Title

Transactive memory in trauma resuscitation

Document Type

Conference Proceeding

Publication Date

12-1-2008

Journal

Proceedings of the ACM Conference on Computer Supported Cooperative Work, CSCW

DOI

10.1145/1460563.1460597

Keywords

Cognitive work analysis; Communication; Distributed cognition; Healthcare; Teamwork; Transactive memory; Trauma

Abstract

This paper describes an ethnographic study conducted to explore the possibilities for future design and development of technological support for trauma teams. We videotaped 10 trauma resuscitations and transcribed each event. Using a framework that we developed, we coded each transcript to allow qualitative and quantitative analysis of the trauma teams' collaborative processes. We analyzed teams' tasks, interactions, and communication patterns that support information acquisition and sharing. Our results showed the importance of team transactive memory, but also pointed to inefficiencies in communication processes, which enable the functioning of this collective memory system. Based on quantitative and qualitative observations of trauma teamwork, we present opportunities for technological solutions that may reduce the cognitive effort needed for maintaining the working memory of trauma teams. Copyright 2008 ACM.

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