Seeing the Signs of Workarounds: A Mixed-Methods Approach to the Detection of Nurses’ Process Deviations

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dc.contributor.authorBeerepoot, Iris
dc.contributor.authorLu, Xixi
dc.contributor.authorVan De Weerd, Inge
dc.contributor.authorAlexander Reijers, Hajo
dc.date.accessioned2020-12-24T19:46:37Z
dc.date.available2020-12-24T19:46:37Z
dc.date.issued2021-01-05
dc.description.abstractWorkarounds are intentional deviations from prescribed processes. They are most commonly studied in healthcare settings, where nurses are known for frequently deviating from the intended way of using health information systems. However, workarounds in healthcare have only been studied using qualitative methods, such as observations and interviews. We conduct a case study in a Dutch hospital and use a mixed-methods approach that draws not only on interviews and observations, but also on process mining, to detect and analyse eight workarounds that occur in a clinical care process. We contribute to theory by demonstrating that it is possible to use data to determine the occurrence of a rich variety of workarounds found using qualitative methods. Practically, this implies that workarounds that are identified qualitatively can be further analysed and monitored using quantitative methods. Once identified, workarounds also provide an attractive starting point for organisational learning and improvement.
dc.format.extent10 pages
dc.identifier.doi10.24251/HICSS.2021.456
dc.identifier.isbn978-0-9981331-4-0
dc.identifier.urihttp://hdl.handle.net/10125/71072
dc.language.isoEnglish
dc.relation.ispartofProceedings of the 54th Hawaii International Conference on System Sciences
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectOptimization, Simulation and IT for Healthcare Processes and Services
dc.subjecthealthcare processes
dc.subjectmulti-perspective conformance checking
dc.subjectprocess mining
dc.subjectquantitative methods
dc.subjectworkarounds
dc.titleSeeing the Signs of Workarounds: A Mixed-Methods Approach to the Detection of Nurses’ Process Deviations
prism.startingpage3763

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