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Timing in the Art of Integration: 'That's How the Bastille Got Stormed'

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Association for Computing Machinery

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This paper uses a long term ethnographic study of the design and implementation of an electronic patient records (EPR) system in a UK hospital Trust to consider issues arising in the multi-faceted process of integration when a customizable-off-the-shelf (COTS) system is configured and deployed in a complex setting. The process involves trying to artfully work out how disparate technologies integrate with existing and evolving patterns of work within developing regulatory requirements. We conclude by suggesting ways in which ethnographic interventions and user involvement may be timed and targeted to aid in achieving this process.

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Martin, David; Rouncefield, Mark; O'Neill, Jacki; Hartswood, Mark; Randall, Dave (2005): Timing in the Art of Integration: 'That's How the Bastille Got Stormed'. Proceedings of the 2005 ACM International Conference on Supporting Group Work. DOI: 10.1145/1099203.1099256. New York, NY, USA: Association for Computing Machinery. pp. 313–322. Sanibel Island, Florida, USA

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integration, COTS systems, healthcare, ethnography, ethnomethodology, configuration, electronic patient records

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Number of citations to item: 7

  • Melanie Duckert, Louise Barkhuus (2022): Protecting Personal Health Data through Privacy Awareness, In: Proceedings of the ACM on Human-Computer Interaction GROUP(6), doi:10.1145/3492830
  • Christophe Feltus, Damien Nicolas, Claude Poupart (2014): Towards a HL7 based Metamodeling Integration Approach for Embracing the Privacy of Healthcare Patient Records Administration, In: Proceedings of the 7th International Conference on Security of Information and Networks, doi:10.1145/2659651.2659674
  • David Martin, Ian Sommerville (2000): Ethnography and the social structure of work, In: Structure for Dependability: Computer-Based Systems from an Interdisciplinary Perspective, doi:10.1007/1-84628-111-3_9
  • Cecily Morrison, Alan F. Blackwell (2009): Observing End-User Customisation of Electronic Patient Records, In: Lecture Notes in Computer Science, doi:10.1007/978-3-642-00427-8_16
  • David Martin, John Mariani, Mark Rouncefield (2008): Practicalities of Participation: Stakeholder Involvement in an Electronic Patient Records Project, In: Computer Supported Cooperative Work, doi:10.1007/978-1-84628-925-5_7
  • NATHANIEL MARTIN, PATRICIA WALL (2008): The Secret Life of Medical Records: A Study of Medical Records and the People Who Manage Them, In: Ethnographic Praxis in Industry Conference Proceedings 1(2008), doi:10.1111/j.1559-8918.2008.tb00094.x
  • Geraldine Fitzpatrick, Gunnar Ellingsen (2012): A Review of 25 Years of CSCW Research in Healthcare: Contributions, Challenges and Future Agendas, In: Computer Supported Cooperative Work (CSCW) 4-6(22), doi:10.1007/s10606-012-9168-0
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