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ECSCW 2003 pp 375–394Cite as

‘Repairing’ the Machine: A Case Study of the Evaluation of Computer-Aided Detection Tools in Breast Screening

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Abstract

In this paper, we consider the problems of introducing computer-based tools into collaborative processes, arguing that such an introduction must attend to the sociality of work if it is not to impact negatively upon the work that they are intended to support. To ground our arguments, we present findings from an ethnomethologically-informed ethnographic study carried out in the context of the clinical trial of a computer-based aid in medical work. Our findings highlight the problematic nature of traditional clinical trials for evaluating healthcare technologies, precisely because such trials fail to grasp the situated, social and collaborative dimensions of medical work.

Keywords

  • Breast Screening
  • Magnify Glass
  • Computer Support Cooperative Work
  • Healthcare Technology
  • CADe Tool

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  • Bannern, L. (1996): ‘Use, design and evaluation: Steps towards an integration’, in D. Shapiro, M. Tauber and R. Traunmuller (eds.): The Design of Computer Supported Cooperative Work and Groupware Systems, North-Holland, pp 423–444.

    Google Scholar 

  • Berg, M. (1997): Rationalising Medical Work: Decision Support techniques and Medical Practices, Cambridge: MIT Press.

    Google Scholar 

  • Blanks, R., Wallis, M. and Moss, S. (1998): ‘A comparison of cancer detection rates achieved by breast cancer screening programmes by number of readers, for one and two view mammography: results from the UK National Health Service breast screening programme’, Journal of Medical Screening, vol. 5, no. 4, pp. 195–201.

    Google Scholar 

  • Dourish, P. and Button, G. (1998): ‘On “Technomethodology”: Foundational relationships between Ethnomethodology and System Design’, Human-Computer Interaction vol. 13, no. 4, pp. 395–432.

    CrossRef  Google Scholar 

  • Dourish, P. (2001): Where The Action Is: The Foundations of Embodied Interaction, MIT Press, Cambridge Mass.

    Google Scholar 

  • Driessen, J. (1997): ‘Worldly Interpretations of a Suspicious Story’, Ethnographic Studies, vol. 1, no. 2.

    Google Scholar 

  • Garfinkel, H, Lynch, M. and Livingston, E. (1981): ‘The Work of a Discovering Science Construed with Materials from the Optically Discovered Pulsar’, Philosophy of the Social Sciences, vol. 11, pp. 131–158.

    Google Scholar 

  • Garfinkel, H. and Wieder, L. (1992): ‘Two Incommensurable, Asymmetrically Alternate Technologies of Social Analysis’, in Watson, G. and Seiler, S. M (eds.): Text in Context: Contributions to Ethnomethodology, New York: Sage, pp. 175–206.

    Google Scholar 

  • Goodwin, C. (1994): ‘Professional Vision’, American Anthropologist, vol. 96, pp. 606–633.

    CrossRef  Google Scholar 

  • Goodwin, C. (2000a): ‘Action and Embodiment within Situated Human Interaction’, Journal of Pragmatics, vol. 31, pp. 1489–1522.

    CrossRef  Google Scholar 

  • Goodwin, C. (2000b): ‘Practices of Seeing: Visual Analysis: An Ethnomethodological Approach’, in T. van Leeuwen and C. Jewitt (eds.): Handbook of Visual Analysis, London: Sage, pp. 157–182.

    Google Scholar 

  • Hartland, J. (1993): ‘The Use of Intelligent Machines for Electrocardiograph Interpretation’, in G. Button, (ed.): Technology in Working Order, London: Routledge.

    Google Scholar 

  • Hartswood, M., Procter, R. and Williams, L. (1998): ‘Prompting in practice: How can we ensure radiologists make best use of Computer-Aided Detection Systems?’, in Karssemeijer, N. et al. (eds.): Proceedings of the Fourth International Workshop on Digital Mammography, Nijmegen, Netherlands, June 7th–10th. Kluwer Academic Publishers.

    Google Scholar 

  • Hartswood, M., Procter, R., (2000): ‘Computer-aided Mammography: A Case Study of Error Management in a Skilled Decision-Making Task’, Topics in Health Information Management, vol. 20, no. 4, pp. 38–54.

    Google Scholar 

  • Hartswood, M., Procter, R., Rouncefield, M. and Sharpe, M. (2000): ‘Being There and Doing IT in the Workplace: A Case Study of a Co-Development Approach in Healthcare’, in T. Cherkasky, J. Greenbaum, J. and P. Mambery (eds.): Proceedings of the CPSMFIP WG 9.1 Participatory Design Conference, New York, November 28th–December 1st, pp. 96–105.

    Google Scholar 

  • Hartswood, M., Procter, R., Rouncefield, M. and Slack, R. (2002): ‘Performance Management in Breast Screening: A Case Study of Professional Vision and Ecologies of Practice’, Journal of Cognition, Technology and Work, vol. 4, no. 2, pp. 91–100.

    CrossRef  Google Scholar 

  • Heathfield, H. and Wyatt, J. (1993): ‘Philosophies for the design and development of clinical decision support systems’, Methods of Information in Medicine, vol. 32, no. 1, pp. 1–8.

    Google Scholar 

  • Heathfield, H. and Buchan I. (1996): ‘Letters: Current evaluations of information technology in health care are often inadequate’, BMJ 1996, vol. 313, pp. 1008.

    CrossRef  Google Scholar 

  • Hughes, J., King, V., Rodden, T. and Anderson, R. (1994): ‘Moving Out from the Control Room: Ethnography and Systems Design’, in Proceedings of the ACM Conference on Computer-Supported Cooperative Work, ACM Press, pp. 429–439.

    Google Scholar 

  • Sacks, H. (1972): ‘Notes on the Police Assessment of Moral Character’, in D. Sudnow (ed.): Studies in Social Interaction, NewYork: Free Press, pp. 280–293.

    Google Scholar 

  • Schütz, A. (1964): ‘The Problem of Rationality in the Social World’, in Collected Papers, Volume Two, Studies in Social Theory, Den Haag: Martinus Nijhoff.

    Google Scholar 

  • Suchman, L. (1995): ‘Making Work Visible’, Communications of the ACM, vol. 38, no. 9, pp. 56–64.

    CrossRef  Google Scholar 

  • Warren-Burhenne, L., Wood, S. and D’Orsi, C. (2000): ‘Potential contribution of computer-aided detection to the sensitivity of screening mammography’, Radiology, vol. 215, pp. 554–562.

    Google Scholar 

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Hartswood, M., Procter, R., Rouncefield, M., Slack, R., Soutter, J., Voss, A. (2003). ‘Repairing’ the Machine: A Case Study of the Evaluation of Computer-Aided Detection Tools in Breast Screening. In: Kuutti, K., Karsten, E.H., Fitzpatrick, G., Dourish, P., Schmidt, K. (eds) ECSCW 2003. Springer, Dordrecht. https://doi.org/10.1007/978-94-010-0068-0_20

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  • DOI: https://doi.org/10.1007/978-94-010-0068-0_20

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-3994-9

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