Chi 2010 hotspots_talk_v6pgs

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Chi 2010 hotspots_talk_v6pgs

  1. 1. SUPPORTING COORDINATION IN SURGICAL SUITES: PHYSICAL ASPECTS OF COMMON INFORMATION SPACES Peter Scupelli, Yan Xiao, Susan R. Fussell, Sara Kiesler, & Mark D. Gross
  2. 2. Coordination in surgical suites 2   Surgery requires coordination among groups   Emergencies change the schedule   Schedule changes require even more coordination   Charge nurse and charge anesthesiologist have key coordination roles
  3. 3. Common information spaces 3 Surgeon Charge Nurse Schmidt & Bannon (1992) Bannon & Bødker (1997) Charge Anesthesiologist
  4. 4. Locations for coordination 4   Schedule board   Makes schedule visible   Integrates information   Serves multiple groups   Control desk area   Charge nurse coordinates   Transport teams   Equipment requests   Online schedule
  5. 5. Research question 5   How does the physical architecture of the hospital support coordination in surgical suites?   How fast staff learn about changes to the schedule   How smoothly different groups can negotiate the schedule   Whether the charge nurse or anesthesiologists can easily update the schedule   To answer the question we observed the workplace, architecture, and information artifacts, and people’s behavior
  6. 6. The surgical suites studied 6 General A Ambulatory 25 operating rooms 14 Operating Rooms General B Trauma 21 Operating rooms 6 Operating rooms
  7. 7. Observations 7   300 hours of detailed field notes around schedule board and control desk   Photographs and sketches of sites   Architecture analysis   Coded field notes with multiple passes
  8. 8. Main findings 8   Connected information locations   Visibility between information locations   Information access areas   Information privacy
  9. 9. Connected information locations 9   Unconnected   Connected
  10. 10. Visibility between information locations 10   No visibility   Co-visibility
  11. 11. Information access area 11   Separate areas   Overlapping areas
  12. 12. Information privacy 12   Semi public area with limited surgery information   Staff only area with surgery information
  13. 13. Design principles for coordination 13   Place information locations in connected areas   Provide visibility between information locations   Limit traffic interference with information access   Create staff only information areas
  14. 14. Design principles for coordination 14   Place information locations in connected areas   Provide visibility between information locations   Limit traffic interference with information access   Create staff only information areas
  15. 15. Design principles for coordination 15   Place information locations in connected areas   Provide visibility between information locations   Limit traffic interference with information access   Create staff only information areas
  16. 16. Design principles for coordination 16   Place information locations in connected areas   Provide visibility between information locations   Limit traffic interference with information access   Create staff only information areas
  17. 17. Health informatics challenges 17 Current trend is to push the schedule to mobile devices and display on non-interactive large displays   Pushing information may limit gathering   Limited visibility between distributed information hubs   Small mobile devices may limit information access   Staff only information for staff only locations
  18. 18. Design principles for health informatics 18   Connectivity   Connect updaters to displayed information   Visibility   Support informal communication between information locations   Access areas   Allow people to dwell around displayed information   Staff only information   Display information to staff by role and location
  19. 19. 19   Thank you for your attention.   Questions and comments? This material is based upon work supported by National Science Foundation Grants #0329077 and 0325047.

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