Interruptions, Memory and Situational Awareness

“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

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

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

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

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 […]