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Table 1 Case study findings and their connection to components of the EEOC framework

From: An empirically-derived approach for investigating Health Information Technology: the Elementally Entangled Organisational Communication (EEOC) framework

EEOC framework Impact on laboratory setting
Communication  
How is information exchanged? Synchronous (e.g., telephone calls) vs. asynchronous (e.g., computer messages) (Blood Bank)
Paper vs. electronic orders (Haematology and Clinical Chemistry)
Type of information exchange? Reasons for telephone calls in the Blood Bank (e.g., questions, confirmation, dispensing advice etc) (Blood Bank)
Decision support systems (e.g. notification of redundant test request) .
How is information processed? Linear (e.g., order, process and result) aspects vs. collaborative processes (e.g., advice about orders, confirmation of orders and blood products) (Blood Bank)
Autoverification requirements (Haematology)
What are the outcomes of the information exchange? Test result reports, blood products (Blood Bank)
Storage of specimens (e.g., tracking information) (Clinical Chemistry)
Blood collection requests and patient procedures (Central Specimen Reception)
Temporal  
How is communication scheduled? Accuracy and message reinforcement required for orders (Blood Bank)
How is information synchronised? Warning and notification systems to ensure notification and synchronisation of work (Blood Bank)
Synchronisation of systems to check reference ranges, critical values etc. (Haematology)
Work roles and work process changes (Central Specimen Reception)
How is information allocated? Sorting and collation of blood collection requests (Central Specimen Reception)
Frequency and duration of administration tasks (Central Specimen Reception)
How is time conceptualised? Clock time (e.g. test result turnaround times) (Clinical Chemistry)
Work flows (e.g. specimen transportation times) (Central Specimen Reception)
Organisational  
How is work controlled? Audit trails (e.g., monitoring of processes) (Blood Bank)
The role of specimen tracking systems (Clinical Chemistry)
Changes in work patterns and procedures (Central Specimen Reception)
How is work planned? Accuracy of orders provided (e.g., establishing the meaning of orders) (Blood Bank)
Work flow management (Clinical Chemistry)
Specimen and request collection (Central Specimen Reception)
How is work organised (staffed)? Accessioning orders, providing test results and dispensation of blood products (Blood Bank)
Staff availability notifications (Central Specimen Reception)
Location of activities (e.g. changes to blood collectors work patterns) (Central Specimen Reception)