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Health Care Categories have Politics too: Unpacking the Managerial Agendas of Electronic Triage Systems

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2007

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ECSCW 2007: Proceedings of the 10th European Conference on Computer-Supported Cooperative Work
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Springer, London

Abstract

While investigating the resistance to the electronic triage system, ETRIAGE, at the emergency department of British Columbia Children’s Hospital, we revisit the wellknown CSCW-debate about THE COORDINATOR concerning the politics of standardized categories. Examining the history as well as the design of ETRIAGE, we reveal four basic assumptions about triage work in emergency departments, which are reflected in the design of the ETRIAGE application and related to the managerial agenda of controlling costs in hospitals. We find that ETRIAGE has an embedded surveillance-capability, which challenges the professional authority of nurses’ work and removes discretion from the individual. We argue that the resistance towards ETRIAGE should be understood in terms of experienced nurses’ disputing the assumptions about their professional practice that are embodied within such systems rather than general resistance to change or resistance to technology.

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Bjørn, Pernille; Balka, Ellen (2007): Health Care Categories have Politics too: Unpacking the Managerial Agendas of Electronic Triage Systems. ECSCW 2007: Proceedings of the 10th European Conference on Computer-Supported Cooperative Work. DOI: 10.1007/978-1-84800-031-5_20. Springer, London. ISBN: 978-1-84800-031-5. pp. 391-410. Full Papers. Limerick, Ireland. 24-28 September 2007

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10.1007/978-1-84800-031-5_20

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ECSCW 2007: Proceedings of the 10th European Conference on Computer-Supported Cooperative Work

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Number of citations to item: 29

  • Tina Westergaard Milbak (2024): Nurses Data Work as an Entry Point for Exploring how Bias is Considered in Practice, In: Designing Interactive Systems Conference, doi:10.1145/3656156.3665129
  • Annica Kristoffersson, Silvia Coradeschi, Amy Loutfi, Kerstin Severinson-Eklundh (2011): An Exploratory Study of Health Professionals' Attitudes about Robotic Telepresence Technology, In: Journal of Technology in Human Services 4(29), doi:10.1080/15228835.2011.639509
  • Charlotte Tang, Sheelagh Carpendale (2009): Supporting Nurses' Information Flow by Integrating Paper and Digital Charting, In: ECSCW 2009, doi:10.1007/978-1-84882-854-4_3
  • Claus Bossen, Martin Foss (2016): The Collaborative work of Hospital Porters, In: Proceedings of the 19th ACM Conference on Computer-Supported Cooperative Work & Social Computing, doi:10.1145/2818048.2820002
  • Melanie Duckert, Pernille Bjørn (2024): Revisiting Grudin’s eight challenges for developers of groupware technologies 30 years later, In: i-com 1(23), doi:10.1515/icom-2023-0039
  • Nadine Schuurman, Ellen Balka (2008): alt.metadata.health: Ontological Context for Data Use and Integration, In: Computer Supported Cooperative Work (CSCW) 1(18), doi:10.1007/s10606-008-9084-5
  • Mads Christophersen, Peter Mørck, Tue Odd Langhoff, Pernille Bjørn (2015): Unforeseen Challenges, In: Lecture Notes in Computer Science, doi:10.1007/978-3-319-20684-4_28
  • Pernille Bjørn, Kjetil Rødje (2008): Triage Drift: A Workplace Study in a Pediatric Emergency Department, In: Computer Supported Cooperative Work (CSCW) 4(17), doi:10.1007/s10606-008-9079-2
  • Pernille Bjørn, Luigina Ciolfi, Mark Ackerman, Geraldine Fitzpatrick, Volker Wulf (2016): Practice-based CSCW Research, In: Proceedings of the 19th ACM Conference on Computer Supported Cooperative Work and Social Computing Companion, doi:10.1145/2818052.2893365
  • Valeria Borsotti, Pernille Bjørn (2022): Humor and Stereotypes in Computing: An Equity-focused Approach to Institutional Accountability, In: Computer Supported Cooperative Work (CSCW) 4(31), doi:10.1007/s10606-022-09440-9
  • Pernille Bjørn, Mark Wulff, Mathias Schmidt Petræus, Naja Holten Møller (2021): Immersive Cooperative Work Environments (CWE): Designing Human-Building Interaction in Virtual Reality, In: Computer Supported Cooperative Work (CSCW) 3(30), doi:10.1007/s10606-021-09395-3
  • Peter Mørck, Tue Odd Langhoff, Mads Christophersen, Anne Kirstine Møller, Pernille Bjørn (2018): Variations in Oncology Consultations: How Dictation Allows Variations to be Documented in Standardized Ways, In: Computer Supported Cooperative Work (CSCW) 3-6(27), doi:10.1007/s10606-018-9332-2
  • Claus Bossen, Randi Markussen (2010): Infrastructuring and Ordering Devices in Health Care: Medication Plans and Practices on a Hospital Ward, In: Computer Supported Cooperative Work (CSCW) 6(19), doi:10.1007/s10606-010-9131-x
  • Mariacristina Sciannamblo, Marisa Leavitt Cohn, Peter Lyle, Maurizio Teli (2021): Caring and Commoning as Cooperative Work, In: Proceedings of the ACM on Human-Computer Interaction CSCW1(5), doi:10.1145/3449200
  • Khaled Albusays, Pernille Bjorn, Laura Dabbish, Denae Ford, Emerson Murphy-Hill, Alexander Serebrenik, Margaret-Anne Storey (2021): The Diversity Crisis in Software Development, In: IEEE Software 2(38), doi:10.1109/ms.2020.3045817
  • Albert Moreira, Raúl Alonso-Calvo, Alberto Muñoz, José Crespo (2017): Enhancing Collaborative Case Diagnoses Through Unified Medical Language System-Based Disambiguation: A Case Study of the Zika Virus, In: Telemedicine and e-Health 7(23), doi:10.1089/tmj.2016.0203
  • Pernille Bjørn, Carsten Østerlund (2014): Sociomateriality & Design, In: Computer Supported Cooperative Work, doi:10.1007/978-3-319-12607-4_2
  • Chris Bopp, Lehn M. Benjamin, Amy Voida (2019): The Coerciveness of the Primary Key, In: Proceedings of the ACM on Human-Computer Interaction CSCW(3), doi:10.1145/3359153
  • 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
  • Pernille Bjørn, Nina Boulus-Rødje (2015): The Multiple Intersecting Sites of Design in CSCW Research, In: Computer Supported Cooperative Work (CSCW) 4(24), doi:10.1007/s10606-015-9227-4
  • Kathleen H. Pine, Melissa Mazmanian (2014): Institutional logics of the EMR and the problem of 'perfect' but inaccurate accounts, In: Proceedings of the 17th ACM conference on Computer supported cooperative work & social computing, doi:10.1145/2531602.2531652
  • Morten Esbensen, Pernille Bjørn (2014): Routine and Standardization in Global Software Development, In: Proceedings of the 18th International Conference on Supporting Group Work, doi:10.1145/2660398.2660413
  • Susanna Heyman, Henrik Artman (2015): Computer Support for Financial Advisors and Their Clients, In: Proceedings of the 18th ACM Conference on Computer Supported Cooperative Work & Social Computing, doi:10.1145/2675133.2675236
  • Nina Boulus-Rødje, Pernille Bjørn (2021): Tech Public of Erosion: the Formation and Transformation of the Palestinian Tech Entrepreneurial Public, In: Computer Supported Cooperative Work (CSCW) 2(31), doi:10.1007/s10606-021-09419-y
  • Terje Aksel Sanner, Egil Øvrelid (2019): Informating Hospital Workflow Coordination, In: Computer Supported Cooperative Work (CSCW) 4(29), doi:10.1007/s10606-019-09362-z
  • Maria Menendez-Blanco, Pernille Bjorn, Antonella De Angeli (2017): Fostering Cooperative Activism through Critical Design, In: Proceedings of the 2017 ACM Conference on Computer Supported Cooperative Work and Social Computing, doi:10.1145/2998181.2998198
  • Gérald Gaglio, Myriam Lewkowicz, Matthieu Tixier (2016): "It is Not Because You Have Tools that You Must use Them", In: Proceedings of the 19th International Conference on Supporting Group Work, doi:10.1145/2957276.2957288
  • Lars E.F. Johannessen (2017): Beyond guidelines: discretionary practice in face‐to‐face triage nursing, In: Sociology of Health & Illness 7(39), doi:10.1111/1467-9566.12578
  • Matthew Bonner, Lan Wang, Elizabeth D. Mynatt (2012): Activity-based interaction, In: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, doi:10.1145/2207676.2208360
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