skip to main content
10.1145/1358628.1358803acmconferencesArticle/Chapter ViewAbstractPublication PageschiConference Proceedingsconference-collections
research-article

"Front-stage" and "back-stage" information

Published: 05 April 2008 Publication History

Abstract

This paper presents an ongoing observational study to explore a "front-stage-back-stage" model of information processes during group discussions (multidiscipli-nary rounds) in the pediatric intensive care unit (PICU) of an academic medical center. Participants were observed to collaborate on "front-stage" processes of case presentation, discussion of issues, and treatment planning, while in parallel they performed "back-stage" in-formation activities. The front-stage and backstage information processes were interdependent to address the need for fluid, highly time-pressured discourse with potential life-and-death consequences. We believe the front-stage-back-stage model adds to our understanding of collaborative information exchange and holds implications for computer supported cooperative work (CSCW) systems. For example, computing support may increase the efficiency and reliability of information transfer by enhancing the ability to "choreograph" front-stage and back-stage information processes during critical discourse such as medical rounds.

References

[1]
E. Coiera and V. Tombs, "Communication behaviours in a hospital setting: an observational study," British Medical Journal, vol. 316, no. 7132, pp. 673--676, Feb.1998.
[2]
A. P. Gurses and Y. Xiao, "A systematic review of the literature on multidisciplinary rounds to design information technology," J Am Med Inform Assoc, vol. 13, no. 3, pp. 267--276, May2006.
[3]
E. G. Van Eaton, K. D. Horvath, W. B. Lober, and C. A. Pellegrini, "Organizing the transfer of patient care information: The development of a computerized resident sign-out system," Surgery, vol. 136, no. 1, pp. 5--13, July2004.
[4]
W. Pratt, M. C. Reddy, D. W. McDonald, P. Tarczy- Hornoch, and J. H. Gennari, "Incorporating ideas from computer-supported cooperative work," J. Biomed. Inform., vol. 37, no. 2, pp. 128--137, Apr.2004.
[5]
L. Lingard, C. Schryer, K. Garwood, and M. Spafford, "'Talking the talk': school and workplace genre tension in clerkship case presentations," Med. Educ., vol. 37, no. 7, pp. 612--620, July2003.
[6]
P. Gorman, J. S. Ash, M. Lavelle, J. Lyman, L. M. Delcambre, D. Maier, M. Weaver, and S. Bowers, "Bundles in the Wild: Managing Information to Solve Problems and Maintain Situation Awareness," Library Trends, vol. 49, no. 2, pp. 266--289, 2001.
[7]
D. Ho, Y. Xiao, A. P. Gurses, V. Vaidya, M. Cardarelli, J. Tumulty, S. Simone, D. Burns- Conway, P. F. Hu, and J. Cervenka, "Artifacts Use in Safety Critical Information Transfer: A Preliminary Study of the Information Arena," in Proceedings of the Human Factors and Ergonomic Society Annual Conference, 51 ed 2007, pp. 343--347.
[8]
C. Tang and S. Carpendale, "An observational study on information flow during nurses' shift change," San Jose, California, USA: ACM, 2007, pp. 219--228.
[9]
M. C. Reddy, W. Pratt, P. Dourish, and M. M. Shabot, "Asking questions: Information needs in a surgical intensive care unit," 2002.
[10]
W. Newman and E. L. Smith, "Disruption of meetings by laptop use: is there a 10-second solution?," Montr\&\#233;al, Qu\&\#233;bec, Canada: ACM, 2006, pp. 1145--1150.
[11]
E. Goffman (1959). The presentation of the self in everyday life. New York: Doubleday.
[12]
L. Bannon and S. Bodker. Constructing Common Information Spaces. In Proceedings of the European Conference on Computer Supported Cooperative Work. 1997: Kluwer.
[13]
B. Fields, P. Amaldi, A. Tassi. Representing collaborative work: the airport as common information space Cognition, Technology & Work, 7(2), p. 119--133, 2005.

Cited By

View all
  • (2013)Shared decision making needs a communication recordProceedings of the 2013 conference on Computer supported cooperative work10.1145/2441776.2441788(79-90)Online publication date: 23-Feb-2013
  • (2010)Physician-driven management of patient progress notes in an intensive care unitProceedings of the SIGCHI Conference on Human Factors in Computing Systems10.1145/1753326.1753609(1879-1888)Online publication date: 10-Apr-2010

Recommendations

Comments

Information & Contributors

Information

Published In

cover image ACM Conferences
CHI EA '08: CHI '08 Extended Abstracts on Human Factors in Computing Systems
April 2008
2035 pages
ISBN:9781605580128
DOI:10.1145/1358628
Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

Sponsors

Publisher

Association for Computing Machinery

New York, NY, United States

Publication History

Published: 05 April 2008

Permissions

Request permissions for this article.

Check for updates

Author Tags

  1. collaborative computing
  2. cscw
  3. data collection
  4. healthcare
  5. information management
  6. information systems

Qualifiers

  • Research-article

Conference

CHI '08
Sponsor:

Acceptance Rates

Overall Acceptance Rate 6,164 of 23,696 submissions, 26%

Upcoming Conference

CHI 2025
ACM CHI Conference on Human Factors in Computing Systems
April 26 - May 1, 2025
Yokohama , Japan

Contributors

Other Metrics

Bibliometrics & Citations

Bibliometrics

Article Metrics

  • Downloads (Last 12 months)8
  • Downloads (Last 6 weeks)0
Reflects downloads up to 13 Feb 2025

Other Metrics

Citations

Cited By

View all
  • (2013)Shared decision making needs a communication recordProceedings of the 2013 conference on Computer supported cooperative work10.1145/2441776.2441788(79-90)Online publication date: 23-Feb-2013
  • (2010)Physician-driven management of patient progress notes in an intensive care unitProceedings of the SIGCHI Conference on Human Factors in Computing Systems10.1145/1753326.1753609(1879-1888)Online publication date: 10-Apr-2010

View Options

Login options

View options

PDF

View or Download as a PDF file.

PDF

eReader

View online with eReader.

eReader

Figures

Tables

Media

Share

Share

Share this Publication link

Share on social media