CommunicatioCommunications in the EDns in the ED

CommunicatioCommunications in the EDns in the ED

Keith Conover, M.D., FACEP

Crew resource management or Cockpit resource management (CRM) is a procedure and training system in systems where human error can have devastating effects. Used primarily for improving air safety, CRM focuses on interpersonal communication, leadership, and decision making in the cockpit.” −Wikipedia

Crew resource management or Cockpit resource management (CRM) is a procedure and training system in systems where human error can have devastating effects. Used primarily for improving air safety, CRM focuses on interpersonal communication, leadership, and decision making in the cockpit.” −Wikipedia

SBARSBARSBARSBAR

• Michael Leonard, MD, at Kaiser Permanente of Colorado

•Situation

•Background

•Assessment

•Recommendation

• Michael Leonard, MD, at Kaiser Permanente of Colorado

•Situation

•Background

•Assessment

•Recommendation

• … This joint paper … offers a number of suggestions to improve two-way communication between primary and secondary care practitioners, for the benefit of patients.

• −BMA, 2007: Improving communication, the exchange of information and patient care: Suggested guidelines for secondary care doctors and GPs

• … This joint paper … offers a number of suggestions to improve two-way communication between primary and secondary care practitioners, for the benefit of patients.

• −BMA, 2007: Improving communication, the exchange of information and patient care: Suggested guidelines for secondary care doctors and GPs

Computers

Humans

Computers

Humans

Mullet K, Sano D. Designing Visual Mullet K, Sano D. Designing Visual Interfaces: Communication Oriented Interfaces: Communication Oriented

Techniques..Techniques..

Mullet K, Sano D. Designing Visual Mullet K, Sano D. Designing Visual Interfaces: Communication Oriented Interfaces: Communication Oriented

Techniques..Techniques..

Like the presence of taped-on instructions in the physical workplace, the presence of help text in the interface is itself a reliable indicator of flaws in the underlying design.

Like the presence of taped-on instructions in the physical workplace, the presence of help text in the interface is itself a reliable indicator of flaws in the underlying design.

Foveal Vision

Foveal Vision

Learnability/ Learnability/ MemorabilityMemorabilityLearnability/ Learnability/ MemorabilityMemorability

• ““Park and Ride” signs” signs– Good Good LearnabilityLearnability– Excellent Excellent MemorabilityMemorability

• ““Kiss and Ride” signs” signs– Poor Poor LearnabilityLearnability, but, but– Excellent Excellent MemorabilityMemorability

• ““Park and Ride” signs” signs– Good Good LearnabilityLearnability– Excellent Excellent MemorabilityMemorability

• ““Kiss and Ride” signs” signs– Poor Poor LearnabilityLearnability, but, but– Excellent Excellent MemorabilityMemorability

Learnability/ Learnability/ MemorabilityMemorabilityLearnability/ Learnability/ MemorabilityMemorability• Learnability:Learnability:

– ISO requires: icons interpreted correctly by 2/3 of ISO requires: icons interpreted correctly by 2/3 of subjectssubjects

– Reality: 6/12 by knowledgeable users; 1/12 by new usersReality: 6/12 by knowledgeable users; 1/12 by new users

• Learnability:Learnability:– ISO requires: icons interpreted correctly by 2/3 of ISO requires: icons interpreted correctly by 2/3 of

subjectssubjects– Reality: 6/12 by knowledgeable users; 1/12 by new usersReality: 6/12 by knowledgeable users; 1/12 by new users

GoalsGoalsGoalsGoals• Usability:

– poor usability kills, and poor usability kills, and how it killshow it kills

– where usability fits into where usability fits into system acceptability, and system acceptability, and the components of the components of usabilityusability

– Tognazinni’s Paradox and Tognazinni’s Paradox and why you should care about why you should care about itit

– form design: columnized form design: columnized and right-justifiedand right-justified

– typography for usabilitytypography for usability– why usability is like why usability is like

sandingsanding– cognitive friction, dancing cognitive friction, dancing

bearware, and wet-dog bearware, and wet-dog cellphonescellphones

• Usability:– poor usability kills, and poor usability kills, and

how it killshow it kills– where usability fits into where usability fits into

system acceptability, and system acceptability, and the components of the components of usabilityusability

– Tognazinni’s Paradox and Tognazinni’s Paradox and why you should care about why you should care about itit

– form design: columnized form design: columnized and right-justifiedand right-justified

– typography for usabilitytypography for usability– why usability is like why usability is like

sandingsanding– cognitive friction, dancing cognitive friction, dancing

bearware, and wet-dog bearware, and wet-dog cellphonescellphones

• Design:– natural mappingnatural mapping– data to non-data pixel data to non-data pixel

ratioratio– personaspersonas– abstraction and abstraction and

simplicitysimplicity– user mental modelsuser mental models– response timeresponse time– the art and science of the art and science of

colorcolor– foveal vision and foveal vision and

scanning a screenscanning a screen– preattentive attributespreattentive attributes– learnability and learnability and

memorabilitymemorability

• Design:– natural mappingnatural mapping– data to non-data pixel data to non-data pixel

ratioratio– personaspersonas– abstraction and abstraction and

simplicitysimplicity– user mental modelsuser mental models– response timeresponse time– the art and science of the art and science of

colorcolor– foveal vision and foveal vision and

scanning a screenscanning a screen– preattentive attributespreattentive attributes– learnability and learnability and

memorabilitymemorability

Anti-cryptogra

phy

Anti-cryptogra

phy

Flash SWF files don’t embed well in Powerpoint

Flash SWF files don’t embed well in Powerpoint

The EndThe End