Lost in menuspace: user interactions with complex medical devices
The advent of fast-acting drugs has made the infusion pump the most pervasive electronic medical device in the acute care (hospital) environment. Despite the importance of its correct operation, incident reports in the US Food and Drug Administration (FDA) database implicate interface programming as...
Gespeichert in:
| Veröffentlicht in: | IEEE transactions on systems, man and cybernetics. Part A, Systems and humans man and cybernetics. Part A, Systems and humans, 2004-11, Vol.34 (6), p.736-742 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext bestellen |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 742 |
|---|---|
| container_issue | 6 |
| container_start_page | 736 |
| container_title | IEEE transactions on systems, man and cybernetics. Part A, Systems and humans |
| container_volume | 34 |
| creator | Nunnally, M. Nemeth, C.P. Brunetti, V. Cook, R.I. |
| description | The advent of fast-acting drugs has made the infusion pump the most pervasive electronic medical device in the acute care (hospital) environment. Despite the importance of its correct operation, incident reports in the US Food and Drug Administration (FDA) database implicate interface programming as a significant aspect of adverse outcomes. This article describes a study of infusion pump-programming performance by experienced healthcare professionals in a major urban teaching hospital. Early findings indicate that practitioner experience with device programming does not increase proficiency. This suggests that a complex menu structure ("menuspace") makes programming difficult and inefficient in ways that impede practitioner development of mental models that are sufficient for reliable device operation. This causes operators to become disoriented in the interface structure, or "lost in menuspace." We relate these findings to the current study of the USFDA adverse events reports and indicate directions for further research. |
| doi_str_mv | 10.1109/TSMCA.2004.836780 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_RIE</sourceid><recordid>TN_cdi_proquest_miscellaneous_28368547</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ieee_id>1344122</ieee_id><sourcerecordid>28368547</sourcerecordid><originalsourceid>FETCH-LOGICAL-c352t-dd3d97c51dc046af49c068cef46bde86aaaffcc5bb1c4f42246a2363169a6f2f3</originalsourceid><addsrcrecordid>eNqN0EtLxDAQB_AgCq6rH0C8FA_euuYxTVNvy-ILVjy4nkM2nWCXPtak9fHtzVpB8ORphuE3A_Mn5JTRGWO0uFw9PSzmM04pzJSQuaJ7ZMKyTKUcuNyPPVUiBeD5ITkKYUMpAyhgQubLLvRJ1SYNtkPYGotXyRDQx1GP3ti-6tqQvFf9S2K7ZlvjR5RlZU2dlPhWWQzH5MCZOuDJT52S55vr1eIuXT7e3i_my9SKjPdpWYqyyG3GSktBGgeFpVJZdCDXJSppjHHO2my9ZhYccB4RF1IwWRjpuBNTcjHe3frudcDQ66YKFuvatNgNQXNVcJrn8h9QSJVBHuH5H7jpBt_GJ7RSQLMcFI2Ijcj6LgSPTm991Rj_qRnVu-j1d_R6F70eo487Z-NOhYi_XgAwzsUXhIN_6w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>884057480</pqid></control><display><type>article</type><title>Lost in menuspace: user interactions with complex medical devices</title><source>IEEE Electronic Library (IEL)</source><creator>Nunnally, M. ; Nemeth, C.P. ; Brunetti, V. ; Cook, R.I.</creator><creatorcontrib>Nunnally, M. ; Nemeth, C.P. ; Brunetti, V. ; Cook, R.I.</creatorcontrib><description>The advent of fast-acting drugs has made the infusion pump the most pervasive electronic medical device in the acute care (hospital) environment. Despite the importance of its correct operation, incident reports in the US Food and Drug Administration (FDA) database implicate interface programming as a significant aspect of adverse outcomes. This article describes a study of infusion pump-programming performance by experienced healthcare professionals in a major urban teaching hospital. Early findings indicate that practitioner experience with device programming does not increase proficiency. This suggests that a complex menu structure ("menuspace") makes programming difficult and inefficient in ways that impede practitioner development of mental models that are sufficient for reliable device operation. This causes operators to become disoriented in the interface structure, or "lost in menuspace." We relate these findings to the current study of the USFDA adverse events reports and indicate directions for further research.</description><identifier>ISSN: 1083-4427</identifier><identifier>ISSN: 2168-2216</identifier><identifier>EISSN: 1558-2426</identifier><identifier>EISSN: 2168-2232</identifier><identifier>DOI: 10.1109/TSMCA.2004.836780</identifier><identifier>CODEN: ITSHFX</identifier><language>eng</language><publisher>New York: IEEE</publisher><subject>Drugs ; Fluid flow ; Fluid flow control ; Hospitals ; Medical services ; Microprocessors ; Programming profession ; Pumps ; Resistors ; Safety devices</subject><ispartof>IEEE transactions on systems, man and cybernetics. Part A, Systems and humans, 2004-11, Vol.34 (6), p.736-742</ispartof><rights>Copyright The Institute of Electrical and Electronics Engineers, Inc. (IEEE) 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-dd3d97c51dc046af49c068cef46bde86aaaffcc5bb1c4f42246a2363169a6f2f3</citedby><cites>FETCH-LOGICAL-c352t-dd3d97c51dc046af49c068cef46bde86aaaffcc5bb1c4f42246a2363169a6f2f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://ieeexplore.ieee.org/document/1344122$$EHTML$$P50$$Gieee$$H</linktohtml><link.rule.ids>314,776,780,792,27901,27902,54733</link.rule.ids><linktorsrc>$$Uhttps://ieeexplore.ieee.org/document/1344122$$EView_record_in_IEEE$$FView_record_in_$$GIEEE</linktorsrc></links><search><creatorcontrib>Nunnally, M.</creatorcontrib><creatorcontrib>Nemeth, C.P.</creatorcontrib><creatorcontrib>Brunetti, V.</creatorcontrib><creatorcontrib>Cook, R.I.</creatorcontrib><title>Lost in menuspace: user interactions with complex medical devices</title><title>IEEE transactions on systems, man and cybernetics. Part A, Systems and humans</title><addtitle>TSMCA</addtitle><description>The advent of fast-acting drugs has made the infusion pump the most pervasive electronic medical device in the acute care (hospital) environment. Despite the importance of its correct operation, incident reports in the US Food and Drug Administration (FDA) database implicate interface programming as a significant aspect of adverse outcomes. This article describes a study of infusion pump-programming performance by experienced healthcare professionals in a major urban teaching hospital. Early findings indicate that practitioner experience with device programming does not increase proficiency. This suggests that a complex menu structure ("menuspace") makes programming difficult and inefficient in ways that impede practitioner development of mental models that are sufficient for reliable device operation. This causes operators to become disoriented in the interface structure, or "lost in menuspace." We relate these findings to the current study of the USFDA adverse events reports and indicate directions for further research.</description><subject>Drugs</subject><subject>Fluid flow</subject><subject>Fluid flow control</subject><subject>Hospitals</subject><subject>Medical services</subject><subject>Microprocessors</subject><subject>Programming profession</subject><subject>Pumps</subject><subject>Resistors</subject><subject>Safety devices</subject><issn>1083-4427</issn><issn>2168-2216</issn><issn>1558-2426</issn><issn>2168-2232</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>RIE</sourceid><recordid>eNqN0EtLxDAQB_AgCq6rH0C8FA_euuYxTVNvy-ILVjy4nkM2nWCXPtak9fHtzVpB8ORphuE3A_Mn5JTRGWO0uFw9PSzmM04pzJSQuaJ7ZMKyTKUcuNyPPVUiBeD5ITkKYUMpAyhgQubLLvRJ1SYNtkPYGotXyRDQx1GP3ti-6tqQvFf9S2K7ZlvjR5RlZU2dlPhWWQzH5MCZOuDJT52S55vr1eIuXT7e3i_my9SKjPdpWYqyyG3GSktBGgeFpVJZdCDXJSppjHHO2my9ZhYccB4RF1IwWRjpuBNTcjHe3frudcDQ66YKFuvatNgNQXNVcJrn8h9QSJVBHuH5H7jpBt_GJ7RSQLMcFI2Ijcj6LgSPTm991Rj_qRnVu-j1d_R6F70eo487Z-NOhYi_XgAwzsUXhIN_6w</recordid><startdate>200411</startdate><enddate>200411</enddate><creator>Nunnally, M.</creator><creator>Nemeth, C.P.</creator><creator>Brunetti, V.</creator><creator>Cook, R.I.</creator><general>IEEE</general><general>The Institute of Electrical and Electronics Engineers, Inc. (IEEE)</general><scope>RIA</scope><scope>RIE</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7SC</scope><scope>7SP</scope><scope>7TB</scope><scope>8FD</scope><scope>FR3</scope><scope>H8D</scope><scope>JQ2</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope></search><sort><creationdate>200411</creationdate><title>Lost in menuspace: user interactions with complex medical devices</title><author>Nunnally, M. ; Nemeth, C.P. ; Brunetti, V. ; Cook, R.I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-dd3d97c51dc046af49c068cef46bde86aaaffcc5bb1c4f42246a2363169a6f2f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Drugs</topic><topic>Fluid flow</topic><topic>Fluid flow control</topic><topic>Hospitals</topic><topic>Medical services</topic><topic>Microprocessors</topic><topic>Programming profession</topic><topic>Pumps</topic><topic>Resistors</topic><topic>Safety devices</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nunnally, M.</creatorcontrib><creatorcontrib>Nemeth, C.P.</creatorcontrib><creatorcontrib>Brunetti, V.</creatorcontrib><creatorcontrib>Cook, R.I.</creatorcontrib><collection>IEEE All-Society Periodicals Package (ASPP) 1998-Present</collection><collection>IEEE Electronic Library (IEL)</collection><collection>CrossRef</collection><collection>Computer and Information Systems Abstracts</collection><collection>Electronics & Communications Abstracts</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Aerospace Database</collection><collection>ProQuest Computer Science Collection</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><jtitle>IEEE transactions on systems, man and cybernetics. Part A, Systems and humans</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Nunnally, M.</au><au>Nemeth, C.P.</au><au>Brunetti, V.</au><au>Cook, R.I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lost in menuspace: user interactions with complex medical devices</atitle><jtitle>IEEE transactions on systems, man and cybernetics. Part A, Systems and humans</jtitle><stitle>TSMCA</stitle><date>2004-11</date><risdate>2004</risdate><volume>34</volume><issue>6</issue><spage>736</spage><epage>742</epage><pages>736-742</pages><issn>1083-4427</issn><issn>2168-2216</issn><eissn>1558-2426</eissn><eissn>2168-2232</eissn><coden>ITSHFX</coden><abstract>The advent of fast-acting drugs has made the infusion pump the most pervasive electronic medical device in the acute care (hospital) environment. Despite the importance of its correct operation, incident reports in the US Food and Drug Administration (FDA) database implicate interface programming as a significant aspect of adverse outcomes. This article describes a study of infusion pump-programming performance by experienced healthcare professionals in a major urban teaching hospital. Early findings indicate that practitioner experience with device programming does not increase proficiency. This suggests that a complex menu structure ("menuspace") makes programming difficult and inefficient in ways that impede practitioner development of mental models that are sufficient for reliable device operation. This causes operators to become disoriented in the interface structure, or "lost in menuspace." We relate these findings to the current study of the USFDA adverse events reports and indicate directions for further research.</abstract><cop>New York</cop><pub>IEEE</pub><doi>10.1109/TSMCA.2004.836780</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext_linktorsrc |
| identifier | ISSN: 1083-4427 |
| ispartof | IEEE transactions on systems, man and cybernetics. Part A, Systems and humans, 2004-11, Vol.34 (6), p.736-742 |
| issn | 1083-4427 2168-2216 1558-2426 2168-2232 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_28368547 |
| source | IEEE Electronic Library (IEL) |
| subjects | Drugs Fluid flow Fluid flow control Hospitals Medical services Microprocessors Programming profession Pumps Resistors Safety devices |
| title | Lost in menuspace: user interactions with complex medical devices |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-10T08%3A03%3A40IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_RIE&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Lost%20in%20menuspace:%20user%20interactions%20with%20complex%20medical%20devices&rft.jtitle=IEEE%20transactions%20on%20systems,%20man%20and%20cybernetics.%20Part%20A,%20Systems%20and%20humans&rft.au=Nunnally,%20M.&rft.date=2004-11&rft.volume=34&rft.issue=6&rft.spage=736&rft.epage=742&rft.pages=736-742&rft.issn=1083-4427&rft.eissn=1558-2426&rft.coden=ITSHFX&rft_id=info:doi/10.1109/TSMCA.2004.836780&rft_dat=%3Cproquest_RIE%3E28368547%3C/proquest_RIE%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=884057480&rft_id=info:pmid/&rft_ieee_id=1344122&rfr_iscdi=true |