Collaborative Management of Complex Coordination Systems: Operating Room Schedule Coordination

Abstract

The complexity of large-scale technical and collaborative work-systems requires significant effort for coordination, and balancing the differing individual actors' goals and information needs. The process of coordinating a suite of surgical operating rooms (ORs) is one example of such as complex system. Examining the information usage in this setting can provide functional requirements for technology to support these coordination activities. Data from observations and interviews in an OR suite were synthesized into five principal functional requirements for such a technology system. To provide necessary functionality, any new technology system must (a) serve as a common referent for communication, (b) provide a communal memory tool for planning (c) serve as catalyst for collaborative and distributed cognition (d) allow parallel manipulation for multiple user-groups, (e) allow flexible content-reconfiguration. Examples of each function are provided, and theoretical implications discussed.

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References

Bardram

J.E.

(2000). Temporal coordination: On time and coordination of collaborative activities at a surgical department. Computer Supported Cooperative Work, 9: 157–187.

Chow

Christoffersen

Woods

Patterson

Malin

Thronesbery

Schreckenghost

(1999). Why Mission Control Works: Supporting Cognition and Collaboration in Distributed, Dynamic Worlds. Panel Overview in the Proceedings of the Human Factors and Ergonomics Society 43rd Annual Meeting. Houston, TX, 1999.

Clark

H.H.

Brennan

S.E.

(1991). Grounding in Communication. In Resnick

L.B.

Levine

J.M.

Teasly

S.D.

Perspectives on Socially Shared Cognition Washington, DC: American Psychological Association. pp. 127–149.

Flanagan

J.C.

(1954). The critical incident technique. Psychological Bulletin, 54 (4), 327–358.

Garbis

Waern , (1999). Team communication and coordination through public and private representations in a rescue command staff: The role of public representations. La Travail Humain: 273–291.

Grice

H.P.

(1975). Logic and conversation. In Cole

Morgan

J.L.

Syntax and Semantics, Volume 3: Speech Acts New York: Seminar Press, pp. 225–242.

Hoffman

R.R.

Shadbolt

N.R.

Burton

A.M.

Klein

(1995). Eliciting knowledge from experts: A methodological analysis, Organizational Behavior and Human Decision Processes, 62 (2), 129–158.

Hutchins

(1995). How a cockpit remembers its speeds. Cognitive Science, 19: 256–288.

Krauss

R.M.

Fussel

S.R.

(1991). Constructing shared communicative environments. In Resnick

L.B.

Levine

J.M.

Teasly

S.D.

Perspectives on Socially Shared Cognition Washington, DC: American Psychological Association, pp. 172–200.

10.

Larkin

J. H.

(1989). Display-based problem solving. In Kotovsky

Complex Information Processing: The impact of Herbert A. Simon Hillsday, NJ: Erlbaum: 319–341.

11.

Mackay

W.E.

(1999). Is paper safer? The role of paper flight strips in air traffic control. ACM Transactions on Computer-Human Interactions 6(4): 311–340.

12.

Moss

Xiao

Zubaidah

The Operating Room Charge Nurse: Coordinator and Communicator, Proceedings of the American Medical Informatics Association, Washington, DC, 478–482, 2001.

13.

Preece

Rogers

Sharp

Benyon

Holland

Carey

(1994) Designing for collaborative work and Virtual environments. In. Human-Computer Interaction Wokingham, England: Addison-Wesley. 325–344.

14.

Roth

E. M.

Maisch

Multer

Coplen

Katz-Rhoads

(1998). Analyzing railroad dispatchers' strategies: A cognitive task analysis of a distributed planning task. In Proceedings of the 1998 IEEE International Conference on Systems, Man, and Cybernetics, San Diego, CA, 2539–2544.

15.

Roth

Lin

Thomas

Kerch

Kenney

Sugibayashi

(1998). Supporting situation awareness of individual displays and teams using group view displays. In Proceedings of the Human Factors and Ergonomics Society — 42nd Annual Meeting (pp. 244–248. Santa Monica, CA: Human Factors and Ergonomics Society.

16.

Watts

J.C.

Woods

D.D.

Corban

J.M.

Patterson

E.S.

Kerr

R.L.

Hicks

L.C.

(1996). Voice loops as cooperative aids in space shuttle mission control. Proceedings of the 1996 ACM conference on Computer supported cooperative work. 48–56.

17.

Weick

Sutcliffe

KM.

(2001). Managing the Unexpected: Assuring High Performance in an Age of Complexity. San Francisco: Jossey-Bass.

18.

Xiao

Lasome

Moss

Mackenzie

C.F.

(2001). Cognitive properties of a whiteboard: A case study in a trauma centre. In Prinz

Jarke

Rogers

Schmidt

Wulf

Proceedings of the Seventh European Conference on Computer-Supported Cooperative Work. pp. 259–278. Dordrecht, The Netherlands: Kluwer Academic Publishers.

19.

Zhang

Norman

D. A.

(1994). Representations in distributed cognitive tasks. Cognitive Science 1 8(1): 87–122.