TY - CONF T1 - CPOE workarounds, boundary objects, and assemblages T2 - Proceedings of the ACM Conference on Human Factors in Computing Systems (CHI’11) Y1 - 2011 A1 - Xiaomu Zhou A1 - Mark S. Ackerman A1 - Kai Zheng KW - assemblage KW - boundary object KW - CPOE KW - cscw KW - EHR KW - electronic patient records KW - health informatics KW - health information KW - information access KW - medical informatics KW - medical information KW - medical orders AB -

We conducted an ethnographically based study at a large teaching hospital to examine clinician workarounds engendered by the adoption of a Computerized Prescribe Order Entry (CPOE) system. Specifically, we investigated how adoption of computerized systems may alter medical practice, order management in particular, as manifested through the working-around behavior developed by doctors and nurses to accommodate the changes in their day-to-day work environment. In this paper, we focus on clinicians’ workarounds, including those workarounds that gradually disappeared and those that have become routinized. Further, we extend the CSCW concept of boundary object (to "assemblage") in order to understand the workarounds created with CPOE system use and the changing nature of clinical practices that are increasingly computerized.

JF - Proceedings of the ACM Conference on Human Factors in Computing Systems (CHI’11) UR - Complete ER -