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SUPPORTING COORDINATION IN SURGICAL SUITES:
PHYSICAL ASPECTS OF COMMON INFORMATION SPACES
                 Peter Scupelli,
     Yan Xiao, Susan R. Fussell, Sara Kiesler,
                & Mark D. Gross
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
Common information spaces
3	





        Surgeon
                                         Charge Nurse




                                   Schmidt & Bannon (1992)
                                   Bannon & Bødker (1997)
        Charge Anesthesiologist
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
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
The surgical suites studied
6	





          General A            Ambulatory
       25 operating rooms    14 Operating Rooms




           General B                Trauma
       21 Operating rooms     6 Operating rooms
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
Main findings
8	



         Connected information locations
         Visibility between information locations

         Information access areas

         Information privacy
Connected information locations
9	





            Unconnected        Connected
Visibility between information locations
10	





             No visibility       Co-visibility
Information access area
11	





            Separate areas       Overlapping areas
Information privacy
12	





            Semi public area with limited surgery information


            Staff only area with surgery information
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
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
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
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
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
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	





             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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Chi 2010 hotspots_talk_v6pgs

  • 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. 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. Common information spaces 3 Surgeon Charge Nurse Schmidt & Bannon (1992) Bannon & Bødker (1997) Charge Anesthesiologist
  • 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. 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. The surgical suites studied 6 General A Ambulatory 25 operating rooms 14 Operating Rooms General B Trauma 21 Operating rooms 6 Operating rooms
  • 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. Main findings 8   Connected information locations   Visibility between information locations   Information access areas   Information privacy
  • 9. Connected information locations 9   Unconnected   Connected
  • 10. Visibility between information locations 10   No visibility   Co-visibility
  • 11. Information access area 11   Separate areas   Overlapping areas
  • 12. Information privacy 12   Semi public area with limited surgery information   Staff only area with surgery information
  • 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. 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. 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. 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. 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. 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   Thank you for your attention.   Questions and comments? This material is based upon work supported by National Science Foundation Grants #0329077 and 0325047.