Failure in context: linking observed behavior to cognition, tasks, and adverse events Academic Article uri icon


  • Methods: Forty clinicians were videotaped performing simple tasks on an infusion device. A reviewer selected examples of programming behaviors in 15-to 60-second long video segments. The researchers sorted video segments according to programming activities such as data entry, and cognitive activities such as decision-making. They sorted reports from an incident reporting database, looking for specific examples where observed behaviors may have played a role. This organization method formed the basis of a comparison tool to …

publication date

  • January 1, 2005