboration at a hospital. Comput Supported Coop Work 14(2):131–160CrossRefGoogle Scholar
  4. Ellis D, Haugan M (1997) Modelling the information seeking patterns of engineers and research scientists in an industrial environment. J Doc 53(4):384–403CrossRefGoogle Scholar
  5. 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):42:01–42:13CrossRefGoogle Scholar
  6. 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 329–356Google Scholar
  7. González-Ibáñez R, Shah C (2011) Coagmento: a system for supporting collaborative information seeking. Proc Am Soc Inf Sci Technol 48(1):1–4Google Scholar
  8. Gorman PN (1995) Information needs of physicians. J Am Soc Inf Sci 46(10):729–736CrossRefGoogle Scholar
  9. Hansen P, Järvelin K (2005) Collaborative information retrieval in an information-intensive domain. Inf Process Manag 41(5):1101–1119CrossRefGoogle Scholar
  10. Hertzum M (2008) Collaborative information seeking: the combined activity of information seeking and collaborative grounding. Inf Process Manag 44(2):957–962CrossRefGoogle Scholar
  11. Hertzum M (2010) Breakdowns in collaborative information seeking: a study of the medication process. Inf Process Manag 46(6):646–655CrossRefGoogle Scholar
  12. Hertzum M, Simonsen J (2013) Work-practice changes associated with an electronic emergency department whiteboard. Health Informatics J 19(1):46–60CrossRefGoogle Scholar
  13. 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
  14. Hertzum M, Simonsen J (2015b) Visual overview, oral detail: the use of an emergency-department whiteboard. Int J Hum Comput Stud 82:21–30Google Scholar
  15. Hutchins E (1995) Cognition in the wild. MIT Press, Cambridge, MAGoogle Scholar
  16. Hyldegård J (2006) Collaborative information behaviour – exploring Kuhlthau’s information search process model in a group-based educational setting. Inf Process Manag 42(1):276–298CrossRefGoogle Scholar
  17. Iserson KV, Moskop JC (2007) Triage in medicine, part I: concept, history, and types. Ann Emerg Med 49(3):275–281CrossRefGoogle Scholar
  18. Karunakaran A, Reddy MC, Spence PR (2013) Toward a model of collaborative information behavior in organizations. J Am Soc Inf Sci Technol 64(12):2437–2451CrossRefGoogle Scholar
  19. Kuhlthau CC (1988) Developing a model of the library search process: cognitive and affective aspects. Ref Q 28(2):232–242Google Scholar
  20. 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):161–193CrossRefGoogle Scholar
  21. 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):145–151Google Scholar
  22. Menkov V, Neu DJ, Shi Q (2000) AntWorld: a collaborative web search tool. In: Distributed communities on the web. Springer, Berlin, pp 13–22Google Scholar
  23. 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 3–12Google Scholar
  24. 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 1771–1780Google Scholar
  25. 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 321–330Google Scholar
  26. Prekop P (2002) A qualitative study of collaborative information seeking. J Doc 58(5):533–547CrossRefGoogle Scholar
  27. 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 344–353Google Scholar
  28. 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):256–273CrossRefGoogle Scholar
  29. Reddy MC, Dourish P, Pratt W (2006) Temporality in medical work: time also matters. Comput Supported Coop Work 15(1):29–53CrossRefGoogle Scholar
  30. Reddy MC, Spence PR (2008) Collaborative information seeking: a field study of a multidisciplinary patient care team. Inf Process Manag 44(1):242–255CrossRefGoogle Scholar
  31. Shah C (2014) Collaborative information seeking. J Assoc Inf Sci Technol 65(2):215–236CrossRefGoogle Scholar
  32. 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):461–479CrossRefGoogle Scholar
  33. Spencer R, Coiera E, Logan P (2004) Variation in communication loads on clinical staff in the emergency department. Ann Emerg Med 44(3):268–273CrossRefGoogle Scholar
  34. 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 303–307Google Scholar
  35. 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):284–289CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Royal School of Library and Information ScienceUniversity of CopenhagenCopenhagenDenmark
  2. 2.Northwestern UniversityEvanstonUSA

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