The digitization of organizational processes in health care. The case of the management of oncological drugs

Journal title WELFARE E ERGONOMIA
Author/s Silvia Formasini, Francesco Miele, Enrico Maria Piras
Publishing Year 2019 Issue 2018/1
Language Italian Pages 17 P. 103-119 File size 448 KB
DOI 10.3280/WE2018-001006
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

In recent decades, Western Health Systems have been at the centre of many changes such as, for example, the rise in chronic illnesses and demand for treatment, the decline in public re-sources available to public welfare, the increasing importance of pharmaceutical companies and private health care facilities and, finally, the spread of Information Communication Technologies (ICT) to support care processes. The work shows the procedure between health practice and the use of existing IT infrastruc-tures. This has required a change in working practices and involved new complex socio-material practices and specific know-how. The safety of the system, which should be guaran-teed by standardized formal protocols, is supported by informal practices, from the experi-ences gained in the workplace and from the organization, which allow coordination between heterogeneous players. The study also revealed how, despite the micro-policies that the intro-duction of the new system would impose through the control of managers on staff, the safety of the process is ensured mainly by the work organization and mutual supervision between the different professional figures.

Keywords: Digitization of health systems; protocols; oncological drugs; Information Com-munication Technologies; treatment processes.

  1. Cabitza F., Simone C. and Zorzato G. (2009). ProDoc: an electronic patient record to foster process-oriented practices. In: ECSCW 2009, 85-104. London: Springer.
  2. Aanestad M. and Hanseth O. (2001). Growing Networks: Detours, Stunts and Spillovers. In: Bjørnestad S., Moe R.E., Mørch A.I. and Opdahl A.L., editors, Proceedings of the 24th Information Systems Research Seminar in Scandinavia. Bergen, Norway: University of Bergen, pp. 181-194.
  3. Aarts J., Ash J. and Berg M. (2007). Extending the understanding of computerized physician order entry: Implications for professional collaboration, workflow and quality of care. International Journal of Medical Informatics, 76(Suppl. 1): 4-13.
  4. Bannon L. and Bødker S. (1997). Constructing common information spaces. In: Proceedings of the Fifth European Conference on Computer Supported Cooperative Work. Berlin: Springer, pp. 81-96.
  5. Bardram J.E. and Bossen C. (2005). Computer Supported Cooperative Work (CSCW), 14(2): 131-160.
  6. Bardram J.E., Bossen C. and Thomsen A. (2005). Designing for transformations in collaboration: a study of the deployment of homecare technology. In: Proceedings of the International ACM SIGGROUP Conference on Supporting Group Work (GROUP ‘05), pp. 294-303.
  7. Bossen C. (2002). The parameters of common information spaces: the heterogeneity of cooperative work at a hospital ward. In: Proceedings of the 2002 ACM conference on Computer supported cooperative work, pp. 176-185.
  8. Brennan D.M. and Barker L.M. (2008). Human factors in the development and implementation of telerehabilitation systems. Journal of Telemedicine and Telecare, 14(2): 55-58.
  9. Bringay S., Barry C., and Charlet J. (2006). Annotations: A functionality to support cooperation, coordination and awareness in the electronic medical record. Frontiers in Artificial Intelligence and Applications, 137: 39.
  10. Bruni A., Pinch T. and Schubert C. (2013). Technologically Dense Environments: What For? What Next? Tecnoscienza, 4(2): 51-71.
  11. Bruni A. e Gherardi S. (2007). Studiare le pratiche lavorative. Bologna: il Mulino.
  12. Bubalo J., Warden B.A., Wiegel J.J., Nishida T., Handel E., Svoboda L.M. and Edillo P.N. (2013). Does applying technology throughout the medication use process improve patient safety with antineoplastics? Journal of Oncology Pharmacy Practice, 20(6): 445-460. DOI: 10.1177/1078155213514469
  13. Cheng C.H., Goldstein M.K., Geller E. and Levitt R.E. (2003). The Effects of CPOE on ICU workflow: an observational study. AMIA Annual Symposium Proceedings, pp. 150-154.
  14. Coiera E. (2003). Guide to health informatics, medical information and the Internet. Oxford: Oxford University Press.
  15. Cohen P. and McGee D. (2004). Tangible Multimodal Interfaces for Safety-Critical Applications. Communications of the ACM, 47(1): 41-46. DOI: 10.1145/962081.962103
  16. Corbin J.M. and Strauss A.L. (1993). The articulation of work through interaction. The sociological quarterly, 34(1): 71-83.
  17. Dourish P. (2001). Process descriptions as organizational accounting devices: the dual use of workflow technologies. In: GROUP 2001, ACM Press, pp. 52-60.
  18. Ellingsen G. and Monteiro M. (2003). A patchwork planet. Integration and Cooperation in Hospitals. Computer Supported Cooperative Work (CSCW), 12(1): 71-95. DOI: 10.1023/A:1022469522932
  19. Fitzpatrick G. (2004). Integrated Care and the Working Record. Health Informatics Journal, 10(4): 291-302. DOI: 10.1177/1460458204048507
  20. Fitzpatrick G. and Ellingsen G. (2012). A Review of 25 Years of CSCW Research in Healthcare: Contributions, Challenges and Future Agendas. Computer Supported Cooperative Work (CSCW), 22(4-6): 609-665.
  21. Galligioni E., Piras E.M., Galvagni M., Eccher C., Caramatti S., Zanolli D., Santi J., Berloffa F., Dianti M., Maines F. and Sannicolò M. (2015). Integrating mHealth in Oncology: Experience in the Province of Trento. Journal of medical Internet research, 17(5).
  22. Gherardi S., Nicolini D. and Odella F. (1997). La cultura della sicurezza sui luoghi di lavoro. Sviluppo & Organizzazione, 162: 15-30.
  23. Gherardi S. (2000). Practice-Based Theorizing on Learning and Knowing in Organizations: An Introduction, Organization 7(2): 211-23. DOI: 10.1177/135050840072001
  24. Gherardi S. (2004). Introduzione. In: Gherardi S. e Strati A., a cura di, La Telemedicina. Fra tecnologia e organizzazione. Roma: Carocci, pp. 9-18.
  25. Gherardi S. (2006). Organizational Knowledge: The Texture of Workplace Learning. Oxford: Blackwell.
  26. Gorman P.N., Lavelle M.B. and Ash J.S. (2003). Order creation and communication in healthcare. Methods of Information in Medicine, 42(4): 376-84.
  27. Greenhalgh T., Potts H., Wong G., Bark P. and Swinglehurst D. (2009). Tensions and paradoxes in electronic patient record research: A systematic literature review using the meta-narrative method. Milbank Quarterly, 87: 729-788.
  28. Grimson J., Grimson W. and Hasselbring W. (2000). The SI challenge in health care. Communications of the ACM, (43): 48-55. DOI: 10.1145/336460.336474
  29. Hardstone G., Hartswood M., Procter R., Slack R., Voss A. and Rees G. (2004). Supporting informality: team working and integrated care records. In: CSCW ’04: Proceedings of the 2004 ACM conference on CSCW. New York: ACM Press, pp. 142-151.
  30. Hartswood M., Procter R., Rouncefield M. and Sharpe M. (2003). Making a Case in Medical Work: Implications for the Electronic Medical Record. Computer Supported Cooperative Work (CSCW), 12(3): 241-266. DOI: 10.1023/A:102505582
  31. Hyysalo S. (2010). Health Technology Development and Use. From Practice-Bound Imagination to Evolving Impacts. New York: Routledge. DOI: 10.4324/9780203849156
  32. Kaplan S. and Fitzpatrick G. (1997). Designing support for remote intensive-care telehealth using the locales framework. In: DIS’97: Proceedings of the 2nd conference on Designing interactive systems: processes, practices, methods, and techniques. New York: ACM Press, pp. 173-184.
  33. Latour B. (1992). Aramis ou l’amour des techniques. Paris: La Découverte.
  34. Law J. (1987). Heterogeneous Engineering and Tinkering. Published by heterogeneities.net on 14th November 2011. -- Testo disponibile al sito: http://www.heterogeneities.net/publications/Law2011HeterogeneousEngineeringAndTinkering.pdf.
  35. Lærum H., Ellingsen G. and Faxvaag A. (2001). Doctor’s use of electronic medical records systems in hospitals: cross sectional survey. British Medical Journal, Clinical Resarch, 323(7325): 1344-1348.
  36. Lu Y., Xiao Y., Sears A. and Jacko J. (2005). A Review and a Framework of Handheld Computer Adoption in Healthcare. International Journal of Medical Informatics, 74(5): 409-422.
  37. Milligan C. (2001). Geographies of care: space, place and the voluntary sector. Hants, England: Aldershot.
  38. Milligan C. (2009). There’s no place like home: place and care in an ageing society. Health Geography Book Series. Ashgate, Farnham: Routledge.
  39. Milligan C., Atkinson S., Skinner M. and Wiles J. (2007). Geographies of care: A commentary. New Zealand Geographer, 63(2): 135-140.
  40. Mort M., May C.R. and Williams T. (2003). Remote Doctors and Absent Patients: Acting at a Distance in Telemedicine? Science, Technology, & Human Values, 28(2): 274-295. DOI: 10.1177/0162243902250907
  41. Nicolini D., Gherardi S. and Yanow D. (2003). Introduction: Toward a practice-based view of knowing and learning in organizations. In: Nicolini D., Gherardi S. and Yanow D., orgs. Knowing in organizations: a practice-based approach. New York: M.E. Sharpe, pp. 3-31.
  42. Nomura S., Hutchins E. and Holder B. (2006). The Uses of Paper in Commercial Airline Flight Operations. In: Proceedings of the 2006 20th anniversary conference on of Computer Supported Cooperative Work (CSCW), pp. 249-258.
  43. Østerlund C.S. (2008). Documents in Place: Demarcating Places for Collaboration in Healthcare Settings. Computer Supported Cooperative Work, 17(2):195-225.
  44. Oudshoorn N. (2012). How places matter: telecare technologies and the changing spatial dimensions of healthcare. Social studies of science, 42(1): 121-142. DOI: 10.1177/0306312711431817
  45. Phillips J., Beam S., Brinker A., Holquist C., Honig P., Lee L.Y. and Pamer C. (2001). Retrospective analysis of mortalities associated with medication errors. American Journal of Health-System Pharmacy, 58(19): 1835-1841.
  46. Pipek V. and Wulf V. (2009). Infrastructuring: Toward an integrated perspective on the design and use of information technology. Journal of the Association for the Information Systems, 10(5): 447-473.
  47. Piras E.M. and Zanutto A. (2016). Tinkering Around Healthcare Infrastructures: Nursing Practices and Junction Work. In:  COOP 2016: Proceedings of the 12th International Conference on the Design of Cooperative Systems. Berlin: Springer, pp. 173-189.
  48. Randall S. (2000). What’s Common about Common Information Spaces? Paper presented at the Workshop on Cooperative Organisation of Common Information Spaces, Technical University of Denmark.
  49. Richardson W.C. (1999). To Err is Human, Building a Safer Healthcare System. Washington, DC: National Academies Press, US.
  50. Robinson M. (1991). Double-level Language and Co-operative Working. AI & Society, 5(1): 34-60. DOI: 10.1007/BF01891356
  51. Rolland K.H. and Monteiro E. (2002). Balancing the local and the global in infrastructural information systems. The Information Society, 18(2): 87-100. DOI: 10.1080/01972240290075020
  52. Schmidt K. and Bannon L. (1992). Taking CSCW Seriously: Supporting Articulation Work. Computer Supported Cooperative Work (CSCW), 1(1-2): 7-40.
  53. Schmidt K. and Simone C. (1996). Coordination Mechanisms: Towards a Conceptual Foundation of CSCW Systems Design. Computer Supported Cooperative Work (CSCW), 5: 155- 200.
  54. Silva J., Zamarripa M., Strayer P., Favela J. and Gonzalez V. (2006). Empirical Evaluation of a Mobile Application for Assisting Physicians in Creating Medical Notes. AMCIS 2006 Proceedings, p. 325.
  55. Star S.L. and Strauss A. (1999). Layers of Silence, Arenas of Voice: The Ecology of Visible and Invisible Work. Computer Supported Cooperative Work (CSCW), 28(2): 9-30. DOI: 10.1023/A:1008651105359
  56. Scupelli P., Fusselland S.R. and Kiesler S. (2010). Architecture and information technology as factors in surgical suite information sharing and coordination. In: Proceedings ACM International Health Informatics Symposium, IHI 2010, Arlington, VA, USA, November 11-12. DOI: 10.1145/1882992.1883030
  57. Suchman L.A. (1987). Plans and situated actions: The problem of human-machine communication. Cambridge: Cambridge University Press.
  58. Tang C. and Carpendale S. (2008). Evaluating the Deployment of a Mobile Technology in a Hospital Ward. Proceedings of Computer Supported Cooperative Work (CSCW), pp. 205-214.
  59. Vikkelsø S. (2005). Subtle redistribution of work, attention and risks: Electronic patient records and organisational consequences. Scandinavian Journal of Information Systems 17(1): 10.
  60. Zhou X., Ackerman M. and Zheng K. (2010). Doctors and psychosocial information: records and reuse in inpatient care. In: CHI’10: Proceedings of the 28th international conference on Human factors in computing systems. New York: ACM Press, pp. 1767-1776.

Silvia Formasini, Francesco Miele, Enrico Maria Piras, La digitalizzazione dei processi organizzativi in sanità. Il caso della gestione dei farmaci oncologici in "WELFARE E ERGONOMIA" 1/2018, pp 103-119, DOI: 10.3280/WE2018-001006