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Explaining emergency physicians' capacity to recover from interruptions.
Emma C Falkland1, Mark W Wiggins1, Heather Douglas2
1Department of Psychology, Macquarie University, North Ryde, NSW, 2109, Australia.
Applied Ergonomics
|August 7, 2022
Summary
Emergency physicians who effectively use cues recover better after interruptions. This suggests cue utilization training could improve performance in high-pressure medical settings.
Area of Science:
- Medical Education
- Cognitive Psychology
- Human Factors Engineering
Background:
- Interruptions in emergency medicine increase cognitive load and impair performance.
- Cue utilization can reduce cognitive load, potentially mitigating performance deficits after interruptions.
Purpose of the Study:
- To investigate the association between emergency physicians' cue utilization capacity and their ability to recover performance after an interruption.
Main Methods:
- Thirty-nine emergency physicians completed a cue utilization assessment (EXPERTise 2.0).
- Physicians participated in an online sepsis management simulation (Septris) with simulated interruptions.
- Task performance was measured by Septris scores.
Main Results:
- Physicians with higher cue utilization scores demonstrated significantly better performance after an interruption compared to those with lower scores (p = .028).
Conclusions:
- Cue utilization is linked to improved performance recovery following interruptions in emergency physicians.
- Reduced cognitive load associated with cue utilization likely explains this performance enhancement.
- Assessing cue utilization may inform interventions to support clinicians in interruptive environments.
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