Things that make us smart: defending human attributes in the age of the machine
Things that make us smart: defending human attributes in the age of the machine
Cognitive Work Analysis: Towards Safe, Productive, and Healthy Computer-Based Work
Cognitive Work Analysis: Towards Safe, Productive, and Healthy Computer-Based Work
Information Processing and Human-Machine Interaction: An Approach to Cognitive Engineering
Information Processing and Human-Machine Interaction: An Approach to Cognitive Engineering
Human-Computer Interaction
Process Improvement and the Corporate Balance Sheet
IEEE Software
Designing Human-Centered Distributed Information Systems
IEEE Intelligent Systems
Emerging paradigms of cognition in medical decision-making
Journal of Biomedical Informatics
Guest editorial: cognition and measurement in patient safety research
Journal of Biomedical Informatics - Patient safety
A framework for analyzing the cognitive complexity of computer-assisted clinical ordering
Journal of Biomedical Informatics - Patient safety
Using usability heuristics to evaluate patient safety of medical devices
Journal of Biomedical Informatics - Patient safety
Journal of Biomedical Informatics - Patient safety
Cognitive and usability engineering methods for the evaluation of clinical information systems
Journal of Biomedical Informatics
Decisions about critical events in device-related scenarios as a function of expertise
Journal of Biomedical Informatics - Special issue: Human-centered computing in health information systems. Part 2: Evaluation
Guest editorial: human-centered computing in health information systems. Part 1: Analysis and design
Journal of Biomedical Informatics - Special issue: Human-centered computing in health information systems. Part 1: Analysis and design
Guest editorial: human-centered computing in health information systems. Part 2: Evaluation
Journal of Biomedical Informatics - Special issue: Human-centered computing in health information systems. Part 2: Evaluation
Decisions about critical events in device-related scenarios as a function of expertise
Journal of Biomedical Informatics - Special issue: Human-centered computing in health information systems. Part 2: Evaluation
Workflow modeling in critical care: Piecing together your own puzzle
Journal of Biomedical Informatics
Understanding infusion administration in the ICU through Distributed Cognition
Journal of Biomedical Informatics
Distributed cognition for evaluating healthcare technology
BCS-HCI '11 Proceedings of the 25th BCS Conference on Human-Computer Interaction
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In this study, we show how medical devices used for patient care can be made safer if various cognitive factors involved in patient management are taken into consideration during the design phase. The objective of this paper is to describe a methodology for obtaining insights into patient safety features--derived from investigations of institutional decision making--that could be incorporated into medical devices by their designers. The design cycle of a product, be it a medical device, software, or any kind of equipment, is similar in concept, and course. Through a series of steps we obtained information related to medical errors and patient safety. These were then utilized to customize the generic device design cycle in ways that would improve the production of critical care devices. First, we provided individuals with different levels of expertise in the clinical, administrative, and engineering domains of a large hospital setting with hypothetical clinical scenarios, each of which described a medical error event involving health professionals and medical devices. Then, we asked our subjects to "think-aloud" as they read through each scenario. Using a set of questions as probes, we then asked our subjects to identify key errors and attribute them to various players. We recorded and transcribed the responses and conducted a cognitive task analysis of each scenario to identify different entities as "constant," "partially modifiable," or "modifiable." We compared our subjects' responses to the results of the task analysis and then mapped them to the modifiable entities. Lastly, we coded the relationships of these entities to the errors in medical devices. We propose that the incorporation of these modifiable entities into the device design cycle could improve the device end product for better patient safety management.