AbstractsMedical & Health Science

Balancing Tradition and Transcendence in the Implementation of Emergency-Department Electronic Whiteboads

by Jesper Simonsen

Institution: Roskilde University
Year: 2010
Keywords: Electronic whiteboards; organisational implementation; improvisational change management; healthcare informatics
Record ID: 1121138
Full text PDF: http://hdl.handle.net/1800/6333


We report from a case study of the implementation of an electronic whiteboard system at two emergency departments at Danish hospitals. The purpose of the whiteboards is to support the clinicians in maintaining an overview of the patients at the departments. The electronic whiteboard system was designed in collaboration with clinicians from the departments. Compared to existing dry-erase whiteboards, the electronic whiteboards present more information and allow some automated updating. Based on observations supported by interviews we describe how tradition and transcendence were balanced in the implementation of the whiteboards at the two emergency departments. The electronic whiteboards were initially configured to resemble the dry-erase whiteboards and then gradually reconfigured and extended through an improvisational process, along with changes in the clinicians’ work practices.