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The effects of new technology on human performance in domains such as anesthesiology, commercial aviation, and nuclear power operations remain controversial. To study the impact of new technology on skilled practitioner performance, we observed the introduction of a new, highly integrated, microprocessor-based physiological monitoring system for use in(More)
Studies of patient safety have identified gaps in current work including the need for research about communication and information sharing among health care providers. They have also encouraged the use of decision support tools to improve human performance. Distributed cog-nition is the shared awareness of goals, plans, and details that no single individual(More)
The patient safety movement, from the beginning, has been stimulated by ideas from the fields of human factors and high reliability organizations [1,2] and health care leaders consistently refer to the potential value of these human factors results as a guide for methods, investment, and change [3,4]. Jump starting improvements in patient safety by simply(More)
We agree with the point that Dr. Koppel and co-authors make in their JAMA paper ''The Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors.'' There really is a problem with healthcare IT and the problem is not an artifact of the particular system that the paperÕs research covered. It is intriguing that this is considered(More)
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(More)