I have a background in software engineering but my research is very much focused on the social, understanding how healthcare professionals carry out their work in order to inform the design of technology to support that work and with understanding how healthcare technologies are used in practice.
I have studied medical and nursing handover in a variety of hospital settings, histopathologists making diagnoses at the microscope, and multidisciplinary team meetings. I have carried out research into nurses’ customisation of equipment in the intensive care unit, nurses’ use of computerised decision support systems (CDSS), the effect of novel hardware solutions on GP-patient communication, the impact of a virtual reality microscope on time to diagnosis in histopathology, and the impact of a wall-sized display on collaboration in undergraduate and postgraduate pathology teaching. This understanding is achieved largely through qualitative methods, focusing on the use of observations supported by interviews. More recently, I have begun to use video to capture interaction with and around healthcare technologies. I also have experience of undertaking systematic reviews, surveys, and more experimental approaches to evaluation. In 2004, I was awarded the Diana E. Forsythe Award by the American Medical Informatics Association for research at the intersection of informatics and the social sciences.
I am currently leading a project funded by the National Institute of Health Research (NIHR) Health Service & Delivery Research (HS&DR) programme, looking at how robotic surgery gets implemented into practice and its impact on teamwork and decision making in the operating theatre. I am also a collaborator on a NIHR HS&DR project that is looking at how information systems are used in hospitals for measuring and monitoring quality and safety of care at both the ward level and at the hospital management level.