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Exploring medical device design and use through layers of Distributed Cognition: How a glucometer is coupled with its context.

Furniss, D; Masci, P; Curzon, P; Mayer, A; Blandford, A; (2015) Exploring medical device design and use through layers of Distributed Cognition: How a glucometer is coupled with its context. Journal of Biomedical Informatics , 53 pp. 330-341. 10.1016/j.jbi.2014.12.006. Green open access

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Abstract

Medical devices are becoming more interconnected and complex, and are increasingly supported by fragmented organizational systems, e.g. through different processes, committees, supporting staff and training regimes. Distributed Cognition has been proposed as a framework for understanding the design and use of medical devices. However, it is not clear that it has the analytic apparatus to support the investigation of such complexities. This paper proposes a framework that introduces concentric layers to DiCoT, a method that facilitates the application of Distributed Cognition theory. We use this to explore how an inpatient blood glucose meter is coupled with its context. The analysis is based on an observational study of clinicians using a newly introduced glucometer on an oncology ward over approximately 150h (11days and 4 nights). Using the framework we describe the basic mechanics of the system, incremental design considerations, and larger design considerations. The DiCoT concentric layers (DiCoT-CL) framework shows promise for analyzing the design and use of medical devices, and how they are coupled with their context.

Type: Article
Title: Exploring medical device design and use through layers of Distributed Cognition: How a glucometer is coupled with its context.
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.jbi.2014.12.006
Publisher version: http://dx.doi.org/10.1016/j.jbi.2014.12.006
Language: English
Additional information: © Elsevier 2015. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/. Access may be initially be restricted by the publisher.
Keywords: Blood glucose meter, Distributed Cognition, Ethnography, Glucometer, Human–computer interaction, Socio-technical system
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Cancer Institute
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Computer Science
URI: https://discovery.ucl.ac.uk/id/eprint/1459374
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