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Informing Digital Cognitive Aids Design for Emergency Medical Work by Understanding Paper Checklist Use

Published: 09 November 2014 Publication History

Abstract

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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  • (2023)Investigating AI Teammate Communication Strategies and Their Impact in Human-AI Teams for Effective TeamworkProceedings of the ACM on Human-Computer Interaction10.1145/36100727:CSCW2(1-31)Online publication date: 4-Oct-2023
  • (2023)Supporting Awareness of Dynamic Data: Approaches to Designing and Capturing Data within Interactive Clinical ChecklistsProceedings of the 2023 ACM Designing Interactive Systems Conference10.1145/3563657.3595979(1293-1308)Online publication date: 10-Jul-2023
  • (2022)Auditing the status of prioritization of nursing actions in the trauma emergency departmentInternational Emergency Nursing10.1016/j.ienj.2022.10121564(101215)Online publication date: Sep-2022
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    cover image ACM Conferences
    GROUP '14: Proceedings of the 2014 ACM International Conference on Supporting Group Work
    November 2014
    340 pages
    ISBN:9781450330435
    DOI:10.1145/2660398
    Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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    Published: 09 November 2014

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    Author Tags

    1. communication
    2. digital cognitive aids
    3. emergency medicine.
    4. leadership
    5. medical checklist
    6. team dynamics

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    GROUP '14
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    GROUP '14: 2014 ACM Conference on Supporting Groupwork
    November 9 - 12, 2014
    Florida, Sanibel Island, USA

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    GROUP '14 Paper Acceptance Rate 27 of 90 submissions, 30%;
    Overall Acceptance Rate 125 of 405 submissions, 31%

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    Cited By

    View all
    • (2023)Investigating AI Teammate Communication Strategies and Their Impact in Human-AI Teams for Effective TeamworkProceedings of the ACM on Human-Computer Interaction10.1145/36100727:CSCW2(1-31)Online publication date: 4-Oct-2023
    • (2023)Supporting Awareness of Dynamic Data: Approaches to Designing and Capturing Data within Interactive Clinical ChecklistsProceedings of the 2023 ACM Designing Interactive Systems Conference10.1145/3563657.3595979(1293-1308)Online publication date: 10-Jul-2023
    • (2022)Auditing the status of prioritization of nursing actions in the trauma emergency departmentInternational Emergency Nursing10.1016/j.ienj.2022.10121564(101215)Online publication date: Sep-2022
    • (2021)Designing Interactive Alerts to Improve Recognition of Critical Events in Medical EmergenciesProceedings of the 2021 ACM Designing Interactive Systems Conference10.1145/3461778.3462051(864-878)Online publication date: 28-Jun-2021
    • (2019)Cognitive Aids in Acute CareProceedings of the 2019 CHI Conference on Human Factors in Computing Systems10.1145/3290605.3300884(1-14)Online publication date: 2-May-2019
    • (2019)Comparing the Effects of Paper and Digital Checklists on Team Performance in Time-Critical WorkProceedings of the 2019 CHI Conference on Human Factors in Computing Systems10.1145/3290605.3300777(1-13)Online publication date: 2-May-2019
    • (2018)Designing and Optimizing Digital Applications for Medical EmergenciesExtended Abstracts of the 2018 CHI Conference on Human Factors in Computing Systems10.1145/3170427.3188678(1-6)Online publication date: 20-Apr-2018
    • (2018)Repetita IuvantComputer Supported Cooperative Work10.1007/s10606-017-9303-z27:3-6(1051-1084)Online publication date: 1-Dec-2018

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