There's no place like home: continuing design in use
Design at work
Studying context: a comparison of activity theory, situated action models, and distributed cognition
Context and consciousness
Documents and professional practice: “bad” organisational reasons for “good” clinical records
CSCW '96 Proceedings of the 1996 ACM conference on Computer supported cooperative work
Contextual Design: Defining Customer-Centered Systems
Contextual Design: Defining Customer-Centered Systems
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
Emerging Groupware Successes in Major Corporations: Studies of Adoption and Adaptation
WWCA '97 Proceedings of the International Conference on Worldwide Computing and Its Applications
Organizational Routines as a Source of Continuous Change
Organization Science
Mobility Work: The Spatial Dimension of Collaboration at a Hospital
Computer Supported Cooperative Work
Work coordination, workflow, and workarounds in a medical context
CHI '05 Extended Abstracts on Human Factors in Computing Systems
Acting with Technology: Activity Theory and Interaction Design (Acting with Technology)
Acting with Technology: Activity Theory and Interaction Design (Acting with Technology)
Studying activity patterns in CSCW
CHI '07 Extended Abstracts on Human Factors in Computing Systems
Documenting transitional information in EMR
Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
Participatory design and "democratizing innovation"
Proceedings of the 11th Biennial Participatory Design Conference
CPOE workarounds, boundary objects, and assemblages
Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
Local-universality: designing EMR to support localized informal documentation practices
Proceedings of the 2013 conference on Computer supported cooperative work
Supporting collaborative care in an emergency department (ED) through patient awareness
Proceedings of the companion publication of the 17th ACM conference on Computer supported cooperative work & social computing
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We conducted an observational study in an Emergency Department (ED) to examine the adaptation process after deploying an Electronic Medical Records (EMR) system. We investigated how EMR was adapted to the complex clinical work environment and how doctors and nurses engaged in the adaptation process. In this paper, we present three cases in which ED clinicians designed workarounds in order to adapt to the new work practice. Our findings reveal a rich picture of ED clinicians' active reinterpretation and modification of their work practice through their engagement with the system-in-use and its organizational and physical context. These findings call for the adaptation period in designing a socio-technical system in healthcare settings to be critically considered as an active end-user design process, a negotiating process, and a re-routinized process.