Informing Digital Cognitive Aids Design for Emergency Medical Work by Understanding Paper Checklist Use
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We examine the use of a paper-based checklist during 48 simulated trauma resuscitations to inform the design of digital cognitive aids for safety-critical medical teamwork. Our analysis focused on team communication and interaction behaviors as physician leaders led resuscitations and administered the checklist. We found that the checklist increased the amount of communication between the leader and the team, but did not compromise the leader's interactions with the environment. In addition, we observed several changes in team dynamics: the checklist facilitated collaborative decision making and process reflections, but it also made some team members reactive rather than proactive. As the push toward digitizing medical work continues, we expect that paper checklists will soon be replaced by their digital counterparts. Designing interactive cognitive aids for medical domains, however, poses many challenges. Our results offer directions for how these tools could be designed to support medical work in increasingly digital environments.
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Number of citations to item: 8
- Rui Zhang, Wen Duan, Christopher Flathmann, Nathan McNeese, Guo Freeman, Alyssa Williams (2023): Investigating AI Teammate Communication Strategies and Their Impact in Human-AI Teams for Effective Teamwork, In: Proceedings of the ACM on Human-Computer Interaction CSCW2(7), doi:10.1145/3610072
- Leah Kulp, Aleksandra Sarcevic, Megan Cheng, Yinan Zheng, Randall S. Burd (2019): Comparing the Effects of Paper and Digital Checklists on Team Performance in Time-Critical Work, In: Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems, doi:10.1145/3290605.3300777
- Angela Mastrianni, Aleksandra Sarcevic, Lauren Chung, Issa Zakeri, Emily Alberto, Zachary Milestone, Ivan Marsic, Randall S Burd (2021): Designing Interactive Alerts to Improve Recognition of Critical Events in Medical Emergencies, In: Designing Interactive Systems Conference 2021, doi:10.1145/3461778.3462051
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- Angela Mastrianni, Aleksandra Sarcevic, Hua Cui, Megan A. Krentsa, Travis M Sullivan, Issa Zakeri, Ivan Marsic, Randall S. Burd (2023): Supporting Awareness of Dynamic Data: Approaches to Designing and Capturing Data within Interactive Clinical Checklists, In: Proceedings of the 2023 ACM Designing Interactive Systems Conference, doi:10.1145/3563657.3595979
- Alyssa Klein, Leah Kulp, Aleksandra Sarcevic (2018): Designing and Optimizing Digital Applications for Medical Emergencies, In: Extended Abstracts of the 2018 CHI Conference on Human Factors in Computing Systems, doi:10.1145/3170427.3188678
- Federico Cabitza, Gunnar Ellingsen, Angela Locoro, Carla Simone (2018): Repetita Iuvant: Exploring and Supporting Redundancy in Hospital Practices, In: Computer Supported Cooperative Work (CSCW) 1-2(28), doi:10.1007/s10606-017-9303-z
- Esmaeil Malekifar, Robabe khalili, Malihe Sadat Moayed, Seyed Tayeb Moradian, Hosein Mahmoudi (2022): Auditing the status of prioritization of nursing actions in the trauma emergency department, In: International Emergency Nursing, doi:10.1016/j.ienj.2022.101215