TY - JOUR
T1 - Getting the right tools for the job
T2 - Distributed planning in cardiac surgery
AU - Hazlehurst, Brian
AU - McMullen, Carmit
AU - Gorman, Paul
N1 - Funding Information:
Manuscript received March 31, 2004; revised June 28, 2004 and July 26, 2004. This work was supported by the Agency for Healthcare Research and Quality under Grant R01 HS12003. This paper was recommended by the guest editors of this special issue.
PY - 2004/11
Y1 - 2004/11
N2 - Successful cardiac surgery requires having the right tools for the job, in the right place, at the right time, even in the face of unforeseen circumstances. We describe how cognitive and material resources in the activity system of the operating room enable well-defined courses of action (through preparatory configuration) while dynamically accommodating unlikely events (through replanning). Using ethnographic data from observations and video recordings in the operating room, we describe the nature of distributed planning in a bounded activity system with defined cognitive and physical resources. We describe the role of preparatory configuration for accomplishing expected courses of action, and the role of active replanning to achieve goals in the face of unexpected circumstances or events, using a specific case study to illustrate these phenomena. We discuss these findings, and their relevance for reconsidering the concept of error, from a systems perspective.
AB - Successful cardiac surgery requires having the right tools for the job, in the right place, at the right time, even in the face of unforeseen circumstances. We describe how cognitive and material resources in the activity system of the operating room enable well-defined courses of action (through preparatory configuration) while dynamically accommodating unlikely events (through replanning). Using ethnographic data from observations and video recordings in the operating room, we describe the nature of distributed planning in a bounded activity system with defined cognitive and physical resources. We describe the role of preparatory configuration for accomplishing expected courses of action, and the role of active replanning to achieve goals in the face of unexpected circumstances or events, using a specific case study to illustrate these phenomena. We discuss these findings, and their relevance for reconsidering the concept of error, from a systems perspective.
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U2 - 10.1109/TSMCA.2004.836783
DO - 10.1109/TSMCA.2004.836783
M3 - Article
AN - SCOPUS:7444253543
VL - 34
SP - 708
EP - 717
JO - IEEE Transactions on Systems, Man, and Cybernetics Part A:Systems and Humans
JF - IEEE Transactions on Systems, Man, and Cybernetics Part A:Systems and Humans
SN - 1083-4427
IS - 6
ER -