Cyborg practices: call-handlers and computerised decision support systems in urgent and emergency care


Pope, Catherine, Halford, Susan, Turnbull, J. and Prichard, Jane S. (2014) Cyborg practices: call-handlers and computerised decision support systems in urgent and emergency care Health Informatics Journal, 20, (2), pp. 118-126. (doi:10.1177/1460458213486470). (PMID:24810726).

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Description/Abstract

This article draws on data collected during a 2-year project examining the deployment of a computerised decision support system. This computerised decision support system was designed to be used by non-clinical staff for dealing with calls to emergency (999) and urgent care (out-of-hours) services. One of the promises of computerised decisions support technologies is that they can 'hold' vast amounts of sophisticated clinical knowledge and combine it with decision algorithms to enable standardised decision-making by non-clinical (clerical) staff. This article draws on our ethnographic study of this computerised decision support system in use, and we use our analysis to question the 'automated' vision of decision-making in healthcare call-handling. We show that embodied and experiential (human) expertise remains central and highly salient in this work, and we propose that the deployment of the computerised decision support system creates something new, that this conjunction of computer and human creates a cyborg practice.

Item Type: Article
Digital Object Identifier (DOI): doi:10.1177/1460458213486470
ISSNs: 1460-4582 (print)
Organisations: Faculty of Health Sciences
ePrint ID: 364913
Date :
Date Event
June 2014Published
Date Deposited: 20 May 2014 08:22
Last Modified: 17 Apr 2017 13:48
Further Information:Google Scholar
URI: http://eprints.soton.ac.uk/id/eprint/364913

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