Re-coordinating activities: an investigation of articulation work in patient transfers
Re-coordinating activities: an investigation of articulation work in patient transfers
复制标题
重新协调活动：患者转运中衔接工作的调查
DOI：
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发表时间：
2013
期刊：
影响因子：
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通讯作者：
Madhu C. Reddy
中科院分区：
文献类型：
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作者：
Joanna Abraham;Madhu C. Reddy
分布式活动的协调是组织工作的核心。组织的有效运作取决于他们管理各部门内部和各部门之间相互依赖关系的能力。然而，要使工作系统协调顺畅，需要的不仅仅是管理这些相互依赖的个体。组织还必须管理部门内和部门间活动之间的相互作用。为了研究这些相互作用如何在组织工作中表现出来，我们进行了一次实地研究，检查了患者转移过程。我们强调了当与患者转移相关的部门内和部门间活动相互产生负面影响时发生的跨界故障。然后，我们描述了为减轻跨界崩溃的影响而进行的重新协调活动。我们讨论了跨部门协调工作的框架，该框架描述了跨边界故障和重新协调活动之间的关系。此外，我们将重新协调活动归类为医院工作人员执行的一种衔接工作。这项研究可以帮助我们开发经验驱动和基于理论的协调工具设计指南，通过平衡各个部门的目标和需求来维护整个组织工作流程。
The coordination of distributed activities is central to organizational work. The effective functioning of organizations hinges on their ability to manage interdependencies both within (intra-) and between (inter-) various departments. However, more than just the management of these individual interdependencies is required for smooth work system coordination. Organizations must also manage the interactions between intra- and inter-departmental activities. To investigate how these interactions manifest in organizational work, we conducted a field study examining patient transfer process. We highlight the cross-boundary breakdowns that occur when intra-departmental and inter-departmental activities related to patient transfers negatively affect each other. We then describe the re-coordinating activities performed to mitigate the effects of cross-boundary breakdowns. We discuss a framework of inter-departmental coordination work that describes the relationship between cross-boundary breakdowns and re-coordinating activities. Furthermore, we classify the re-coordinating activities as a type of articulation work performed by hospital staff. This research can help us develop empirically-driven and theoretically-based design guidelines for coordination tools to maintain overall organizational workflow by balancing the goals and requirements of the various departments.
一级创伤中心的注册护士工作流程中断。
DOI：
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发表时间：
2005
期刊：
AMIA ... Annual Symposium proceedings. AMIA Symposium
影响因子：
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作者：
Brixey,JulianaJ;Robinson,DavidJ;Tang,Zhihua;Johnson,ToddR;Zhang,Jiajie;Turley,JamesP
通讯作者：
Turley,JamesP