Abstract
Hospitals have become more and more complex organizations that require increasing degrees of vertical, lateral and longitudinal coordination among their staff. As organizations, hospitals positively organize the coordination between the activities of its different agents, as well as the associated communication between them. The overall goal is to construct a “common ground” between the agents about the work process. In order to achieve this, a series of management tools are called upon. However these coordination mechanisms may fail. In the case analyzed, the agents seem to organize their behavior through direct and local individual interactions with their work environment, rather than through a global representation of the work. The case study demonstrates that intentionally organized coordination mechanisms interact with, and may be superseded by, the “emergence-through use” of coordination mechanisms in real time. These two mechanisms are clearly embedded at work, and can both be beneficial in promoting coordination in large scale systems.
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References
Bonabeau E, Theraulaz G (1994) Intelligence collective. Hermès, Paris
Chopra V, Bovill JG, Spierdijk J, Koorneef F (1992) Reported significant observations during anaesthesia: a prospective analysis over 18-month period. Br J Anaesth 68:13–17
Helmreich R, Schaefer H-G (1994) Team performance in the operating room. In: Bogner MS (ed) Human error in medicine. Lawrence Erlbaum Associates, Hillsdale, NJ, pp 225–273
De Keyser V, Nyssen AS (1993) L’erreur humaine en anesthésie. trav hum 56:243–266
Gilbert N, Conte R (1995) Artificial societies: the computer simulation of social life. Ucl Press, London
Krauss RM, Fussel SR (1990) Mutual knowledge and communicative effectiveness. In: Galegher J (ed) Intellectual teamwork: social and technological foundations of cooperative work. Lawrence Erlbaum Associates, Hillsdale, NJ, pp 111–145
Leplat J (1991) Organization of activity in collective tasks. In: Rasmussen J (ed) Decision making: cognitive models for cooperative work. Wiley, New York, pp 51–71
Lewis D (1969) Convention: a philosophical study. Harvard University Press, Cambridge, MA
Norman DA (1987) The psychology of everyday things. Basic Books, New York
Nyssen AS, Javaux D (1996) Analysis of synchronization constraints and associated errors in collective work environments. Ergonomics 39:1249–1264
Reynolds CW (1987) Flocks, herds, and schools: a distributed behavioral models. Comput Graph 21:25–34
Savoyant A (1977) Coordination et communication dans une équipe de travail. trav hum 40(1):41–54
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Nyssen, AS. Coordination in hospitals: organized or emergent process?. Cogn Tech Work 9, 149–154 (2007). https://doi.org/10.1007/s10111-006-0053-9
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DOI: https://doi.org/10.1007/s10111-006-0053-9