Understanding infusion administration in the ICU through Distributed Cognition.

Abstract:

:To understand how healthcare technologies are used in practice and evaluate them, researchers have argued for adopting the theoretical framework of Distributed Cognition (DC). This paper describes the methods and results of a study in which a DC methodology, Distributed Cognition for Teamwork (DiCoT), was applied to study the use of infusion pumps by nurses in an Intensive Care Unit (ICU). Data was gathered through ethnographic observations and interviews. Data analysis consisted of constructing the representational models of DiCoT, focusing on information flows, physical layouts, social structures and artefacts. The findings show that there is significant distribution of cognition in the ICU: socially, among nurses; physically, through the material environment; and through technological artefacts. The DiCoT methodology facilitated the identification of potential improvements that could increase the safety and efficiency of nurses' interactions with infusion technology.

journal_name

J Biomed Inform

authors

Rajkomar A,Blandford A

doi

10.1016/j.jbi.2012.02.003

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

580-90

issue

3

eissn

1532-0464

issn

1532-0480

pii

S1532-0464(12)00024-X

journal_volume

45

pub_type

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