A distributed cognition model for analysing interruption resumption during infusion administration

  • Authors:
  • Atish Rajkomar;Ann Blandford

  • Affiliations:
  • UCL, London, UK;UCL, London, UK

  • Venue:
  • Proceedings of the 30th European Conference on Cognitive Ergonomics
  • Year:
  • 2012

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Abstract

Motivation -- Nurses in an Intensive Care Unit (ICU) are interrupted frequently, and they often employ strategies involving artefacts during task resumption. Improving the design of artefacts can help nurses resume from interruptions correctly, mitigating chances of incorrect resumptions leading to patient harm. Research Approach -- A Distributed Cognition (DC) approach was used, based on the Distributed Information Resources Model, which explicitly considers resources for action represented by artefacts. Findings/Design -- To model interactions between a nurse and artefacts throughout a task in terms of distributed resource representations that can support interruption resumption, we propose a Temporal Resources Model. Research limitations/Implications -- This work focused on developing a theoretical model. Future work should apply the model at a more realistic level of granularity. Originality/Value -- The contribution of this paper is a new model that allows the analysis of interruption resumption from a DC perspective. Take away message -- By modelling resources represented by artefacts during a task, opportunities for improving artefact design to better support interruption resumption and reduce cognitive load can be identified.