6.7: Simonsen, J. (2010): ”Sustained Participatory Design and Implementation of ITHC”, in C. Nørh and J. Aarts (Eds): Information Technology in Health Care: Socio-Technical Approaches 2010. From Safe Systems to Patient Safety. IOS Press, 2010, pp. 18-22.


Participatory design includes engaging in large-scale information-systems development where participatory design approaches have been applied throughout design and organizational implementation. The keynote suggest to extend the iterative prototyping approach by (1) emphasizing participatory design experiments and pilot implementations as transcending traditional prototyping by evaluating fully integrated systems exposed to real work practices; (2) incorporating improvisational change management including anticipated, emergent, and opportunity-based change; and (3) extending initial design and development into a sustained and ongoing implementation that constitutes an overall technology-driven organizational change. This sustained participatory design and implementation approach is exemplified through a large-scale project in the Danish healthcare sector

Keywords: Participatory design, iterative prototyping, improvisational change management, anticipated-, emergent-, and opportunity-based change, pilot implementation.