Effective Multidisciplinary Communication in Healthcare: Cooperative Documentation Systems

Abstract

To support multidisciplinary communication and cooperation in healthcare, cooperative documentation systems (CDSs) have been developed. However, in the current generation of systems, communication problems that can pose a serious threat to smooth and effective cooperation have occurred and remain to be addressed. This paper presents a set of features that need to be considered in the design of a new generation of CDSs to avoid breakdowns in communication and cooperation. Our approach is solidly grounded in linguistic and social theories and based on empirical investigations of communication patterns in multidisciplinary healthcare. It is argued that this work provides a theoretically rigorous approach to the design of CDSs that will enable effective multidisciplinary communication and cooperation in healthcare.

Keywords

Communication - Cooperation - Documentation - Communication Theory

• REFERENCES

• 1 Layton A. Planning individual care with protocols. Nursing Standard 1993; 8 (Suppl. 01) 32-4.
• 2 Morgan G. The implications of patient focused care. Nursing Standard 1993; 7 (Suppl. 52) 37-9.
• 3 Schoop M. Habermas and Searle in hospital: a description language for cooperative documentation systems in healthcare. In: Dignum F, Dietz J. eds. Proceedings of the Second International Workshop on Communication Modeling – The Language/Action Perspective . Computing Science Report 97-09, Eindhoven: Eindhoven University of Technology:; 117-32.
• 4 Habermas J. Theorie des kommunikativen Handelns, Vol. 1. Handlungsrationalität und gesellschaftliche Rationalisierung . Frankfurt am Main: Suhrkamp; 1981
• 5 McCarthy T. The Critical Theory of Jürgen Habermas . Cambridge: Polity Press; 1984
• 6 Searle JR. Speech Acts – An Essay in the Philosophy of Language . Cambridge: Cambridge University Press; 1969
• 7 Searle JR, Vanderveken D. Foundations of Illocutionary Logic . Cambridge: Cambridge University Press; 1985
• 8 Heathfield H, Kirby J, Nowlan A, Rector A. PEN&PAD (Geriatrics): A collaborative patient record system for the shared care of the elderly. In: Frisse ME. ed. Proceedings of the Sixteenth Annual Symposium on Computer Applications in Medical Care, SCAMC ‘92 . New York: McGraw-Hill; 1992: 147-50.
• 9 Heathfield HA, Hardiker N, Kirby J, Tallis R, Gonsalkorale M. The PEN&PAD medical record model: development of a nursing record for hospital-based care of the elderly. Method Inform Med 1994; 33: 464-72.
• 10 Burgess RG. In the Field: An Introduction to Field Research . London: Routledge; 1991
• 11 Hammersley M, Atkinson P. Ethnography: Principles in Practice . London: Routledge; 1995
• 12 Forsythe DE. Using ethnography to build a working system: rethinking basic design assumptions. In: Frisse ME. ed. Proceedings of the Sixteenth Annual Symposium on Computer Applications in Medical Care, SCAMC ‘92 . New York: McGraw-Hill; 1992: 505-9.
• 13 Schoop M, Wastell DG. A Language-Action approach to cooperative documentation systems. In: Baets WRJ. ed. Proceedings of the Sixth European Conference on Information Systems, ECIS ’98 . Granada: Euro-Arab Management School; 1998: 984-97.
• 14 Cawsey A, Binsted K, Jones R. An on-line explanation of the medical record to patients via an artificial intelligence approach. In: de Glanville H, MacOwan H. eds. Proceedings of Current Perspectives in Healthcare Computing . Weybridge: BJHC Limited; 1995: 269-75.
• 15 Rector AL, Zanstra PE. et al. Reconciling users’ needs and formal requirements: issues in developing a re-usable ontology for medicine. IEEE Transaction on Information Technology in Medicine (in press).;
• 16 Kay S, Purves I. The electronic medical record and the “story stuff”: a narrativistic model. In: Greenhalgh T, Hurwitz B. eds. Narrative Based Medicine – Dialogue and discourse in clinical practice . London: BMJ Books; 1998: 185-201.