Cognitive Informatics in Health and Biomedicine

1. Front Matter

   Pages i-xxi

   PDF

2. Complexity and Errors in Critical Care

   • Vimla L. Patel, David R. Kaufman, Trevor Cohen

   Pages 1-13

3. Cognition and Errors

   1. Front Matter

      Pages 15-15

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   2. A Framework for Understanding Error and Complexity in Critical Care

      • Trevor Cohen, Vimla L. Patel

      Pages 17-34

   3. Failed Detection of Egregious Errors in Clinical Case Scenarios

      • Vimla L. Patel, Trevor Cohen, Vafa Ghaemmaghami

      Pages 35-57

   4. Teamwork and Error Management in Critical Care

      • Vimla L. Patel, Trevor Cohen, Suchita Batwara, Khalid F. Almoosa

      Pages 59-90

   5. Error Recovery in the Wilderness of ICU

      • Vimla L. Patel, Alisabeth L. Shine, Khalid F. Almoosa

      Pages 91-111

   6. Training for Error Detection in Simulated Clinical Rounds

      • Elie Razzouk, Trevor Cohen, Khalid F. Almoosa, Bela Patel

      Pages 113-126

   7. Characterizing the Nature of Work and Forces for Decision Making in Emergency Care

      • Amy Franklin, David J. Robinson, Jiajie Zhang

      Pages 127-145

   8. Adaptive Behaviors in Complex Clinical Environments

      • Mithra Vankipuram, Vafa Ghaemmaghami, Vimla L. Patel

      Pages 147-182

   9. Standard Solutions for Complex Settings: The Idiosyncrasies of a Weaning Protocol Use in Practice

      • Sahiti Myneni, Trevor Cohen, Khalid F. Almoosa, Vimla L. Patel

      Pages 183-202

   10. Enhancing Medical Decision Making When Caring for the Critically Ill: The Role of Cognitive Heuristics and Biases

       • Velma L. Payne, Vimla L. Patel

       Pages 203-231

4. Communication

   1. Front Matter

      Pages 233-233

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   2. Communication and Complexity: Negotiating Transitions in Critical Care

      • David R. Kaufman, Joanna Abraham, Lena Mamykina

      Pages 235-242

   3. Falling Through the Cracks: Investigation of Care Continuity in Critical Care Handoffs

      • Joanna Abraham, Khalid F. Almoosa

      Pages 243-269

   4. Bridging Gaps in Handoff Communication: A Comparative Evaluation of Information Organization Tools

      • Joanna Abraham, Thomas G. Kannampallil, Bela Patel

      Pages 271-290

   5. Investigating Shared Mental Models in Critical Care

      • Lena Mamykina, R. Stanley Hum, David R. Kaufman

      Pages 291-315

   6. Clinical Artifacts as a Treasure Map to Navigate Handoff Complexity

      • Sarah A. Collins, Lena Mamykina, Desmond A. Jordan, David R. Kaufman

      Pages 317-339

5. Clinical Workflow

   1. Front Matter

      Pages 341-341

      PDF

   2. Re-thinking Complexity in the Critical Care Environment

      • Thomas G. Kannampallil, Trevor Cohen, David R. Kaufman, Vimla L. Patel

      Pages 343-355

Enormous advances in information technology have permeated essentially all facets of life in the past two decades. Formidable challenges remain in fostering tools that enhance productivity but are sensitive to work practices. Cognitive Informatics (CI) is the multidisciplinary study of cognition, information and computational sciences that investigates all facets of human computing including design and computer-mediated intelligent action, thus is strongly grounded in methods and theories from cognitive science. As an applied discipline, it has a close affiliation with human factors and human-computer interaction, and provides a framework for the analysis and modeling of complex human performance in technology-mediated settings and contributes to the design and development of better information systems. In recent years, CI has emerged as a distinct area with special relevance to biomedicine and health care. In addition, it has become a foundation for education and training of health informaticians, the Office of the National Coordinator for Health Information Technology initiating a program including CI as one of its critical elements to support health IT curriculum development. This book represents a first textbook on cognitive informatics and will focus on key examples drawn from the application of methods and theories from CI to challenges pertaining to the practice of critical-care medicine (CCM). Technology is transforming critical care workflows  and re-organizing patient care management processes. CCM has proven to be a fertile test bed for theories and methods of cognitive informatics. CI, in turn, has contributed much to our understanding of the factors that result in complexity and patient errors. The topic is strongly interdisciplinary and will be important for individuals from a range of academic and professional backgrounds, including critical care specialists, psychologists, computer scientists, medical informaticians, and anthropologists.​​

• Analysis of Error
• Biomedical Informatics
• Clinical Decision Making
• Communication in the ICU
• Decision Making in Trauma

From the book reviews:

“‘Cognitive Informatics in Health and Biomedicine: Case Studies on Critical Care, Complexity, and Errors’ qualifies as required reading for those interested in healthcare safety and quality, for those engaged in clinical care delivery in complex settings, for those interested in understanding cognitive aspects of clinical decision-making, for future researchers investigating clinical errors, and for informaticians planning interventions to reduce the effects of errors.” (Randolph A. Miller, Journal of Biomedical Informatics, Vol. 49, 2014)

• New York Academy of Medicine, New York, USA

  Vimla L. Patel

• Arizona State University, Scottsdale, USA

  David R. Kaufman

• University of Texas Health Science Center, Houston, USA

  Trevor Cohen

Dr Vimla Patel is a Senior Research Scientist and Director of the Center for Cognitive Studies in Medicine and Public Health at the New York Academy of Medicine. Dr. Patel is an accomplished researcher in the areas of biomedical informatics, cognitive psychology and their application in health and medical care settings, especially in the areas of translation of evidence into practice. A leader in adapting methods and theories from cognitive science and in innovating new approaches to translating knowledge into action, Dr. Patel’s research explores the role of cognition in designing a safer clinical workplace, the complexity of group decision making underlying critical-care decisions, the generation of medical errors, and the impact of technology on human cognition for competent performance.

Dr. David R. Kaufman is a visiting Scholar at the New York Academy of Medicine. Dr. Kaufman’s primary research interests include human computer interaction in the context of health information technologies, information seeking behavior and decision making in healthcare contexts, and conceptual understanding of biomedical information and decision making by lay people. Trained as an educational psychologist and cognitive scientist, he has conducted several usability evaluation studies with a range of populations. Dr.

Trevor A. Cohen is an Assistant Professor in the School of Biomedical Informatics at the University of Texas Health Science Center, Houston and is affiliated with the Center for Cognitive Informatics and Decision Making. His primary research interest is in empirical distributional semantics – what machines can learn about meaning from unannotated text – and how this learning relates to human cognition. In addition, he has researched how humans detect and recover from error, in particular medical error.

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