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Timing in the Art of integration: That s how the Bastille got stormed

David Martin, Mark Rouncefield, Jacki O'Neill, Mark Hartswood
This paper uses a long term ethnographic studt of the design and implementation of an electronic patient records (EPR) system in a UK hospital Trust to consider issues arising in the multi-faceted process of integration when a customizable-off-the shelf (COTS) system is configured and deployed in a complex setting. The process involves trying to artfully work out how disparate technologies integrate with existing and evolving patterns of work within developing regulatory requirements. We conclude by suggesting ways in which ethnographic interventions and user involvement may be timed and targeted to aid in achieving this process.
Group 2005 Conference, Sanibel Island, Florida, USA, November 6-9, 2005.