• Sylvia Pelayo, Françoise Anceaux, Janine Rogalski, and Marie-Catherine Beuscart-Zephir.
• Université Lille Nord de France, INSERM CIC IT Lille, CHU Lille, F-59000, Lille, France. sylvia.pelayo@univ-lille2.fr
• Stud Health Technol Inform. 2010 Jan 1;160(Pt 1):173-7.

AbstractThis study addresses the question of the respective impact of organizational vs. technical environment variables on the collaborative aspects of healthcare work situations. It analyzes the physicians-nurses communications during the medication use process, according to both the organization of their work and their technical environment. Participant observations, interviews and recording of the dialogs were performed in 4 hospitals functioning with either a CPOE or a Paper based system. The study (i) presents the identification and description of the communications' processes involving doctors-nurses face-to-face communications and the supports that mediate medication information and (ii) focuses on the amount of face-to-face communications depending on the organization of work and the technical system used. The analyses demonstrate that the organizational variables have a larger impact than the technical environment on the quality and quantity of the communications and cooperation activities.

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