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Making monitoring 'work': human-machine interaction and patient safety in anaesthesia.

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Making monitoring 'work': human-machine interaction and patient safety in anaesthesia. / Smith, Andrew F.; Mort, Maggie M.; Goodwin, Dawn et al.
In: Anaesthesia, Vol. 58, No. 11, 11.2003, p. 1070-1078.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

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Vancouver

Smith AF, Mort MM, Goodwin D, Pope C. Making monitoring 'work': human-machine interaction and patient safety in anaesthesia. Anaesthesia. 2003 Nov;58(11):1070-1078. doi: 10.1046/j.1365-2044.2003.03404.x

Author

Smith, Andrew F. ; Mort, Maggie M. ; Goodwin, Dawn et al. / Making monitoring 'work': human-machine interaction and patient safety in anaesthesia. In: Anaesthesia. 2003 ; Vol. 58, No. 11. pp. 1070-1078.

Bibtex

@article{7fc5ac0d9e1a4427b7ec71cce5585273,
title = "Making monitoring 'work': human-machine interaction and patient safety in anaesthesia.",
abstract = "This study aimed to explore the use of electronic monitoring within the context of anaesthetic practice. We conducted workplace observation of, and interviews with, anaesthetists and other anaesthetic staff in two UK hospitals. Transcripts were analysed inductively for recurrent themes. Whilst formal sources of knowledge in anaesthesia deal with the issue of monitoring in terms of theoretical principles and performance specifications of devices, anaesthetists in practice often {\textquoteleft}disbelieve{\textquoteright} monitoring information. They call on and integrate other sources of knowledge about the patient, especially from their clinical assessment. The ability to distinguish {\textquoteleft}normal{\textquoteright} and {\textquoteleft}abnormal{\textquoteright} findings is vital. Confidence in electronic information varies with experience, as does the degree to which electronic information may be considered {\textquoteleft}redundant{\textquoteright}. We conclude that electronic monitoring brings new dimensions of understanding but also the potential for new ways of misunderstanding. The tacit knowledge underlying the safe use of monitoring deserves greater acknowledgement in training and practice.",
author = "Smith, {Andrew F.} and Mort, {Maggie M.} and Dawn Goodwin and Catherine Pope",
note = "RAE_import_type : Journal article RAE_uoa_type : Social Work and Social Policy & Administration",
year = "2003",
month = nov,
doi = "10.1046/j.1365-2044.2003.03404.x",
language = "English",
volume = "58",
pages = "1070--1078",
journal = "Anaesthesia",
issn = "1365-2044",
publisher = "Blackwell Publishing Ltd",
number = "11",

}

RIS

TY - JOUR

T1 - Making monitoring 'work': human-machine interaction and patient safety in anaesthesia.

AU - Smith, Andrew F.

AU - Mort, Maggie M.

AU - Goodwin, Dawn

AU - Pope, Catherine

N1 - RAE_import_type : Journal article RAE_uoa_type : Social Work and Social Policy & Administration

PY - 2003/11

Y1 - 2003/11

N2 - This study aimed to explore the use of electronic monitoring within the context of anaesthetic practice. We conducted workplace observation of, and interviews with, anaesthetists and other anaesthetic staff in two UK hospitals. Transcripts were analysed inductively for recurrent themes. Whilst formal sources of knowledge in anaesthesia deal with the issue of monitoring in terms of theoretical principles and performance specifications of devices, anaesthetists in practice often ‘disbelieve’ monitoring information. They call on and integrate other sources of knowledge about the patient, especially from their clinical assessment. The ability to distinguish ‘normal’ and ‘abnormal’ findings is vital. Confidence in electronic information varies with experience, as does the degree to which electronic information may be considered ‘redundant’. We conclude that electronic monitoring brings new dimensions of understanding but also the potential for new ways of misunderstanding. The tacit knowledge underlying the safe use of monitoring deserves greater acknowledgement in training and practice.

AB - This study aimed to explore the use of electronic monitoring within the context of anaesthetic practice. We conducted workplace observation of, and interviews with, anaesthetists and other anaesthetic staff in two UK hospitals. Transcripts were analysed inductively for recurrent themes. Whilst formal sources of knowledge in anaesthesia deal with the issue of monitoring in terms of theoretical principles and performance specifications of devices, anaesthetists in practice often ‘disbelieve’ monitoring information. They call on and integrate other sources of knowledge about the patient, especially from their clinical assessment. The ability to distinguish ‘normal’ and ‘abnormal’ findings is vital. Confidence in electronic information varies with experience, as does the degree to which electronic information may be considered ‘redundant’. We conclude that electronic monitoring brings new dimensions of understanding but also the potential for new ways of misunderstanding. The tacit knowledge underlying the safe use of monitoring deserves greater acknowledgement in training and practice.

U2 - 10.1046/j.1365-2044.2003.03404.x

DO - 10.1046/j.1365-2044.2003.03404.x

M3 - Journal article

VL - 58

SP - 1070

EP - 1078

JO - Anaesthesia

JF - Anaesthesia

SN - 1365-2044

IS - 11

ER -