The visible and the invisible: Distributed Cognition for medical devices.
In: Blandford, A and De Pietro, G and Gallo, L and Gimblett, A and Oladimeji, P and Thimbleby, H, (eds.)
EICS4Med 2011: Proceedings of the 1st International Workshop on Engineering Interactive Computing Systems for Medicine and Health Care: Pisa, Italy: June, 2011.
(pp. pp. 1-6).
Available under License : See the attached licence file.
Many interactive medical devices are less easy to use than they might be, and do not fit as well as they could in their contexts of use. Occasionally, the deficiencies lead to serious incidents; more often, they have a less visible effect on the resilience and efficiency of healthcare systems. These issues remain largely invisible as they are not reported and have rarely been studied. In this paper, we report on the use of DiCoT as an approach to representing and reasoning about medical work, and about the role of device design within that work. We focus in particular on the design and use of infusion devices. This work highlights the value of observational studies for engineering interactive medical devices, and illustrates the value of a systematic approach to gathering and analyzing qualitative data.
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