Department of Computer and Information Science, Norwegian University of Science and Technology, Sem Sælandsvei 7-9, 7491 Trondheim, Norway.
Int J Med Inform. 2013 Sep;82(9):753-61. doi: 10.1016/j.ijmedinf.2013.05.004. Epub 2013 Jun 5.
Clinical work is increasingly fragmented and requires extensive articulation and coordination. Computer systems may support such work. In this study, we investigate how instant messaging functions as a tool for supporting articulation work at the hospital.
This paper aims to describe the characteristics of instant messaging communication in terms of number and length of messages, distribution over time, and the number of participants included in conversations. We also aim to determine what kind of articulation work is supported by analysing message content.
Analysis of one month's worth of instant messages sent through the perioperative coordination and communication system at a Danish hospital.
Instant messaging was found to be used extensively for articulation work, mostly through short, simple conversational exchanges. It is used particularly often for communication concerning the patient, specifically, the coordination and logistics of patient care. Instant messaging is used by all actors involved in the perioperative domain.
Articulation work and clinical work are hard to separate in a real clinical setting. Predefined messages and strict workflow design do not suffice when supporting communication in the context of collaborative clinical work. Flexibility is of vital importance, and this needs to be reflected in the design of supportive communication systems.
临床工作越来越分散，需要广泛的表达和协调。计算机系统可以支持此类工作。在这项研究中，我们调查了即时消息功能如何作为支持医院表达工作的工具。
本文旨在描述即时消息通信在消息数量和长度、时间分布以及参与对话的人数方面的特征。我们还旨在通过分析消息内容来确定支持哪种表达工作。
分析丹麦一家医院手术协调和沟通系统中一个月的即时消息。
即时消息被广泛用于表达工作，主要通过简短、简单的对话交流。它尤其常用于与患者相关的沟通，特别是患者护理的协调和后勤工作。即时消息被手术相关领域的所有参与者使用。
在真实的临床环境中，表达工作和临床工作很难分开。在协作临床工作的背景下，支持沟通时，预定义的消息和严格的工作流程设计是不够的。灵活性至关重要，这需要反映在支持性沟通系统的设计中。
