The integration of distributed knowledge in collaborative medical diagnosis
Intellectual teamwork
Technological frames: making sense of information technology in organizations
ACM Transactions on Information Systems (TOIS) - Special issue on social science perspectives on IS
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
Incorporating ideas from computer-supported cooperative work
Journal of Biomedical Informatics
SearchTogether: an interface for collaborative web search
Proceedings of the 20th annual ACM symposium on User interface software and technology
Collaborative information seeking: A field study of a multidisciplinary patient care team
Information Processing and Management: an International Journal
Information Processing and Management: an International Journal
CoSearch: a system for co-located collaborative web search
Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
Breakdowns in collaborative information seeking: A study of the medication process
Information Processing and Management: an International Journal
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Collaborative information seeking (CIS) is an intrinsic part of medical work. Patient care teams increasingly rely upon various systems, such as Electronic Medical Records (EMRs), to support collaborative information seeking across hierarchical, functional and occupational boundaries of the organization in order to enhance the quality of medical care. However, despite their proven benefits, there still are several challenges to using EMRs for CIS, in specific, and for collaborative work, in general. The objective of this research study, therefore, is to identify some of the barriers associated with using EMRs during CIS activities. We employed qualitative research methods to understand how individuals within patient care teams use EMRs during CIS and what challenges they confront in the process. We conducted this study in the Emergency Department of a 500-bed teaching hospital. We used non-participant observations and semi-structured interviews of patient care team members for collecting our data and for capturing the practices. Through our data analysis, we identified a set of barriers to using EMRs during CIS. These include a) clash of "technological frames", b) lack of collective affordances, c) fear of deviations and d) alert fatigues. From the findings of our study, we highlight implications for designing EMR systems that could augment and facilitate better CIS.