title: 7 Themes for guiding situated ergonomic assessments of medical devices: a case study of an inpatient glucometer.
abstract: There is relatively little guidance on the situated ergonomic assessment of medical devices, and few case studies that detail this type of evaluation. This paper reports results of a detailed case study that focuses on the design and use of a modern blood glucose meter on an oncology ward. We spent approximately 150 h in-situ, over 11 days and 4 nights, performing observations and interviews with users. This was complemented by interviews with two staff with oversight and management responsibility related to the device. We identified 19 issues with the design and use of this device. These issues were grouped into 7 themes which can help guide the situated study of medical devices: usability, knowledge gaps and mental models, workarounds, wider tasks and equipment, the patient, connection between services, and policy.
authors: UCL Interaction Centre, MPEB 8th Floor, University College London, Gower Street, London WC1E 6BT, UK. Electronic address: d.furniss@ucl.ac.uk.
authors: Dominic
authors: D
authors: Furniss
authors: School of Electronic Engineering and Computer Science, Queen Mary University of London, E1 4NS, UK. Electronic address: p.m.masci@qmul.ac.uk.
authors: Paolo
authors: P
authors: Masci
authors: School of Electronic Engineering and Computer Science, Queen Mary University of London, E1 4NS, UK. Electronic address: p.curzon@qmul.ac.uk.
authors: Paul
authors: P
authors: Curzon
authors: Department of Oncology, Royal Free London NHS Foundation Trust, Pond Street, London NW3 2QG, UK. Electronic address: astrid.mayer@ucl.ac.uk.
authors: Astrid
authors: A
authors: Mayer
authors: UCL Interaction Centre, MPEB 8th Floor, University College London, Gower Street, London WC1E 6BT, UK. Electronic address: a.blandford@ucl.ac.uk.
authors: Ann
authors: A
authors: Blandford
mesh_terms: D001786:Blood Glucose / Q000032:analysis*; D004867:Equipment Design; D006804:Ergonomics; D006801:Humans; D007297:Inpatients; D008991:Monitoring, Physiologic / Q000295:instrumentation*; D016134:Organizational Policy; D013673:Technology Assessment, Biomedical; D016526:Workload
chemical_list: D001786:Blood Glucose
keywords: Human factors; Medical devices; Situated studies