Lill Kristiansen, Dr. Scient, Professor in Telematics
Project CoCoCo: Context, coordination and communication in hospitals.
Last updated on Dec. 17th 2010, by
- The project CoCoCo (Context, coordination and communication in hospitals) is a project in
health informatics, with emphasis on context, coordination and communication technology.
- The project will run in cooperation with NSEP . The project is
a continuation of the project PasSig (PasientSignal / NurseCall)
which studied the new combined fixed and wireless nurse call system.
Paper from PasSig.
The project will run in close cooperation with COSTT project.
- The project is a cooperation between Dept. of Telematics ( item ).
and Dept. of comp. science and information technology ( idi ).
- 2 positions: one in telematics (communication technology) and one in computer and information science
- Creation of running prototypes is a major focus in the project.
- Knowledge in IP-telephony, presence and/or location technology
is an advantage for both positions.
One candidate (item) should have background in pervasive technology
(context-awareness), fixed-mobile convergence
or modeling of real time communication via UML/MDA.
The other candidate (idi) should have a background in organizational
science or information systems.
- Ethnographically inspired empirical studies of real work in hospital shall inform design
- It is preferable that at least one of the candidates has enough
proficiency in a Scandinavian language in order to carry out observations at Norwegian hospitals.
- For both candidates it is preferred to have some knowledge of the health care domain.
A suitable background in CSCW outside of health care may compensate for lack of health care knowledge.
- Contact person for these positions:
Lill Kristiansen .
- Motivation / Three problematic scenarios
- "And there is no bread with the soup, and the patient is complaining
that she has no bread, you know, and she [called] the nurse.
The nurse is in the isolation room giving medications, and she thinks it
is an emergency so she leaves the isolation room. [...]."
(From McGillis Hall et al.,2010; table 4, as an example of an interrupt which may cause medication errors).
- "My pager has gone off five times in the past 15 minutes, while I've been trying to take Mr. Jones's history.
I can't keep his complicated history straight" (From Volpp og Grande, 2003)
- "We have wireless IP-phones, but suddenly the IP network fails. And we call ICT-support
and tell them that we now have 3 patients without proper contact with the nurse call system, and that they must
put priority on getting the IP-network up and running. ICT-support argues that the fixed nurse
call system should work fine as a backup and that there is no urgent need for wireless nurse calls.
We argue in several minutes before they realize that a change request in the fixed nurse call system
is not carried out and that a small bed court area (mini-sengetun) is organised so that it is
relying on wireless nurse calls and hence on IP for the whole weekend"
(From interview at hospital)
- How does the physical architecture, group awareness, the organization of the work, the wireless device
and the configuration of the sosio-technical system contribute to these problems?
- How can location technology, context awareness, pervasive technology, presence and fixed
("old-fashioned") technology contribute to reduncancy, group awareness and to a reliable system which will be user friendly for the various
health care professions, and beneficial to the patients in terms of good, professional care as needed?
- How does mobility across wards, part time work and temporary workers impact design guidelines?
- What are suitable design rules to determine the division of function between nuanced,
contextual choices done by the human health care workers and choices done by the ICT system?
- What are suitable design rules for the division of functionality between fixed devices (displays, panels and PCs)
and wireless devices (phones) in such systems?