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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.

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          Most cited references 4

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          A resilience markers framework for small teams

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            SPECIAL SECTION: Users as Designers: How People Cope with Poor HCI Design in Computer-Based Medical Devices

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              Rules Outside The Rules for Administration of Medication: A Study in New South Wales, Australia

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                Author and article information

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

                Gower St, London. UK.
                Royal Free NHS Trust

                Pond St, London. UK.
                Article
                10.14236/ewic/HCI2011.47
                © 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
                Product
                Product Information: 1477-9358BCS Learning & Development
                Self URI (journal page): https://ewic.bcs.org/
                Categories
                Electronic Workshops in Computing

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