The Impact of Head-Worn Displays on Strategic Alarm Management and Situation Awareness.

Abstract:

OBJECTIVE:To investigate whether head-worn displays (HWDs) help mobile participants make better alarm management decisions and achieve better situation awareness than alarms alone. BACKGROUND:Patient alarms occur frequently in hospitals but often do not require clinical intervention. Clinicians may become desensitized to alarms and fail to respond to clinically relevant alarms. HWDs could make patient information continuously accessible, support situation awareness, and help clinicians prioritize alarms. METHOD:Experiment 1 ( n = 76) tested whether nonclinicians monitoring simulated patients benefited from vital sign information continuously displayed on an HWD while they performed a secondary calculation task. Experiment 2 ( n = 13) tested, across three separate experimental sessions, how effectively nursing trainees monitored simulated patients' vital signs under three different display conditions while they assessed a simulated patient. RESULTS:In Experiment 1, participants who had access to continuous patient information on an HWD responded to clinically important alarms 25.9% faster and were 6.7 times less likely to miss alarms compared to participants who only heard alarms. In Experiment 2, participants using an HWD answered situation awareness questions 18.9% more accurately overall than when they used alarms only. However, the effect was significant in only two of the three experimental sessions. CONCLUSION:HWDs may help users maintain continuous awareness of multiple remote processes without affecting their performance on ongoing tasks. APPLICATION:The outcomes may apply to contexts where access to continuous streams of information from remote locations is useful, such as patient monitoring or clinical supervision.

journal_name

Hum Factors

journal_title

Human factors

authors

Pascale MT,Sanderson P,Liu D,Mohamed I,Brecknell B,Loeb RG

doi

10.1177/0018720818814969

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

537-563

issue

4

eissn

0018-7208

issn

1547-8181

journal_volume

61

pub_type

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