Annals of Emergency Medicine
Volume 50, Issue 4 , Pages 387-395 , October 2007

What Whiteboards in a Trauma Center Operating Suite Can Teach Us About Emergency Department Communication

  • Yan Xiao, PhD

      Affiliations

    • University of Maryland School of Medicine, Baltimore, MD
    • Corresponding Author InformationAddress for correspondence: Yan Xiao, PhD, Division of Research in Patient Safety, Program in Trauma, University of Maryland, 22 S Greene St, Baltimore, MD 21201, 410-328-7179, fax 410-328-7230
    • ,
  • Stephen Schenkel, MD, MPP

      Affiliations

    • University of Maryland School of Medicine, Baltimore, MD
    • ,
  • Samer Faraj, PhD

      Affiliations

    • University of Maryland R.H. Smith School of Business, College Park, MD
    • ,
  • Colin F. Mackenzie, MB ChB, FRCA

      Affiliations

    • University of Maryland School of Medicine, Baltimore, MD
    • ,
  • Jacqueline Moss, RN, PhD

      Affiliations

    • University of Alabama, Birmingham, AL.

Received 1 July 2006 ,Revised 29 December 2006 ,Accepted 26 March 2007.

References 

  1. Catchpole KR, Giddings AE, de Leval MR, et al. Identification of systems failures in successful paediatric cardiac surgery. Ergonomics. 2006;49:567–588
  2. Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. Crit Care Med. 1995;23:294–300
  3. Arora V, Johnson J, Lovinger D, et al. Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. Qual Saf Health Care. 2005;14:401–407
  4. Beach C, Croskerry P, Shapiro M. Profiles in patient safety: emergency care transitions. Acad Emerg Med. 2003;10:364–367
  5. Chisholm CD, Dornfeld AM, Nelson DR, et al. Work interrupted: a comparison of workplace interruptions in emergency departments and primary care offices. Ann Emerg Med. 2001;38:146–151
  6. Coiera EW, Jayasuriya RA, Hardy J, et al. Communication loads on clinical staff in the emergency department. Med J Aust. 2002;176:415–418
  7. Zun LS, Downey L. The effect of noise in the emergency department. Acad Emerg Med. 2005;12:663–666
  8. Spencer R, Coiera E, Logan P. Variation in communication loads on clinical staff in the emergency department. Ann Emerg Med. 2004;44:268–273
  9. Bossen C. The parameters of common information spaces: the heterogeneity of cooperative work at a hospital ward. Proc ACM Conf Comp Supp Coop Work. New Orleans, LA, Nov 16-20, 2002; 176-185.
  10. Bardram JE, Bossen C. Work rhythms and coordinative artifacts: A web of coordinative artifacts: collaborative work at a hospital ward. Proc ACM Conf Supporting Group Work. Sanibel Island, FL, Nov 6-9, 2005;168-176.
  11. Cabitza F, Sarini M, Simone C, Telaro M. Work rhythms and coordinative artifacts: When once is not enough: the role of redundancy in a hospital ward setting. Proc ACM Conf Supporting Group Work. Sanibel Island, FL, Nov 6-9, 2005;158-167.
  12. Wears R, Perry S, Wilson S. Status boards: user-evolved artefacts for inter- and intra-group coordination. Cognit Technol Work. In press.
  13. Sinnott MJ. An aid to the management of pediatric trauma in peripheral centers—a proposal for a pediatric trauma board. J Emerg Med. 1990;8:413–417
  14. Boger E. Electronic tracking board reduces ED patient length of stay at Indiana Hospital. J Emerg Nurs. 2003;29:39–43
  15. France DJ, Levin S, Hemphill R, et al. Emergency physicians’ behaviors and workload in the presence of an electronic whiteboard. Int J Med Inform. 2005;74:827–837
  16. Jensen J. United hospital increases capacity usage, efficiency with patient-flow management system. J Healthc Inf Manag. 2004;18:26–31
  17. Marinakis HA, Zwemer FL. An inexpensive modification of the laboratory computer display changes emergency physicians’ work habits and perceptions. Ann Emerg Med. 2003;41:186–190
  18. Sunm M, Fairbanks RJ, Bisantz AM. Emergency department communication patterns. [abstract] Acad Emerg Med. 2006;13:S97
  19. Broome C, Adams A. What gets missed when deploying new technologies in A&E?. Med Inform Internet Med. 2005;30:83–87
  20. Bardram JE. Designing for the dynamics of cooperative work activities. Proc ACM Conf Comp Supp Coop Work. Seattle, WA, Nov 14-18, 1998;89-98.
  21. Xiao Y. Artifacts and collaborative work in healthcare: methodological, theoretical, and technological implications of the tangible. J Biomed Inform. 2005;38:26–33
  22. Nemeth C, O’Connor M, Klock PA, et al. Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work. Organization Studies. 2006;27:1011–1035
  23. Wears R, Bisantz A, Perry S, Fairbanks R. Consequences of technical change in cognitive artefacts for managing complex work. Proc 8th Int Symp Hum Fact Org Design & Manag. Maui, HI, Jun 22-25, 2005;317-322.
  24. Mendonca EA, Chen ES, Stetson PD, et al. Approach to mobile information and communication for health care. Int J Med Inform. 2004;73:631–638
  25. Moss J. Technological system solutions to clinical communication error. J Nurs Adm. 2005;35:51–53
  26. Nemeth C, O’Connor M, Cook R, et al. Crafting information technology solutions, not experiments, for the emergency department. Acad Emerg Med. 2004;11:1114–1117
  27. Xiao Y, Lasome C, Moss J, MacKenzie CF, Faraj S. Cognitive Properties of a Whiteboard: A Case Study in a Trauma Centre. Proc 7th Europ Conf Comp Supported Cooperative Work. Bonn, Germany, Sept 16-20, 2001;259-278.
  28. Hollan J, Hutchins E, Kirsh D. Distributed cognition: toward a new foundation for human-computer interaction research. In:  Carroll JM editors. Human-Computer Interaction in the New Millennium. Boston, MA: Addison-Wesley; 2002;p. 75–94
  29. Hutchins E. How a cockpit remembers its speeds. Cognit Sci. 1995;19:265–288
  30. Hutchins E. Cognition in the Wild. Cambridge, MA: MIT Press; 1995;
  31. Zhang J, Norman DA. Representations in distributed cognitive tasks. Cognit Sci. 1994;18:87–122
  32. O’Neill E, Woodgate D, Kostakos V. Easing the wait in the emergency room: building a theory of public information systems. Proc Symp Designing Interact Syst. Cambridge, MA, Aug 1-4, 2004;17-25.
  33. Xiao Y, Seagull F. Emergent CSCW Systems: the resolution and bandwidth of workplaces. Int J Med Inform. 2006;In press
  34. Bardram JE. Temporal coordination. Comput Support Cooperative Work. 2000;9:157–187
  35. Strauss AL, Fagerhaugh S, Wiener C. Social Organization of Medical Work. Chicago, IL: University of Chicago Press; 1984;
  36. Spear SJ. Fixing health care from the inside, today. Harv Bus Rev. 2005;83:78–91158
  37. Strauss AL, Corbin JM. Basics of Qualitative Research: Grounded Theory Procedures and Techniques. Newbury Park, CA: Sage; 1990;
  38. Dourish P, Bellotti V. Awareness and Coordination in Shared Workspaces. Proc ACM Conf Comp Supp Coop Work. Toronto, Ont, Canada, Nov 1-4, 1992;107-114.
  39. Pratt W, Reddy MC, McDonald DW, et al. Incorporating ideas from computer-supported cooperative work. J Biomed Inform. 2004;37:128–137
  40. Larkin JH. Display-based problem solving. In:  Klahr D,  Kotovsky K editor. Complex Information Processing: The Impact of Herbert A. Simon. Hillsday, NJ: Erlbaum; 1989;p. 319–341
  41. Wears R, Perry S, Shapiro M, Beach C, Croskerry P, Behara R. A comparison of manual and electronic status boards in the emergency department: what’s gained and what’s lost. Proc Hum Fact & Ergo Soc. Denver, CO, Oct 13-17, 2003;1415-1419.

 Supervising editor: Robert L. Wears, MD, MS

 Author contributions: YX conceived the study, design the study, and supervised data collection. YX, SF, and CFM obtained the funding. YX, SS, and CFM drafted the article. YX, SF, and JM developed concept framework. YX takes responsibility for the paper as a whole.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that may create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. This research was supported by National Science Foundation (ITR-0081868 and ITR-0325087). The views expressed here are those of the authors and do not reflect the official policy or position of the authors’ employers nor the funding agency.

 Available online May 11, 2007.

 Reprints not available from the authors.

PII: S0196-0644(07)00388-5

doi: 10.1016/j.annemergmed.2007.03.027

Annals of Emergency Medicine
Volume 50, Issue 4 , Pages 387-395 , October 2007

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