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      Unremarkable errors: low-level disturbances in infusion pump use

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      Proceedings of HCI 2011 The 25th BCS Conference on Human Computer Interaction (HCI)
      Human Computer Interaction
      4 - 8 July 2011
      Healthcare, Human error, Infusion pump, Medical device, Safety, Unremarkable
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            Abstract

            In this paper we describe results from an exploratory study observing infusion pump use in practice. From 31 observations of pump programming we note 10 low-level disturbances, which we conceptualise in terms of unremarkable error. This data supports a view that well performing systems cope with error as part of their normal work. Users are able to recover from error and are resilient to performance deviations. However, it is not clear how we, as HCI researchers, should respond to these minor errors: should we aim to minimise them or instead aim to improve detection, recovery and control in safety-critical systems? What is clear is that without remarking on unremarkable error we cannot begin this dialogue and consider the handling of these issues. To conclude we recognise four important factors that influence remedial action, and we highlight the need for a socio-technical approach for making change that is appropriate for practice.

            Content

            Author and article information

            Contributors
            Conference
            July 2011
            July 2011
            : 197-204
            Affiliations
            [0001]UCL Interaction Centre

            Gower St, London. UK.
            [0002]Royal Free NHS Trust

            Pond St, London. UK.
            Article
            10.14236/ewic/HCI2011.47
            246769cf-0adb-4e44-a4e7-2f6185b54539
            © Dominic Furniss et al. Published by BCS Learning and Development Ltd. Proceedings of HCI 2011 The 25th BCS Conference on Human Computer Interaction, Newcastle Upon Tyne, UK

            This work is licensed under a Creative Commons Attribution 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

            Proceedings of HCI 2011 The 25th BCS Conference on Human Computer Interaction
            HCI
            25
            Newcastle Upon Tyne, UK
            4 - 8 July 2011
            Electronic Workshops in Computing (eWiC)
            Human Computer Interaction
            History
            Product

            1477-9358 BCS Learning & Development

            Self URI (article page): https://www.scienceopen.com/hosted-document?doi=10.14236/ewic/HCI2011.47
            Self URI (journal page): https://ewic.bcs.org/
            Categories
            Electronic Workshops in Computing

            Applied computer science,Computer science,Security & Cryptology,Graphics & Multimedia design,General computer science,Human-computer-interaction
            Healthcare,Human error,Infusion pump,Medical device,Safety,Unremarkable

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