beyond EVE

Databite No. 135: Disruption and Repair: Integrating AI Systems


Join anthropologist Madeleine Clare Elish for a conversation with nurse practitioner Dina Sarro and Innovation Program Manager William Ratliff about the impact of integrating AI systems into hospital operations and the critical role nurses play to make the system work. The talk will draw on Elish’s forthcoming report Repairing Innovation: A Study of Integration AI in Clinical Care.

When the Sepsis Watch app was first integrated into hospitals, it disrupted existing systems — such as power dynamics and information flows — that needed to be repaired. Rapid Response Team (RRT) nurses worked to mend these breakages — not physical breakages, but ones of social norms, expectations, and contexts. They applied their knowledge of the team’s schedules, inquired into the well-being of the physicians to understand their moods, and leveraged their clinical expertise (among other activities) to effectively integrate Sepsis Watch into the hospital’s clinical system. This work performed by the RRT nurses, which we refer to as “repair work,” was crucial to integrating Sepsis Watch, demonstrating how essential it is to recognize and value repair work in the integration of future AI systems.

Audience Q&A will follow the discussion. Closed captioning provided. Please email with any other accessibility requests at least 72 hours before the event. Documentation will be available at afterwards.


  • Gespräch

Data & Society Research Institute


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Vereinigte Staaten von Amerika

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