ABSTRACT
Most studies of plans and situated work have applied ethnographic methods and and thus fail to provide any quantitative insight into the extent of this phenomenon. We present a study of planning and executing operations in an operating suite. Quantitative analysis of log data reveals the extent to which operation schedules are carried out as planned, and qualitative studies reveal the reasons behind changes to the plan, the consequences of such changes, and the strategies used to cope with them. 67% of the plan is changed and only 56% of all operations are planned ahead. We discuss how operation schedules are subject to "continuous planning", and how this needs to be supported by technology.
- J. E. Bardram. Plans as Situated Action: An Activity Theory Approach to Workflow Systems. In Proceedings of the Fifth European Conference on Computer Supported Cooperative Work, pages 17--32. Kluwer Academic Publishers, 1997. Google ScholarDigital Library
- J. E. Bardram. Designing for the Dynamics of CooperativeWork Activities. In Proceedings of the 1998 ACM conference on Computer Supported Cooperative Work, pages 89--98. ACM Press, 1998. Google ScholarDigital Library
- J. E. Bardram. Temporal coordination -- on time and coordination of collaborative activities at a surgical department. Computer Supported Cooperative Work. An International Journal, 9(2):157--187, 2000. Google ScholarDigital Library
- J. E. Bardram and C. Bossen. MobilityWork -- The Spatial Dimension of Collaboration at a Hospital. Computer Supported Cooperative Work., 14(2):131--160, 2005. Google ScholarDigital Library
- J. E. Bardram, T. R. Hansen, and M. Soegaard. Awaremedia: a shared interactive display supporting social, temporal, and spatial awareness in surgery. In CSCW '06: Proceedings of the 2006 conference on Computer supported cooperative work, pages 109--118, New York, NY, USA, 2006. ACM. Google ScholarDigital Library
- J. Bowers, G. Button, and W. Sharrock.Workflow from within and without: Technology and cooperative work on the print industry shopfloor. In Proceedings of the Fourth European Conference on Computer Supported Cooperative Work, pages 51--66. Kluwer Academic Publishers, 1995. Google ScholarDigital Library
- F. Dexter and R. D. Traub. How to schedule elective surgical cases into specific operating rooms to maximize the efficiency of use of operating room time. Anesth Analg, 94:933--942, 2002.Google ScholarCross Ref
- C. McIntosh, F. Dexter, and R. H. Epstein. Impact of service-specific staffing, case scheduling, turnovers, and first-case starts on anesthesia group and operating room productivity. Anesthesia & Analgesia, 103:1499--1516, 2006.Google ScholarCross Ref
- G. Munkvold, G. Ellingsen, and E. Monteiro. From plans to planning: the case of nursing plans. In GROUP'07: Proceedings of the 2007 international ACM conference on Supporting group work, pages 21--30, New York, NY, USA, 2007. ACM. Google ScholarDigital Library
- C. L. Plasters, F. J. Seagull, and Y. Xiao. Coordination challenges in operating-room management: An in-depth field study. In AMIA Annu Symp Proc., pages 524--528, 2003.Google Scholar
- W. Prinz, M. Jarke, Y. Rogers, K. Schmidt, and V. Wulf, editors. Proceedings of the Seventh European Conference on Computer Supported Cooperative Work. Kluwer Academic Publishers, 2001. Google ScholarDigital Library
- M. Reddy and P. Dourish. A finger on the pulse: Temporal rythms and information seeking in medical work. In Proceedings of the 2002 ACM Conference on Computer Supported Cooperative Work, pages 344--353. ACM Press, 2002. Google ScholarDigital Library
- M. Reddy, P. Dourish, and W. Pratt. Coordinating heterogeneous work: Information and representation in medical care. In Prinz et al. {11}, pages 239--258. Google ScholarDigital Library
- K. Rönkkö, Y. Dittrich, and D. Randall. When plans do not work out: How plans are used in software development projects. Computer Supported Cooperative Work (CSCW), 14(5):433--468, 10 2005/10/11/. Google ScholarDigital Library
- K. Schmidt and C. Simonee. Coordination mechanisms: Towards a conceptual foundation of cscw systems design. Computer Supported Cooperative Work (CSCW), 5(2):155--200, 06 1996/06/01/. Google ScholarDigital Library
- L. Suchman. Plans and Situated Actions. The Problem of Human-Machine Communication. Cambridge University Press, Cambridge, 1987. Google ScholarDigital Library
- Y. Xiao, C. Lasome, J. Moss, C. Mackenzie, and S. Faraj. Cognitive properties of a whiteboard: A case study in a trauma centre. In Prinz et al. {11}, pages 259--278. Google ScholarDigital Library
Index Terms
- Why the plan doesn't hold: a study of situated planning, articulation and coordination work in a surgical ward
Recommendations
Continuing plan quality optimisation
Finding high quality plans for large planning problems is hard. Although some current anytime planners are often able to improve plans quickly, they tend to reach a limit at which the plans produced are still very far from the best possible, but these ...
Plan stability: replanning versus plan repair
ICAPS'06: Proceedings of the Sixteenth International Conference on International Conference on Automated Planning and SchedulingThe ultimate objective in planning is to construct plans for execution. However, when a plan is executed in a real environment it can encounter differences between the expected and actual context of execution. These differences can manifest as ...
Comments