TY - GEN
T1 - Right Information, Right Time, Right Place
T2 - 2020 ACM CHI Conference on Human Factors in Computing Systems, CHI 2020
AU - Pine, Kathleen H.
AU - Chen, Yunan
N1 - Funding Information:
We wish to thank the clinicians at our field sites for generously aiding us in this research. This research was supported by AHRQ grant #1R36HS020753-01 and NSF grant # 1319897.
Publisher Copyright:
© 2020 ACM.
PY - 2020/4/21
Y1 - 2020/4/21
N2 - Implementation of new health information systems such as Electronic Health Records (EHR) is expected to reap many benefits. However, the transition from one information system to another is often associated with inefficiency, ineffectiveness, and patient safety hazards. These negative consequences are difficult to predict and avoid before system transitions take place. The changed physical form of information remains an unexamined facet of healthcare system transitions. Using ethnographic methods in two clinical sites, we discovered a recurrent set of problems that emerged due to physical disconnections between information and practice predicated on implementation of new information systems. "Physical misalignments" are instances where workers cannot bring information sources to hand in the precise time and place in which they are needed. We identify three types of physical misalignments, then discuss how physical misalignments can be proactively identified and corrected before, during, and after implementation of new health information systems.
AB - Implementation of new health information systems such as Electronic Health Records (EHR) is expected to reap many benefits. However, the transition from one information system to another is often associated with inefficiency, ineffectiveness, and patient safety hazards. These negative consequences are difficult to predict and avoid before system transitions take place. The changed physical form of information remains an unexamined facet of healthcare system transitions. Using ethnographic methods in two clinical sites, we discovered a recurrent set of problems that emerged due to physical disconnections between information and practice predicated on implementation of new information systems. "Physical misalignments" are instances where workers cannot bring information sources to hand in the precise time and place in which they are needed. We identify three types of physical misalignments, then discuss how physical misalignments can be proactively identified and corrected before, during, and after implementation of new health information systems.
KW - electronic health records
KW - ethnography
KW - health information systems
KW - implementation
KW - unintended consequences
UR - http://www.scopus.com/inward/record.url?scp=85091277001&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85091277001&partnerID=8YFLogxK
U2 - 10.1145/3313831.3376818
DO - 10.1145/3313831.3376818
M3 - Conference contribution
AN - SCOPUS:85091277001
T3 - Conference on Human Factors in Computing Systems - Proceedings
BT - CHI 2020 - Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems
PB - Association for Computing Machinery
Y2 - 25 April 2020 through 30 April 2020
ER -