Discovering Healthcare Cognition: The Use of Cognitive Artifacts to Reveal Cognitive Work

Organization Studies - Tập 27 Số 7 - Trang 1011-1035 - 2006
Christopher Nemeth1, Michael OʼConnor1, P. Allan Klock1, Richard I. Cook1
1The University of Chicago USA

Tóm tắt

Healthcare systems, especially hospital operating room suites, have properties that make them ideal for the study of the cognitive work using the naturalistic decision-making (NDM) approach. This variable, complex, high-tempo setting provides a unique opportunity to examine the ways that clinicians plan, monitor, and cope with the irreducible uncertainty that underlies this work domain. As frontline managers, anesthesia coordinators plan and manage anesthesia assignments for surgical procedures. As frontline managers, coordinators develop and use cognitive artifacts to distribute cognition across time and among members of the acute care staff. Examination of these cognitive artifacts and their use reveals the hidden subtleties of the coordinators’ work. The use of NDM methods including cognitive artifact analysis to understand cognitive work generates insights that extend beyond the operator level to the study of team-level cognition. Results can be used to create computer-based artifacts that aid individual and team cognition.

Từ khóa


Tài liệu tham khảo

Bardram, Jakob, Proceedings of ACM GROUP 97: International Conference on Supporting Group Work, 251

10.1023/A:1008748724225

Berg, Marc, 1997, Rationalizing medical work

Carroll, John, 2001, Linking expertise and naturalistic decision making, 349

Cook, Richard, Proceedings of the Fourth Conference on Naturalistic Decision Making

10.1136/qshc.2003.009530

10.1518/001872096778827224

Cook, Richard, 1998, A tale of two stories: Contrasting views of patient safety

DeKeyser, Veronique, 2001, Linking expertise and naturalistic decision-making, 171

Dexter, Franklin, 2000, Anesthesiology, 91, 1491, 10.1097/00000542-199911000-00043

Gibson, James, 1977, Perceiving, acting and knowing: Toward an ecological psychology

10.1017/CBO9780511489839

Hollnagel, Erik, The NATO Conference on Human Error

10.1006/imms.1993.1051

10.1201/9781420038194

Hutchins, Edwin, 1995, Cognition in the wild, 10.7551/mitpress/1881.001.0001

Hutchins, Edwin 2002 Cognitive artifacts. Retrieved on 7 July 2002 from the MIT COGNET website http://cognet.mit.edu/MITECS/Entry/hutchins 126-127

Klein, Gary, 2000, Sources of power

Lipshitz, Raanan, 1997, Decision making under stress: Emerging themes and applications, 149

10.1017/CBO9780511628122

10.1001/archsurg.1981.01380200061013

Nemeth, Christopher 2003 The master schedule: How cognitive artifacts affect distributed cognition in acute care. Ann Arbor, MI: Dissertation Abstracts International 64/08, 3990, (UMI No. AAT 3101124). Available at the Cognitive Technologies Laboratory website http://www.ctlab.org

10.1201/9780203643662

Nemeth, Christopher, Proceedings of the National Conference of the Cognitive Science Society

10.1109/TSMCA.2004.836802

Orasanu, Judith, 1997, Naturalistic decision making, 343

Orasanu, Judith, 2001, Linking expertise and naturalistic decision making, 209

Patton, Michael, 2002, Qualitative research and evaluation methods, 3

Roth, Emilie, 1997, Decision making, 175

Schraagen, Jan Maarten, 1997, Decision making, 227

10.1017/CBO9780511527029

Van Daele, Agnes, 1991, Distributed decision making: Cognitive models for cooperative work, 261

Weick, Karl, 2001, Linking expertise and naturalistic decision making, 321

10.1201/9781410607775.ch3

10.1007/s101110200012

10.1016/S0020-7373(87)80095-0

10.1016/B978-0-444-70536-5.50006-3

Xiao, Yan, 1997, Naturalistic decision making, 197

Xiao, Yan, Proceedings of the Seventh European Conference on Computer-Supported Cooperative Work, 259

Xiao, Yan, Proceedings of IEEE International Conference on Systems, Man, and Cybernetics

Thông tin
Thông tin xuất bản

Organization Studies

Tập 27 Số 7

1011-1035

Thông tin tác giả