Documents and professional practice: “bad” organisational reasons for “good” clinical records
CSCW '96 Proceedings of the 1996 ACM conference on Computer supported cooperative work
Accumulating and Coordinating: Occasions for Information Technologies in Medical Work
Computer Supported Cooperative Work
A finger on the pulse: temporal rhythms and information seeking in medical work
CSCW '02 Proceedings of the 2002 ACM conference on Computer supported cooperative work
Mobility Work: The Spatial Dimension of Collaboration at a Hospital
Computer Supported Cooperative Work
An observational study on information flow during nurses' shift change
Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
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
Information handover in time-critical work
Proceedings of the ACM 2009 international conference on Supporting group work
Beyond handover: supporting awareness for continuous coverage
Cognition, Technology and Work
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Handoffs are moments of critical transition in which clinicians engage to maintain continuous coverage of patient care. This paper reports on an observational study of continuous coverage in an Emergency Department (ED), where three types of handoffs that occur during the same shift were identified: lunch breaks, ad hoc breaks and high workloads. The findings show these "in-shift handoffs" are managed not only through temporal linear coordination, but also through the local coordination among nurses working nearby. In-shift handoffs are crucial to maintaining continuous coverage in hospital settings. However, insufficient understanding of in-shift handoffs in Electronic Medical System (EMR) design may lead to a separation of information and responsibility, and an illusion of communication in patient care. The findings of this study call for attention to in-shift handoffs in future system design and for improving the traditional handoff process through the coordination of local awareness during ED work.