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
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.