Abstract
Successful cardiac surgery requires having the right tools for the job in the right place and at the right time, even in the face of unforeseen circumstances. We describe how cognitive and material resources in the activity system of the OR 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 to patient safety.
| Original language | English (US) |
|---|---|
| Title of host publication | Proceedings of the IEEE International Conference on Systems, Man and Cybernetics |
| Pages | 1784-1791 |
| Number of pages | 8 |
| Volume | 2 |
| State | Published - 2003 |
| Event | System Security and Assurance - Washington, DC, United States Duration: Oct 5 2003 → Oct 8 2003 |
Other
| Other | System Security and Assurance |
|---|---|
| Country | United States |
| City | Washington, DC |
| Period | 10/5/03 → 10/8/03 |
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Keywords
- Communication
- Distributed cognition
- Healthcare
- Patient safety
- Surgery
- Teamwork
ASJC Scopus subject areas
- Hardware and Architecture
- Control and Systems Engineering
Cite this
Getting the right tools for the job : Preparatory system configuration and active replanning in cardiac surgery. / Hazlehurst, Brian; McMullen, Carmit; Gorman, Paul.
Proceedings of the IEEE International Conference on Systems, Man and Cybernetics. Vol. 2 2003. p. 1784-1791.Research output: Chapter in Book/Report/Conference proceeding › Conference contribution
}
TY - GEN
T1 - Getting the right tools for the job
T2 - Preparatory system configuration and active replanning in cardiac surgery
AU - Hazlehurst, Brian
AU - McMullen, Carmit
AU - Gorman, Paul
PY - 2003
Y1 - 2003
N2 - Successful cardiac surgery requires having the right tools for the job in the right place and at the right time, even in the face of unforeseen circumstances. We describe how cognitive and material resources in the activity system of the OR 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 to patient safety.
AB - Successful cardiac surgery requires having the right tools for the job in the right place and at the right time, even in the face of unforeseen circumstances. We describe how cognitive and material resources in the activity system of the OR 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 to patient safety.
KW - Communication
KW - Distributed cognition
KW - Healthcare
KW - Patient safety
KW - Surgery
KW - Teamwork
UR - http://www.scopus.com/inward/record.url?scp=0242576253&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0242576253&partnerID=8YFLogxK
M3 - Conference contribution
AN - SCOPUS:0242576253
VL - 2
SP - 1784
EP - 1791
BT - Proceedings of the IEEE International Conference on Systems, Man and Cybernetics
ER -