Ordering Systems: Coordinative Practices and Artifacts in Architectural Design and Planning
Computer Supported Cooperative Work
Work coordination, workflow, and workarounds in a medical context
CHI '05 Extended Abstracts on Human Factors in Computing Systems
Computer Supported Cooperative Work
Beyond Boundary Objects: Collaborative Reuse in Aircraft Technical Support
Computer Supported Cooperative Work
I just don't know why it's gone: maintaining informal information use in inpatient care
Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
Computerization and information assembling process: nursing work and CPOE adoption
Proceedings of the 1st ACM International Health Informatics Symposium
Adaptation as design: learning from an EMR deployment study
Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
Institutional logics of the EMR and the problem of 'perfect' but inaccurate accounts
Proceedings of the 17th ACM conference on Computer supported cooperative work & social computing
Sharing Knowledge and Expertise: The CSCW View of Knowledge Management
Computer Supported Cooperative Work
Computational Coordination Mechanisms: A tale of a struggle for flexibility
Computer Supported Cooperative Work
A Review of 25 Years of CSCW Research in Healthcare: Contributions, Challenges and Future Agendas
Computer Supported Cooperative Work
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We conducted an ethnographically based study at a large teaching hospital to examine clinician workarounds engendered by the adoption of a Computerized Prescribe Order Entry (CPOE) system. Specifically, we investigated how adoption of computerized systems may alter medical practice, order management in particular, as manifested through the working-around behavior developed by doctors and nurses to accommodate the changes in their day-to-day work environment. In this paper, we focus on clinicians' workarounds, including those workarounds that gradually disappeared and those that have become routinized. Further, we extend the CSCW concept of boundary object (to "assemblage") in order to understand the workarounds created with CPOE system use and the changing nature of clinical practices that are increasingly computerized.