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 proceedings

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.
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.
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
Date2013
Pages303-307
ISBN (Print)978-1-61499-288-2
ISBN (Electronic)978-1-61499-289-9
DOIs
StatePublished - 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

Keywords

    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, DOI: 10.3233/978-1-61499-289-9-303
    Torkilsheyggi, Arnvør Martinsdottir á ; Hertzum, Morten ; From, Gustav. / Whiteboard Icons to Support the Blood-Test Process in an Emergency Department : An Observational Study of Temporal Patterns. Medinfo 2013: Proceedings of the 14th World Congress on Medical and Health Informatics. editor / Christoph Ulrich Lehmann ; Elske Ammenwerth ; Christian Nøhr. IOS Press, 2013. pp. 303-307 (Studies in Health Technology and Informatics; No. 192).
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    title = "Whiteboard Icons to Support the Blood-Test Process in an Emergency Department: An Observational Study of Temporal Patterns",
    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.",
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    Torkilsheyggi, AMÁ, Hertzum, M & From, G 2013, Whiteboard Icons to Support the Blood-Test Process in an Emergency Department: An Observational Study of Temporal Patterns. in CU Lehmann, E Ammenwerth & C Nøhr (eds), Medinfo 2013: Proceedings of the 14th World Congress on Medical and Health Informatics. IOS Press, Studies in Health Technology and Informatics, no. 192, pp. 303-307, Copenhagen, Denmark, 20/08/2013. DOI: 10.3233/978-1-61499-289-9-303

    Whiteboard Icons to Support the Blood-Test Process in an Emergency Department : An Observational Study of Temporal Patterns. / Torkilsheyggi, Arnvør Martinsdottir á; Hertzum, Morten; From, Gustav.

    Medinfo 2013: Proceedings of the 14th World Congress on Medical and Health Informatics. ed. / Christoph Ulrich Lehmann; Elske Ammenwerth; Christian Nøhr. IOS Press, 2013. p. 303-307.

    Research output: Chapter in Book/Report/Conference proceedingArticle in proceedings

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    AB - 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.

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    Torkilsheyggi AMÁ, Hertzum M, From G. Whiteboard Icons to Support the Blood-Test Process in an Emergency Department: An Observational Study of Temporal Patterns. In Lehmann CU, Ammenwerth E, Nøhr C, editors, Medinfo 2013: Proceedings of the 14th World Congress on Medical and Health Informatics. IOS Press. 2013. p. 303-307. (Studies in Health Technology and Informatics; No. 192). Available from, DOI: 10.3233/978-1-61499-289-9-303