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It Works Better When I Do That: Interaction and Communication In Radiology Departments

Published:26 October 2023Publication History

ABSTRACT

This paper investigates patterns of communication and interaction in radiology departments by utilising ethnographic and ethnomethodological techniques. We conducted 12 sessions of observations with accompanying interviews in the practitioners natural working environment, and used this to construct a model of how a report is authored from an outsider perspective. These observations revealed that practitioners have a distinct way of interacting with speech recognition systems that is unlike traditional interaction with Voice User Interfaces, that there are a myriad of ways of communicating a result to peers that are dependent on context and tacit knowledge, and that reports are rarely completed without some form of cognitive interruption in the authoring stage. We finish by recommending a codified framework for guidance on communicating results that builds on evidence-based findings tailored specifically to radiology practitioners.

References

  1. Knight, J. C. Safety critical systems: Challenges and directions. In Proceedings of the 24th International Conference on Software Engineering (New York, NY, USA, 2002), ICSE ’02, Association for Computing Machinery, p. 547–550.Google ScholarGoogle ScholarDigital LibraryDigital Library
  2. Furniss, D., Blandford, A., and Mayer, A. Unremarkable errors: low-level disturbances in infusion pump use. Proceedings of HCI 2011 The 25th BCS Conference on Human Computer Interaction (2011).Google ScholarGoogle ScholarCross RefCross Ref
  3. Chetlen, A. L., Chan, T. L., Ballard, D. H., Frigini, L. A., Hildebrand, A., Kim, S., Brian, J. M., Krupinski, E. A., and Ganeshan, D. Addressing burnout in radiologists. Academic radiology 26, 4 (2019-04), 526–533.Google ScholarGoogle ScholarCross RefCross Ref
  4. Blandford, A., Furniss, D., and Vincent, C. Patient safety and interactive medical devices: Realigning work as imagined and work as done. Clinical Risk 20,Google ScholarGoogle Scholar
  5. Blandford, A., Furniss, D., Galal-Edeen, G. H., Chumbley, G., Wei, L., Mayer, A., and Franklin, B. D. Intravenous infusion practices across england and their impact on patient safety: a mixed-methods observational study. Health Services and Delivery Research 8, 7 (2020), 1–116.Google ScholarGoogle ScholarCross RefCross Ref
  6. Leveson, N. G., and Turner, C. S. An investigation of the therac-25 accidents.Google ScholarGoogle Scholar
  7. St.Amant, K. The cultural context for communicating care. Journal of Technical Writing and Communication 49, 4 (2019-10-01), 367–382. Publisher: SAGE Publications Inc.Google ScholarGoogle ScholarCross RefCross Ref
  8. Brasseur, L. Sonographers’ complex communication during the obstetric sonogram exam: An interview study. Journal of Technical Writing and Communication 42, 1 (2012), 3–19. Publisher: SAGE Publications Inc.Google ScholarGoogle ScholarCross RefCross Ref
  9. Murphy, D. R., Singh, H., and Berlin, L. Communication breakdowns and diagnostic errors: a radiology perspective. Diagnosis 1, 4 (2014), 253–261.Google ScholarGoogle ScholarCross RefCross Ref
  10. Aryal, B., Khorsand, D. A., and Dubinsky, T. J. The clinical and medicolegal implications of radiology results communication. Current Problems in Diagnostic Radiology 47, 5 (2018), 287–289.Google ScholarGoogle ScholarCross RefCross Ref
  11. Baccei, S. J., DiRoberto, C., Greene, J., and Rosen, M. P. Improving communication of actionable findings in radiology imaging studies and procedures using an EMR-independent system. Journal of Medical Systems 43, 2 (2019), 30.Google ScholarGoogle ScholarDigital LibraryDigital Library
  12. Braithwaite, J., Wears, R. L., and Hollnagel, E. Resilient Health Care, Volume 3: Reconciling Work-as-Imagined and Work-as-Done. CRC Press, 2016.Google ScholarGoogle ScholarCross RefCross Ref
  13. Blandford, A., Furniss, D., Buchanan, G., Thimbleby, H., and Curzon, P. Whos looking? invisible problems with interactive medical devices. Proceedings of the First International Workshop on Interactive Systems in Healthcare (2010).Google ScholarGoogle Scholar
  14. Boonstra, A., Versluis, A., and Vos, J. F. J. Implementing electronic health records in hospitals: a systematic literature review. BMC Health Services Research 14, 1 (2014), 370.Google ScholarGoogle ScholarCross RefCross Ref
  15. Ashour, A., Ashcroft, D. M., and Phipps, D. L. Mind the gap: Examining work-as-imagined and work-as-done when dispensing medication in the community pharmacy setting. Applied Ergonomics 93 (2021), 103372.Google ScholarGoogle ScholarCross RefCross Ref
  16. Goulden, M., Greiffenhagen, C., Crowcroft, J., McAuley, D., Mortier, R., Radenkovic, M., and Sathiaseelan, A. Wild interdisciplinarity: ethnography and computer science. International Journal of Social Research Methodology 20, 2 (2017), 137–150.Google ScholarGoogle ScholarCross RefCross Ref
  17. Hughes, J., King, V., Rodden, T., and Andersen, H. Moving out from the control room: ethnography in system design. In Proceedings of the 1994 ACM conference on Computer supported cooperative work (1994), CSCW ’94, Association for Computing Machinery, pp. 429–439.Google ScholarGoogle ScholarDigital LibraryDigital Library
  18. Furniss, D. HCI observations on an oncology ward: A fieldworker's experience. In Fieldwork for Healthcare: Case Studies Investigating Human Factors in Computing Systems. Springer International Publishing, 2014, pp. 19–25.Google ScholarGoogle ScholarCross RefCross Ref
  19. Coble, J. M., Maffitt, J. S., Orland, M. J., and Kahn, M. G. Contextual inquiry: discovering physicians’ true needs. Proceedings of the Annual Symposium on Computer Application in Medical Care (1995), 469–473.Google ScholarGoogle Scholar
  20. Briedis, M. Phenomenological ethnography can lead to the improvement of radiology diagnostics. Adaptive Behavior 27, 5 (2019), 347–350.Google ScholarGoogle ScholarDigital LibraryDigital Library
  21. Briedis, M. Phenomenological ethnography of radiology: expert performance in enacting diagnostic cognition. Phenomenology and the Cognitive Sciences 19, 2 (2020), 373–404.Google ScholarGoogle ScholarCross RefCross Ref
  22. Sharp, H., Rogers, Y., and Preece, J. Interaction design: beyond human-computer interaction, 2nd ed ed. Wiley.Google ScholarGoogle Scholar
  23. Fatahi, N., Krupic, F., and Hellström, M. Quality of radiologists’ communication with other clinicians—as experienced by radiologists. Patient Education and Counseling 98, 6 (2015), 722–727.Google ScholarGoogle ScholarCross RefCross Ref
  24. Larson, D. B., Froehle, C. M., Johnson, N. D., and Towbin, A. J. Communication in diagnostic radiology: Meeting the challenges of complexity. American Journal of Roentgenology 203, 5 (2014), 957–964.Google ScholarGoogle ScholarCross RefCross Ref
  25. St. Amant, K. Introduction to the special issue: Cultural considerations for communication design: integrating ideas of culture, communication, and context into user experience design. Communication Design Quarterly 4, 1 (2016), 6–22.Google ScholarGoogle ScholarDigital LibraryDigital Library
  26. Sellberg, C., and Lindblom, J. Comparing methods for workplace studies: a theoretical and empirical analysis. Cognition, Technology & Work 16, 4 (2014), 467–486.Google ScholarGoogle Scholar
  27. Crabtree, A., Rouncefield, M., and Tolmie, P. Doing Design Ethnography. Human-Computer Interaction Series. Springer London, 2012.Google ScholarGoogle ScholarCross RefCross Ref
  28. Porcheron, M. Understanding conversation around technology use in casual-social settings. PhD thesis, University of Nottingham, 2019.Google ScholarGoogle Scholar
  29. Porcheron, M., Clark, L., Nicholson, S. A., and Jones, M. Cyclists’ use of technology while on their bike. In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems (2023), CHI ’23, Association for Computing Machinery, pp. 1–15.Google ScholarGoogle ScholarDigital LibraryDigital Library
  30. Meloncon, L. K. Patient experience design: expanding usability methodologies for healthcare. Communication Design Quarterly 5, 2 (2017), 19–28.Google ScholarGoogle ScholarDigital LibraryDigital Library
  31. St.Amant, K. The five principles of research in culture, communication, and design. Intercom 63 (01 2016), 17–20.Google ScholarGoogle Scholar
  32. Spradley, J. P. Participant Observation. Waveland Press, 2016.Google ScholarGoogle Scholar
  33. Myers, C., Furqan, A., Nebolsky, J., Caro, K., and Zhu, J. Patterns for how users overcome obstacles in voice user interfaces. In Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems (2018), CHI ’18, Association for Computing Machinery, pp. 1–7.Google ScholarGoogle ScholarDigital LibraryDigital Library
  34. Oviatt, S., MacEachern, M., and Levow, G.-A. Predicting hyperarticulate speech during human-computer error resolution. Speech Communication 24, 2 (1998), 87–110.Google ScholarGoogle ScholarDigital LibraryDigital Library
  35. Soltau, H. Compensating Hyperarticulation for Automatic Speech Recognition. PhD thesis, Universitat Fridericiana zu Karlsruhe, 2005.Google ScholarGoogle Scholar
  36. Vertanen, K. Speech and speech recognition during dictation corrections. INTERSPEECH (2006).Google ScholarGoogle Scholar
  37. Hirschberg, J., Litman, D., and Swerts, M. Prosodic and other cues to speech recognition failures. Speech Communication 43, 1 (2004-06-01), 155–175.Google ScholarGoogle ScholarCross RefCross Ref
  38. Stent, A. J., Huffman, M. K., and Brennan, S. E. Adapting speaking after evidence of misrecognition: Local and global hyperarticulation. Speech Communication 50, 3 (2008), 163–178.Google ScholarGoogle ScholarDigital LibraryDigital Library

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        • Published in

          cover image ACM Conferences
          SIGDOC '23: Proceedings of the 41st ACM International Conference on Design of Communication
          October 2023
          289 pages
          ISBN:9798400703362
          DOI:10.1145/3615335

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          • Published: 26 October 2023

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