Variations in surgical patient trajectories: challenges for coordination

Authors:
Tobias Buschmann Iversen;Line Melby;Andreas Dypvik Landmark;Pieter Toussaint
Affiliations:
Norwegian University of Science and Technology, Trondheim, Norway;Norwegian University of Science and Technology, Trondheim, Norway;Norwegian University of Science and Technology, Trondheim, Norway;Norwegian University of Science and Technology, Trondheim, Norway
Venue:
Proceedings of the ACM 2012 conference on Computer Supported Cooperative Work Companion
Year:
2012

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Abstract

In this paper we present three examples of common variations in patient trajectories and how this is supported by various computer systems. We highlight how deviations from planned work cause different information needs and implications for design of awareness supporting computer systems. We suggest that when patient trajectories progress according to plan, information needs of staff is minimal and when variations occur, the information need increases dramatically. In order to provide better support for such variations, awareness-support systems need to inform colleagues and other stakeholders about the deviations from the plan. Additionally, end-users should have the option to switch between information-sparse and information-rich computer support.