Balancing Tradition and Transcendence in the Implementation of Emergency- Department Electronic Whit
|Forfattere||Rasmus Rasmussen, Benedicte Fleron, Morten Hertzum and Jesper Simonsen|
|Nøkkelord||Electronic whiteboards; organisational implementation; improvisational change management; healthcare informatics.|
|Utgiver||Tapir Akademisk Forlag|
|Adresse utgiver||Besøksadresse: Akademika Forlag Nardoveien 12, Trondheim Postadresse: Akademika Forlag Postboks 2461 Sluppen 7005 Trondheim|
AbstraktWe report from a case study of the implementation of an electronic whiteboard
system at two emergency departments at Danish hospitals. The purpose of the whiteboards is
to support the clinicians in maintaining an overview of the patients at the departments. The
electronic whiteboard system was designed in collaboration with clinicians from the
departments. Compared to existing dry-erase whiteboards, the electronic whiteboards present
more information and allow some automated updating. Based on observations supported by
interviews we describe how tradition and transcendence were balanced in the implementation
of the whiteboards at the two emergency departments. The electronic whiteboards were
initially configured to resemble the dry-erase whiteboards and then gradually reconfigured
and extended through an improvisational process, along with changes in the clinicians’ work
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