Whiteboard Icons to Support the Blood-Test Process in an Emergency Department: An Observational Study of Temporal Patterns

Arnvør Martinsdottir á Torkilsheyggi, Morten Hertzum, Gustav From

    Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-review

    Abstract

    The competent treatment of emergency department (ED) patients requires an effective and efficient process for handling laboratory tests such as blood tests. This study investigates how ED clinicians go about the process, from ordering blood tests to acknowledging their results and, specifically, assesses the use of whiteboard icons to support this process. On the basis of observation and interviews we find that the blood-test process is intertwined with multiple other temporal patterns in ED work. The whiteboard icons, which indicate four temporally distinct steps in the blood-test process, support the nurses in maintaining the flow of patients through the ED and the physicians in assessing test results at timeouts. The main results of this study are, however, that the blood-test process is temporally and collaboratively complex, that the whiteboard icons pass by most of this complexity, that attending to the icons is yet another temporally sensitive activity to remember, and that whereas the assessment of test results is integral to patient treatment, the acknowledgement of having seen the results is a formal add-on, the responsibility for which is sometimes unclear.
    Original languageEnglish
    Title of host publicationMedinfo 2013 : Proceedings of the 14th World Congress on Medical and Health Informatics
    EditorsChristoph Ulrich Lehmann, Elske Ammenwerth, Christian Nøhr
    Number of pages5
    PublisherIOS Press
    Publication date2013
    Pages303-307
    ISBN (Print)978-1-61499-288-2
    ISBN (Electronic)978-1-61499-289-9
    DOIs
    Publication statusPublished - 2013
    EventThe 14th World Congress on Medical and Health Informatics - Bella Center, Copenhagen, Denmark
    Duration: 20 Aug 201323 Aug 2013
    http://www.medinfo2013.dk/

    Conference

    ConferenceThe 14th World Congress on Medical and Health Informatics
    LocationBella Center
    CountryDenmark
    CityCopenhagen
    Period20/08/201323/08/2013
    Internet address
    SeriesStudies in Health Technology and Informatics
    Number192
    ISSN0926-9630

    Cite this

    Torkilsheyggi, A. M. Á., Hertzum, M., & From, G. (2013). Whiteboard Icons to Support the Blood-Test Process in an Emergency Department: An Observational Study of Temporal Patterns. In C. U. Lehmann, E. Ammenwerth, & C. Nøhr (Eds.), Medinfo 2013: Proceedings of the 14th World Congress on Medical and Health Informatics (pp. 303-307). IOS Press. Studies in Health Technology and Informatics, No. 192 https://doi.org/10.3233/978-1-61499-289-9-303