RapidRead: Step-At-A-Glance Crisis Checklists

Cirimele, Jesse; Wu, Leslie; Leach, Kristen; Card, Stuart K.; Harrison, T. Kyle; Chu, Larry F.; Klemmer, Scott R.

doi:10.4108/icst.pervasivehealth.2014.254954

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…The literature has also explored the use of collaborative technology in crisis management [27,6]. This work showed that using a step-wise approach to tasks significantly reduced errors in individual assessments with clinicians, and that layout can have a significant effect with cognitively processing cognitive aids.…”

Section: Situational Awareness and Fixationmentioning

confidence: 99%

Visual TASK: A Collaborative Cognitive Aid for Acute Care Resuscitation

Gonzales¹,

Henry²,

Calhoun³

et al. 2016

Proceedings of the 10th EAI International Conference on Pervasive Computing Technologies for Healthcare

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Preventable medical errors are a severe problem in healthcare, causing over 400,000 deaths per year in the US in hospitals alone. In acute care, the branch of medicine encompassing the emergency department (ED) and intensive care units (ICU), error rates may be higher to due low situational awareness among clinicians performing resuscitation on patients. To support cognition, novice team leaders may rely on reference guides to direct and anticipate future steps. However, guides often act as a fixation point, diverting the leader's attention away from the team. To address this issue, we conducted a qualitative study that evaluates a collaborative cognitive aid co-designed with clinicians called Visual TASK. Our study explored the use of Visual TASK in three simulations employing a projected shared display with two different interaction modalities: the Microsoft Kinect and a touchscreen. Our results suggest that tools like the Kinect, while useful in other areas of acute care like the OR, are unsuitable for use in high-stress situations like resuscitation. We also observed that fixation may not be constrained to reference guides alone, and may extend to other objects in the room. We present our findings, and a discussion regarding future avenues in which collaborative cognitive aids may help in improving situational awareness in resuscitation.

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Section: Situational Awareness and Fixationmentioning

confidence: 99%

Visual TASK: A Collaborative Cognitive Aid for Acute Care Resuscitation

Gonzales¹,

Henry²,

Calhoun³

et al. 2016

Proceedings of the 10th EAI International Conference on Pervasive Computing Technologies for Healthcare

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“…The fields of human factors and human-computer interaction have employed various means to augment clinical settings for teams [11], [23], [24], [25], [26], [27]. France et al [28] found electronic whiteboard use reduces physician workload in an ED, resulting in fewer workflow interruptions.…”

Section: B Technology Interventions For Improved Samentioning

confidence: 99%

Designing Collaborative Healthcare Technology for the Acute Care Workflow

Gonzales¹,

Cheung²,

Riek³

2015

Proceedings of the 9th International Conference on Pervasive Computing Technologies for Healthcare

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Abstract-Preventable medical errors in hospitals are the third leading cause of death in the United States. Many of these are caused by poor situational awareness, especially in acute care resuscitation scenarios. While a number of checklists and technological interventions have been developed to reduce cognitive load and improve situational awareness, these tools often do not fit the clinical workflow. To better understand the challenges faced by clinicians in acute care codes, we conducted a qualitative study with interprofessional clinicians at three regional hospitals. Our key findings are: Current documentation processes are inadequate (with information recorded on paper towels); reference guides can serve as fixation points, reducing rather than enhancing situational awareness; the physical environment imposes significant constraints on workflow; homegrown solutions may be used often to solve unstandardized processes; simulation scenarios do not match real-world practice. We present a number of considerations for collaborative healthcare technology design and discuss the implications of our findings on current work for the development of more effective interventions for acute care resuscitation scenarios.

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