Discovering Healthcare Cognition: The Use of Cognitive Artifacts to Reveal Cognitive Work
研究医院手术室中麻醉协调员如何通过认知工具来规划、监控和应对不确定性，揭示个体和团队层面的认知工作，为设计辅助认知的计算机工具提供依据。
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.