In search of flows synchronization: temporal and informational coordination of healthcare activities in a nuclear medicine unit

À la recherche de la synchronisation des flux: coordination informationnelle et temporelle des activités dans un service de médecine nucléaire

Bénédicte Geffroy-Maronnat (), François de Corbière (), Gwenaëlle Lairet () and François Deltour ()
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Bénédicte Geffroy-Maronnat: IMT Atlantique - SSG - Département Sciences sociales et de gestion - IMT Atlantique - IMT Atlantique - IMT - Institut Mines-Télécom [Paris], LEMNA - Laboratoire d'économie et de management de Nantes Atlantique - IEMN-IAE Nantes - Institut d'Économie et de Management de Nantes - Institut d'Administration des Entreprises - Nantes - UN - Université de Nantes
François de Corbière: IMT Atlantique - SSG - Département Sciences sociales et de gestion - IMT Atlantique - IMT Atlantique - IMT - Institut Mines-Télécom [Paris], LEMNA - Laboratoire d'économie et de management de Nantes Atlantique - IEMN-IAE Nantes - Institut d'Économie et de Management de Nantes - Institut d'Administration des Entreprises - Nantes - UN - Université de Nantes
Gwenaëlle Lairet: ESSCA Research Lab - ESSCA - ESSCA – École supérieure des sciences commerciales d'Angers = ESSCA Business School
François Deltour: LEMNA - Laboratoire d'économie et de management de Nantes Atlantique - IEMN-IAE Nantes - Institut d'Économie et de Management de Nantes - Institut d'Administration des Entreprises - Nantes - UN - Université de Nantes, IMT Atlantique - SSG - Département Sciences sociales et de gestion - IMT Atlantique - IMT Atlantique - IMT - Institut Mines-Télécom [Paris]

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Abstract: The article analyzes how the flow of patients and the flow of radiopharmaceuticals are synchronized in a nuclear medicine unit. Both the flows structure the timing of healthcare activities that face specific constraints of time and safety related to the radioactive char- acteristics of the products involved. In such a context, coordination of activities presents informational and temporal aspects that are essential for the activity performance. We provide a framework of analysis in which coordination theory is associated to the multiple times perspective, and we conduct a case study in a nuclear medicine unit. The results high- light healthcare activities are coordinated by: (1) multiple forms of dependencies between activities, (2) combination of chronological and perceived time, and (3) essential role of information exchanges. The research leads to a new definition of synchronization, and to analyse the dependencies between activities including multiple times. Finally, we explain the partial integration of information systems to synchronize both the flows.

Keywords: coordination theory; hospital information systems; synchronization; temporality; synchronisation; système d'information hospitalier; temporalité; théorie de la coordination (search for similar items in EconPapers)
Date: 2017
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Published in Systèmes d'Information et Management, 2017, 22 (4), pp.79-110. ⟨10.3917/sim.174.0079⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01772208

DOI: 10.3917/sim.174.0079

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