The project is divided in to 2 subprojects:
- The study of the development and implementation of ERP in Aarhus county
- Four visions for mobile and pervasive EPR
All of these subprojects take as their object of research the medicine module
currently being developed by Systematic for Aarhus county. Henceforth, the ‘Aarhus
ERP’ is used to denote this concrete EPR.
The study of the development and implementation of ERP
This subproject will study one the one hand the process of developing the Aarhus
EPR and on the other hand the process of implementing the EPR on one of the hospitals
in the county. Even though each of these two studies contain in themselves interesting
questions, another aim of this subproject is to compare the process of developing
the EPR with the consequences for the work practices on the hospital when the
EPR is implemented. Intended or non-intended changes to work practices occur as
a result of design decisions. It is therefore interesting to follow how such design
decisions “play out” when the computer system is actually implemented
and used in a concrete work setting.
This study provides input to the two other subprojects. The study of work
practices on the hospital gives input to the visions for new mobile technology.
The study of consequences of design decisions provides input to the study and
enhancement of software engineering processes in a way that provides an understanding
of how to make sound, visionary and appropriate design decision early in the software
The subproject will apply ethnographic fieldwork based on 3 times 2 months
of study of hospital work before, under and after the implementation of the Aarhus
Four visions for mobile and pervasive EPR
This subproject aims at providing visions for and concrete prototypes of new mobile
and pervasive computing equipment within a hospital. The following 4 work practices
(called “themes”) will provide the scenarios for the 4 visions:
Theme 1 – Documenting the medicine given to a
patient. Correct documentation of the medicine given to a patient is essential
in patient care and provides the basis for quality insurance in a medical treatment
of the patient. This theme will investigate how the nurse can use new mobile or
pervasive technology connected to an EPR when medicine is given to a patient.
Theme 2 – Prescription of medicine. It
is of vital importance that the physician has an overview of the patient’s
medical situation when he prescribes medicine. This theme will investigate how
the physician can use mobile or pervasive computer technology when he moves around
or is not present at the hospital.
Theme 3 – Clinical conferences about prescription
of medicine. When a physician prescribes medicine or evaluates a medical
treatment he often needs to cooperate with fellow physicians or nurses. Thus,
the EPR needs to contain computer support for cooperative work or groupware facilities.
This theme will look into how such cooperative support can be made and how it
can become mobile and pervasive, enabling physician and nurses to make conference
calls in a situation where they are not near a PC.
Theme 4 – The mobile "patient".
When a patient initiates a treatment it is important for the physician to know
his current use of medicine and previous medical history. This is often a cumbersome
task for the physician and one that the patient easily could do one his own. This
theme will therefore focus on providing the patient access to the EPR. The patient,
however, is never located in one particular place in a hospital and some mobile
or pervasive computer technology would therefore be useful in this theme.
The main idea is to develop two prototypes for each theme, one illustrating
how to create mobile support for the work practice and another illustrating how
to make the computer support pervasive – e.g. disappear into the bed, wall,
bed sheets, etc.