Triage Drift: A Workplace Study in a Pediatric Emergency Department
Triage Drift: A Workplace Study in a Pediatric Emergency Department
复制标题
DOI：
10.1007/s10606-008-9079-2
复制
发表时间：
2008-08-01
影响因子：
2.4
通讯作者：
Rodje, Kjetil
中科院分区：
文献类型：
--
作者：
Bjorn, Pernille;Rodje, Kjetil
本文提出了在急诊室（ED）的分诊工作实践的工作场所的研究。我们研究了急诊室工作人员在协调对到达急诊室的病人进行评估和分类的基本活动时使用工具和技术的实践、程序和组织。本文提供了深入的经验观察，描述了分诊工作的实际工作实践，以及分诊过程的复杂协作性质。我们确定并概念化分诊工作实践，包括患者轨迹，分诊护士活动，协调人工产物和异常处理；我们还阐明了分诊实践的这四个特征如何构成和连接工作流，如何在分诊过程中组织和重新组织时间和空间。最后，我们将这些联系概念化为协作工作中的评估和分类机制。我们认为，这种机制所涉及的复杂性是分诊工作的必要资产，这需要重新评估分诊漂移的概念。
This paper presents a workplace study of triage work practices within an emergency department (ED). We examine the practices, procedures, and organization in which ED staff uses tools and technologies when coordinating the essential activity of assessing and sorting patients arriving at the ED. The paper provides in-depth empirical observations describing the situated work practices of triage work, and the complex collaborative nature of the triage process. We identify and conceptualize triage work practices as comprising patient trajectories, triage nurse activities, coordinative artefacts and exception handling; we also articulate how these four features of triage practices constitute and connect workflows, organize and re-organize time and space during the triage process. Finally we conceptualize these connections as an assessing and sorting mechanism in collaborative work. We argue that the complexities involved in this mechanism are a necessary asset of triage work, which calls for a reassessment of the concept of triage drift.