Dismembering organisation: the coordination of algorithmic work in healthcare

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• dc.contributor.author Bailey, Simon
• dc.contributor.author Pierides, Dean
• dc.contributor.author Brisley, Adam
• dc.contributor.author Weisshaar, Clara
• dc.contributor.author Blakeman, Tom
• dc.date.accessioned 2021-03-17T08:03:45Z
• dc.date.available 2021-03-17T08:03:45Z
• dc.date.issued 2020
• dc.description.abstract Algorithms are increasingly being adopted in healthcare settings, promising increased safety, productivity and efficiency. The growing sociological literature on algorithms in healthcare shares an assumption that algorithms are introduced to ‘support’ decisions within an interactive order that is predominantly human-oriented. This article presents a different argument, calling attention to the manner in which organisations can end up introducing a non-negotiable disjuncture between human-initiated care work and work that supports algorithms, which the authors call algorithmic work. Drawing on an ethnographic study, the authors describe how two hospitals in England implemented an Acute Kidney Injury (AKI) algorithm and analyse ‘interruptions’ to the algorithm’s expected performance. When the coordination of algorithmic work occludes care work, the study finds a ‘dismembered’ organisation that is algorithmically-oriented rather than human-oriented. In the discussion, the authors examine the consequences of coordinating human and non-human work in each hospital and conclude by urging sociologists of organisation to attend to the importance of the formal in algorithmic work. As the use of algorithms becomes widespread, the analysis provides insight into how organisations outside of healthcare can also end up severing tasks from human experience when algorithmic automation is introduced.
• dc.format.mimetype application/pdf
• dc.identifier.citation Bailey S, Pierides D, Brisley A, Weisshaar C, Blakeman T. Dismembering organisation: the coordination of algorithmic work in healthcare. 2020; 68(4): 546-571. DOI: 10.1177/0011392120907638
• dc.identifier.doi http://dx.doi.org/10.1177/0011392120907638
• dc.identifier.issn 0011-3921
• dc.identifier.uri http://hdl.handle.net/10230/46807
• dc.language.iso eng
• dc.publisher SAGE Publications
• dc.relation.ispartof Current Sociology. 2020;68(4):546-571
• dc.rights This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License https://creativecommons.org/licenses/by-nc/4.0/ which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages https://us.sagepub.com/en-us/nam/open-access-at-sage
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri https://creativecommons.org/licenses/by-nc/4.0/
• dc.subject.keyword Algorithms
• dc.subject.keyword Coordination
• dc.subject.keyword Just-in-time
• dc.subject.keyword Healthcare
• dc.subject.keyword Organisation
• dc.subject.keyword Work
• dc.title Dismembering organisation: the coordination of algorithmic work in healthcare
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion