Distributed cognition in the heart room: How situation awareness arises from coordinated communications during cardiac surgery
Distributed cognition in the heart room: How situation awareness arises from coordinated communications during cardiac surgery
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DOI：
10.1016/j.jbi.2007.02.001
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发表时间：
2007-10-01
影响因子：
4.5
通讯作者：
Gorman, Paul N.
中科院分区：
文献类型：
--
作者：
Hazlehurst, Brian;McMullen, Carmit K.;Gorman, Paul N.
为了帮助确保心脏直视手术的成功结果，外科医生和灌注师必须在心脏麻痹治疗期间协调他们的活动。本研究旨在了解这种协调的基础。我们采用分布式认知框架和认知民族志方法来描述如何配置和利用认知资源来完成成功的心脏麻痹管理。分析确定了六种类型的外科医生灌注师言语交流，这些交流通过以下方式共同实现强大的系统性能：（a）使当前情况清晰且相互理解； (b) 明确并预期目标和设想的未来情况； (c) 通过发现和分享经验来扩展活动系统的知识库。我们主张将“活动系统”作为适当的分析单位，并将分布式认知作为研究医疗保健社会技术工作的强大理论框架。 (c) 2007 Elsevier Inc. 保留所有权利。
To help ensure successful outcomes of open-heart surgery, surgeon and perfusionist must coordinate their activities during management of cardioplegia. This research aims to understand the basis for this coordination. We employed the framework of distributed cognition and the methodology of cognitive ethnography to describe how cognitive resources are configured and utilized to accomplish successful cardioplegia management. Analysis identified six types of surgeon perfusionist verbal exchange which collectively enable robust system performance through (a) making the current situation clear and mutually understood; (b) making goals and envisioned future situations clear and thereby anticipated; and (c) expanding upon the activity system's knowledge base through discovery and sharing of experience. We argue for the "activity system" as the appropriate unit of analysis, and distributed cognition as a powerful theoretical framework for studying the socio-technical work of health care. (c) 2007 Elsevier Inc. All rights reserved.