Unanticipated Influence of Coordination Mechanisms on Physician Workstyles and ED Operational Efficiency

19 Pages Posted: 20 Mar 2008 Last revised: 24 Nov 2008

See all articles by Vera Tilson

Vera Tilson

University of Rochester - Simon Business School

David Tilson

Simon Graduate School of Business, University of Rochester

Gregory Dobson

University of Rochester - Simon Business School

Edward A. Michelson

Case Western Reserve University - School of Medicine

Vicken Y. Totten

Case Western Reserve University - School of Medicine

Date Written: February 26, 2008

Abstract

The coordination of activities in a work context has been examined by many disciplines and in recent years the role of information systems and other artifacts has become increasingly prominent. The emergency department (ED) of a hospital in a large US city is used to study how information systems and other coordinating mechanisms affect how physicians choose to perform their work and how such choices can impact the operational performance of the ED as a whole. The study used direct observation of the work performed in the ED, interviews of physicians, nurses and other ED staff members, and the analysis of historical performance data. The key findings were that the workstyles adopted by physicians were shaped by incidental characteristics of coordination mechanisms. Some workstyles appear to have adverse, albeit unintended, effects on aspects of the department's operational performance.

Keywords: Healthcare operations, coordination mechanisms

Suggested Citation

Tilson, Vera and Tilson, David and Dobson, Gregory and Michelson, Edward A. and Totten, Vicken Y., Unanticipated Influence of Coordination Mechanisms on Physician Workstyles and ED Operational Efficiency (February 26, 2008). Available at SSRN: https://ssrn.com/abstract=1107900 or http://dx.doi.org/10.2139/ssrn.1107900

Vera Tilson (Contact Author)

University of Rochester - Simon Business School ( email )

Rochester, NY 14627
United States

David Tilson

Simon Graduate School of Business, University of Rochester ( email )

Rochester, NY 14627
United States

Gregory Dobson

University of Rochester - Simon Business School ( email )

Carol Simon Hall 3-310
Rochester, NY 14627
United States
585-275-2670 (Phone)
585-442-6652 (Fax)

Edward A. Michelson

Case Western Reserve University - School of Medicine ( email )

2511 Overlook Road
Cleveland Heights, OH 44106
United States

Vicken Y. Totten

Case Western Reserve University - School of Medicine ( email )

2511 Overlook Road
Cleveland Heights, OH 44106
United States

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