Interruptions, Memory and Situational Awareness

This entry is part 2 of 7 in the series Tracking Systems

“Unless it produces action, information is overhead.” –Thomas Petzinger First, a caveat: vendors of HISs (hospital information systems) and EDISs (emergency department information systems) insist that a tracking system is just one component of an integrated system. They point out that there are interactions between a tracking system and CPOE (computer-based practitioner order entry) systems, […]

Data Display

This entry is part 12 of 12 in the series Medical Computing

One feature of most tracking systems is data display for an individual patient in the Emergency Department. In most tracking systems, we can double-click on the patient’s name, and then we see a pop-up window, populated with things that the nurses have entered and that are found in the patient’s electronic medical record (EMR) entry: […]

Mental Models, Input Modes and Cognitive Friction

This entry is part 10 of 12 in the series Medical Computing

If the point of contact between the product and the people becomes a point of friction, then the Industrial Designer has failed. –Henry Dreyfuss, Designing for People, 1955 Mental Models In the first edition of About Face, one of the first design/usability texts (and a great read, much more personal, personable and readable than subsequent, […]

Icons, Pedagogic Vectors, Forms Design and Posture

This entry is part 9 of 12 in the series Medical Computing

Icons and Pedagogic Vectors We all have trouble remembering a program’s graphical icons. The International Standards Organisation (ISO) has a standard for icons – an icon must be interpreted correctly by 2/3 of  test subjects. In usability and error-prevention terms, a 1/3 error rate is poor, but reality is even worse – an experimental study […]

Performance, Data Pixels, Location, and Preattentive Attributes

This entry is part 8 of 12 in the series Medical Computing

A good principle for medical software is to design for the ED as a worst-case scenario. If it works there, it will work anywhere.No clinicians are as time-pressured as those in a busy Emergency Department. There, distractions – even seemingly minor ones like presenting a complete CBC instead of an abstract – slow the clinician […]