Why the Plan Doesn’t Hold: A Study of Situated Planning, Articulation and Coordination Work in a Surgical WardPresentation Transcript
Why the Plan Doesn’t Hold – a Study of Situated Planning, Articulation and Coordination Work in a Surgical Ward Jakob E. Bardram & Thomas R. Hansen IT University of Copenhagen & Cetrea A/S, Denmark CSCW 2010 – Everyday Healthcare 07-03-10 ·
Both authors are co-founders and shareholders in the company Cetrea A/S (Denmark) that produce the technology being studied in this paper.
Background, Motivation, and Research Questions
Outline of Talk
Motivation 07-03-10 ·
Background : Motivation 07-03-10 ·
Plans, workflows, etc. are coordinative artifacts
Absolutely essential for “complex” work – like hospitals
However, work is contingent in nature – especially in hospitals
Several qualitative studies exists
... but no quantitative evidence exist!
Are all plans subject to change? 50%? 10%? 1%?
What is the relationship between plans and actions?
Background : Questions
What is the nature of the changes to the plan, i.e. how many changes occur and how significant are they?
What are the reasons for the changes, i.e. why are plans changed?
What are the consequences of these changes, i.e. how are changes experienced and what effect do they have?
What are the strategies used for coping with these changes, i.e. how do people handle and accommodate change?
How often, why, consequences, and coping strategies
“ plans become resources for work rather than they in any strong sense determine its course”
Rönkkö, et al. (2005)
“ support the articulation and coordination work necessary in situations where plans do not adequately work out.”
Schmidt & Simone (1996)
there is a need for artifacts designed to help “cooperative ensembles [to] articulate their distributed activities more effectively and with a higher degree of flexibility ...”
Studies of whiteboards in hospitals
“ planning in hospitals is a continuous activity adjusted to the conditions of the specific situation”
Munkvold et al.
“ [t]here is planning but not plans”
planning is “a collective, ongoing and heterogeneous achievement”
What is the relationship between plans and (situated) action?
Please ask – or look at www.itu.dk/~bardram Note! The IT University of Copenhagen has announced several post doc and PhD positions – also within healthcare. Come talk to us or see www.itu.dk Questions? 07-03-10 ·