NDLI: Maintaining redundancy in the coordination of medical emergencies

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Maintaining redundancy in the coordination of medical emergencies

Content Provider	ACM Digital Library
Author	Tjora, Aksel
Abstract	This paper reports from a study of Norwegian medical emergency call (AMK) centres, in which advanced radio and telephone communication technologies are handled by a team of nurses and ambulance personnel to coordinate medical emergency resources (ambulances, doctors, helicopters, and so on). The AMK centres have made use of a range of technologies since they were established 15-20 years ago. During the last 5 years, several of the centres have implemented an information system, AMIS to integrate several functions that before were handled by using separate specialised systems. By observation in seven medical emergency call centres and a survey covering 38 of 43 such centres in Norway in the period 1996-2002, this study focuses on collaboration and use of communication technologies in a teamwork setting. It is found that important aspects of the AMK centre teamwork include redundancy of communication, competence and technologies, as well as a well-developed overall attention from the operators. These aspects support a transparent social integration of technologies in use. The use of integrated systems, such as the AMIS, may challenge this transparency, by which one operator may follow the other operator's actions. It is concluded that serious care must be taken to introduce larger information systems, so that basic principles, which have emerged during the teamwork practice to secure high service reliability, are maintained.
Starting Page	132
Ending Page	141
Page Count	10
File Format	PDF
ISBN	1581138105
DOI	10.1145/1031607.1031631
Language	English
Publisher	Association for Computing Machinery (ACM)
Publisher Date	2004-11-06
Publisher Place	New York
Access Restriction	Subscribed
Subject Keyword	Ambulance Norway Redundancy Collaboration Centre of coordination Medical emergency Nurse
Content Type	Text
Resource Type	Article

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