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Cognitive tools in medical teamwork: the spatial arrangement of patient records
Linköping University, Department of Computer and Information Science. Linköping University, The Institute of Technology.
Linköping University, Department of Computer and Information Science. Linköping University, The Institute of Technology.ORCID iD: 0000-0001-6049-5402
2003 (English)In: Methods of Information in Medicine, ISSN 0026-1270, Vol. 42, no 4, 331-336 p.Article in journal (Refereed) Published
Abstract [en]

Objectives: As a preliminary for the design of Computer- Based Patient Records, the aim of this paper is to build an understanding of the roles physical artifacts like paper-based patient records play in support-ing cognition and collaboration in the healthcare settings. Method: A small ethnographically-informed study was conducted in the emergency room at a 250-bed hospital in Sweden from the perspective of Distributed Cognition. Results: To track work-in-progress, clinicians placed patient records on a desk to form a shared public display that represented the current problem state for the health-care team. The results of the study suggest that the patient records and other physical artifacts are used by clinicians in different ways to form cognitive tools that offload memory tasks and support joint attention and collaboration. Conclusion: To design Computer-Based Patient Records that more appropriately support cognition and teamwork, it is important to investigate how clinicians make use of the paper-based patient records. Practitioners take advantage of existing tools frequently to deal with cognitively demanding tasks and collaboration issues.

Place, publisher, year, edition, pages
2003. Vol. 42, no 4, 331-336 p.
Keyword [en]
Distributed Cognition, Cognitive artifacts, information systems design, computer-based patient records, cooperative work
National Category
Computer Science
Identifiers
URN: urn:nbn:se:liu:diva-23119PubMedID: 14534630Local ID: 2516OAI: oai:DiVA.org:liu-23119DiVA: diva2:243433
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2013-09-05
In thesis
1. Computing at the speed of paper: ubiquitous computing environments for healthcare professionals
Open this publication in new window or tab >>Computing at the speed of paper: ubiquitous computing environments for healthcare professionals
2004 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Despite the introduction of computers in most work environments, the anticipated paperless workplace has not yet emerged. Research has documented that material objects are essential in the organization of thought and that they support everyday collaborative processes performed by staff members. However, modern desktop computing systems with abstract graphical user interfaces fail to support the tangible dimension. This work presents a novel approach to clinical computing that goes beyond the traditional user-interface paradigm and relieves clinicians of the burden of the mouse and keyboard.

The activities of people working in an emergency room were examined empirically to ascertain how clinicians use real paper objects. The results showed that the professionals arranged their workplaces and created material structures that increased cognitive and collaborative performance. Essential factors in these strategies were the availability of physical tools such as paper-based patient records and forms that could be spatially positioned to constitute reminders and direct the attention of the team, and to form shared displays of the work situation.

NOSTOS is an experimental ubiquitous computing environment for co-located healthcare teams. In this system, several interaction devices, including paper-based interfaces, digital pens, walk-up displays, and a digital desk, form a workspace that seamlessly blends virtual and physical objects. The objective of the design was to enhance familiar workplace tools to function as user interfaces to the computer in order to retain established cognitive and collaborative routines.

A study was also conducted to compare the tangible interaction model for clinical computing with a traditional computer-based patient record system with a graphical user interface. The analysis suggests that, in ordinary clinical environments, cognitive and collaborative strategies are better supported by the tangible augmented paper approach and a digital desk than the traditional desktop computing method with its graphical user interfaces. In conclusion, the present findings indicate that tangible paper-based user interfaces and basic augmented environments will prove to be successful in future clinical workplaces.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2004. 98 p.
Series
Linköping Studies in Science and Technology. Dissertations, ISSN 0345-7524 ; 883
National Category
Computer Science
Identifiers
urn:nbn:se:liu:diva-23116 (URN)2513 (Local ID)91-7373-971-5 (ISBN)2513 (Archive number)2513 (OAI)
Public defence
2004-06-03, Visionen, Hus B, Linköpings Universitet, Linköping, 13:15 (Swedish)
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2013-01-10

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Bång, MagnusTimpka, Toomas

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