Errors and interaction : a cognitive ethnography of emergency medicine / Sarah Bro Trasmundi, University of Southern Denmark.

Includes bibliographical references and index.

"Trasmundi combines her background as a cognitive ethnographer with theory of radical embodied cognition and interaction to investigate how healthcare practitioners manage cognitive events in patient treatment and diagnosing that often lead to human errors. This interdisciplinary focus emphasises how professional action underlines various forms of cognitive and social life that involves language, tools, organisational procedures, shared expertise, cultural values and social rules. The book investigates such phenomena which previously have fallen in the gaps between established disciplines of interaction analysis and psychology. In arguing that the multi-scalar constraints of professional action are still underexplored in a naturalistic setting of emergency medicine, Trasmundi uses tools such as multimodal interaction analysis and cognitive event analysis to investigate the cultural and distributed nature of cognition. The book provides the reader with a new take on this heavily investigated topic, both theoretically and methodologically by describing how medical culture affects real-time interaction and how culture itself is shaped by the exact same dynamics"-- Provided by publisher.

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Intro -- Errors and Interaction -- Editorial page -- Title page -- Copyright page -- Dedication page -- Table of contents -- Preface -- Introduction -- Part I. Investigating errors in healthcare interaction -- 1. The ecology of human errors in emergency medicine -- 1. Background: Errare humanum est? -- 1.1 Two models of human error -- 1.1.1 The person model -- 1.1.2 The system model -- 2. Critique: Research incommensurability -- 3. An ecological approach to human error: From errors to error cycles -- Acknowledgements -- 2. A cognitive ethnography of emergency medicine

1. How errors, interaction and cognition can be studied 'in the wild' -- 2. Cognitive ethnography and its roots in distributed cognition -- 2.1 Beyond the representationalist view of distributed cognition: The role of interactivity -- 2.1.1 Methodological challenges when studying authentic ecologies of emergency medicine -- 2.2 Cognitive Event Analysis (CEA) -- Part II. Behind the scenes: Welcome to the emergency ward -- 3. Presenting the case of the emergency ward -- 1. Stepping into the emergency ward -- 1.2 Coding, visualisation and data presentation -- 4. Medical errors and visual perception

1. The hypothesis of visual perception -- 2. Distributed visual systems: What makes human perception special -- 3. Case 1: Temporal dynamics and visual perception -- 3.1 The distributed patient -- 3.2 The heterarchical roles of artefacts -- 3.3 Semantic memory: Categories as constraints in diagnostic processes -- 4. Case II: Sense-saturated visual systems, intentionality and tendencies in visual perception -- 4.1 Moulding the optic array through sense-saturated locomotion -- 4.2 The historical body, the flow of perception, and timescales

5. Case III: Random manipulation: Developing the visual system through probing-activities -- 5.1 Moving as seeing: An undeveloped visual system -- 6. Understanding visual systems -- 5. The function of procedures in the diagnostic process: Anamnesis and physical examination -- 1. The function of procedures -- 2. Case I: Enacting and discarding procedures -- 2.1 Beyond fixed procedures: Meshing anamnesis with physical examination -- 2.2 Think-aloud strategies: Verbal utterances as material anchors -- 2.3 Embodied procedures -- 3. Case II: Procedure following: Cognitive complexity and simplicity

3.1 The use of notebooks in anamnesis: Managing the complexity of writing and interacting at the same time -- 4. Understanding the status and function of procedures and expertise -- 6. Interruptions and multitask tolerance in emergency medicine -- 1. Interruptions and values realisation in emergency medicine -- 2. Case I: Treating interruptions as what? -- 2.1 Low multitask tolerance -- 2.2 When caring for more than the patient becomes a constraint for task performance -- 2.3 Seeking good prospects

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