Browsing by Subject "Interruption"

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    Mediating ICU patient situation-awareness with visual and tactile notifications
    (2016-03-29) Srinivas, Preethi; Bolchini, Davide; Faiola, Anthony; Brady, Erin; Khan, Babar; Doebbeling, Bradley
    Healthcare providers in hospital intensive care units (ICUs) maintain patient situation awareness by following task management and communication practices. They create and manipulate several paper-based and digital information sources, with the overall aim to constantly inform themselves and their colleagues of dynamically evolving patient conditions. However, when increased communication means that healthcare providers potentially interrupt each other, enhanced patient-situation awareness comes at a price. Prior research discusses both the use of technology to support increased communication and its unintended consequence of (wanted and unwanted) notification interruptions. Using qualitative research techniques, I investigated work practices that enhance the patient-situation awareness of physicians, fellows, residents, nurses, students, and pharmacists in a medical ICU. I used the Locales Framework to understand the observed task management and communication work practices. In this study, paper notes were observed to act as transitional artifacts that are later digitized to organize and coordinate tasks, goals, and patient-centric information at a team and organizational level. Non digital information is often not immediately digitized, and only select information is communicated between certain ICU team members through synchronous mechanisms such as face-to-face or telephone conversations. Thus, although ICU providers are exceptionally skilled at working together to improve a critically ill patient’s condition, the use of paper-based artifacts and synchronous communication mechanisms induces several interruptions while contextually situating a clinical team for patient care. In this dissertation, I also designed and evaluated a mobile health technology tool, known as PANI (Patient-centered Notes and Information Manager), guided by the Locales framework and the participatory involvement of ICU healthcare providers as co designers. PANI-supported task management induces minimal interruptions by: (1) rapidly generating, managing, and sharing clinical notes and action-items among clinicians and (2) supporting the collaboration and communication needs of clinicians through a novel visual and tactile notification system. The long-term contribution of this research suggests guidelines for designing mobile health technology interventions that enhance ICU patient situation-awareness and reduce unwanted interruptions to clinical workflow.
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    Supporting working time interruption management through persuasive design
    (2015-04-03) Liu, Yikun; Voida, Stephen; Bolchini, Davide; Voida, Amy; Ganci, Aaron
    Knowledge workers often suffer productivity loss because of unsuccessful interruption handling, which can lead to even more detrimental behaviors like "cyber-slacking" and procrastination. Many of the interruption management techniques proposed in the research literature focus on minimizing interruption occurrences. However, given the inevitability of internal and external interruptions in everyday life, it may be more practical to help people regulate how they respond to interruptions using persuasive technologies. The aim of this dissertation is to explore and evaluate the design of persuasive computer agents that encourage information workers to resume interrupted work. Based on a systematic review of interruptions in the workplace, theories of self-regulation, and theories guiding the design of persuasive technologies, this dissertation describes the creation of a prototype research platform, WiredIn. WiredIn enables researchers to explore a variety of interruption resumption support strategies on desktop computers. Two empirical studies that investigate the efficacy, attributes, and consequences of applying the paradigms embodied in WiredIn in controlled and real-life working environments are presented here. Both studies validate the effect of persuasive interventions on improving interruption management behaviors; the second study also provides design suggestions that can inform future work in supporting interruption management and multitasking.