Multidisciplinary Medical Team Meetings: An Analysis of Collaborative Working with Special Attention to Timing and Teleconferencing |
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Authors: | Bridget Kane Saturnino Luz |
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Affiliation: | (1) Department of Computer Science, Trinity College Dublin, Dublin 2, Ireland |
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Abstract: | In this paper we describe the process of a multi-disciplinary medical team meeting (MDTM), its functions and operation in
colocated and teleconference discussions. Our goal is to identify the elements and mechanics of operation that enhance or
threaten the dependability of the MDTM as a “system” and propose technologies and measures to make this system more reliable.
In particular, we assess the effect of adding teleconferencing to the MDTM, and identify strengths and vulnerabilities introduced
into the system by the addition of teleconferencing technology. We show that, with respect to the system’s external task environment,
rhythms of execution of pre-meeting and post-meeting activities are critical for MDTM success and that the extension of the
MDTM to wider geographic locations with teleconferencing might disrupt such rhythms thereby posing potential threats to dependability.
On the other hand, an analysis of vocalisation patterns demonstrates that despite difficulties related to coordination and
awareness in video-mediated communication (evidenced by increased time spent in case discussion, longer turns, decreased turn
frequency and near lack of informal exchanges) the overall case discussion structure is unaffected by the addition of teleconferencing
technology into proceedings. |
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Keywords: | ethnography healthcare interaction analysis multidisciplinary medical team meetings teleconference |
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