Three perspectives of rounds: Choreographing information flow in an intensive care unit

Yan Xiao, Danny Ho, Vinay Vaidya, Ayan Sen, Paul Gorman, Brian Hazlehurst, Peter Hu, Kendall Hall

Research output: Chapter in Book/Report/Conference proceedingConference contribution

1 Scopus citations

Abstract

Communication in acute hospital care occurs frequently in group settings, with "rounds" as the prototypical forum for care providers to review and plan for patient care. Many care providers spend hours each day in rounds. While studies have demonstrated the importance of rounds as a mechanism to improve care coordination, care providers frequently express frustration about rounds. Previous observational studies of rounds have identified factors influencing information transfer: physical, social, cognitive, and supporting artifacts. In this paper, we adopt three perspectives in advancing our understanding of communication during rounds and in devising interventions: distributed cognition, computer-supported cooperative work, and common ground. We use video recordings of rounds discussion of one patient in a pediatric intensive care unit to illustrate the choreography of information flow aided by artifacts, the use of visual "text" in discourse, and the scaffolding process of incrementally building a shared understanding about the care and the status of the patient. We highlight the importance of detailed studies of communication in embedded work practices and the need for a multi-theoretical approach for future studies of communication.

Original languageEnglish (US)
Title of host publication52nd Human Factors and Ergonomics Society Annual Meeting, HFES 2008
Pages825-829
Number of pages5
StatePublished - Dec 1 2008
Event52nd Human Factors and Ergonomics Society Annual Meeting, HFES 2008 - New York, NY, United States
Duration: Sep 22 2008Sep 26 2008

Publication series

NameProceedings of the Human Factors and Ergonomics Society
Volume2
ISSN (Print)1071-1813

Other

Other52nd Human Factors and Ergonomics Society Annual Meeting, HFES 2008
CountryUnited States
CityNew York, NY
Period9/22/089/26/08

ASJC Scopus subject areas

  • Human Factors and Ergonomics

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  • Cite this

    Xiao, Y., Ho, D., Vaidya, V., Sen, A., Gorman, P., Hazlehurst, B., Hu, P., & Hall, K. (2008). Three perspectives of rounds: Choreographing information flow in an intensive care unit. In 52nd Human Factors and Ergonomics Society Annual Meeting, HFES 2008 (pp. 825-829). (Proceedings of the Human Factors and Ergonomics Society; Vol. 2).