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The objective of this project was to evaluate human factors based cognitive aids on endoscope reprocessing. The project stems from recent failures in reprocessing (cleaning) endoscopes, contributing to the spread of harmful bacterial and viral agents between patients. Three themes were found to represent a majority of problems:

The objective of this project was to evaluate human factors based cognitive aids on endoscope reprocessing. The project stems from recent failures in reprocessing (cleaning) endoscopes, contributing to the spread of harmful bacterial and viral agents between patients. Three themes were found to represent a majority of problems: 1) lack of visibility (parts and tools were difficult to identify), 2) high memory demands, and 3) insufficient user feedback. In an effort to improve completion rate and eliminate error, cognitive aids were designed utilizing human factors principles that would replace existing manufacturer visual aids. Then, a usability test was conducted, which compared the endoscope reprocessing performance of novices using the standard manufacturer-provided visual aids and the new cognitive aids. Participants successfully completed 87.1% of the reprocessing procedure in the experimental condition with the use of the cognitive aids, compared to 46.3% in the control condition using only existing support materials. Twenty-five of sixty subtasks showed significant improvement in completion rates. When given a cognitive aid designed with human factors principles, participants were able to more successfully complete the reprocessing task. This resulted in an endoscope that was more likely to be safe for patient use.
ContributorsJolly, Jonathan D (Author) / Branaghan, Russell J (Thesis advisor) / Cooke, Nancy J. (Committee member) / Sanchez, Christopher (Committee member) / Arizona State University (Publisher)
Created2011
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Description
The American Heart Association (AHA) estimates that there are approximately 200,000 in-hospital cardiac arrests (IHCA) annually with low rates of survival to discharge at about 22%. Training programs for cardiac arrest teams, also termed code teams, have been recommended by the Institute of Medicine (IOM) and in the AHA's consensus

The American Heart Association (AHA) estimates that there are approximately 200,000 in-hospital cardiac arrests (IHCA) annually with low rates of survival to discharge at about 22%. Training programs for cardiac arrest teams, also termed code teams, have been recommended by the Institute of Medicine (IOM) and in the AHA's consensus statement to help improve these dismal survival rates. Historically, training programs in the medical field are procedural in nature and done at the individual level, despite the fact that healthcare providers frequently work in teams. The rigidity of procedural training can cause habituation and lead to poor team performance if the situation does not match the original training circumstances. Despite the need for team training, factors such as logistics, time, personnel coordination, and financial constraints often hinder resuscitation team training. This research was a three-step process of: 1) development of a metric specific for the evaluation of code team performance, 2) development of a communication model that targeted communication and leadership during a code blue resuscitation, and 3) training and evaluation of the code team leader using the communication model. This research forms a basis to accomplish a broad vision of improving outcomes of IHCA events by applying conceptual and methodological strategies learned from collaborative and inter-disciplinary science of teams.
ContributorsHinski, Sandra T. (Author) / Cooke, Nancy J. (Thesis advisor) / Roscoe, Rod (Committee member) / Bekki, Jennifer (Committee member) / Arizona State University (Publisher)
Created2017
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Description
The 21st-century professional or knowledge worker spends much of the working day engaging others through electronic communication. The modes of communication available to knowledge workers have rapidly increased due to computerized technology advances: conference and video calls, instant messaging, e-mail, social media, podcasts, audio books, webinars, and much more. Professionals

The 21st-century professional or knowledge worker spends much of the working day engaging others through electronic communication. The modes of communication available to knowledge workers have rapidly increased due to computerized technology advances: conference and video calls, instant messaging, e-mail, social media, podcasts, audio books, webinars, and much more. Professionals who think for a living express feelings of stress about their ability to respond and fear missing critical tasks or information as they attempt to wade through all the electronic communication that floods their inboxes. Although many electronic communication tools compete for the attention of the contemporary knowledge worker, most professionals use an electronic personal information management (PIM) system, more commonly known as an e-mail application and often the ubiquitous Microsoft Outlook program. The aim of this research was to provide knowledge workers with solutions to manage the influx of electronic communication that arrives daily by studying the workers in their working environment. This dissertation represents a quest to understand the current strategies knowledge workers use to manage their e-mail, and if modification of e-mail management strategies can have an impact on productivity and stress levels for these professionals. Today’s knowledge workers rarely work entirely alone, justifying the importance of also exploring methods to improve electronic communications within teams.
ContributorsCounts, Virginia (Author) / Parrish, Kristen (Thesis advisor) / Allenby, Braden (Thesis advisor) / Landis, Amy (Committee member) / Cooke, Nancy J. (Committee member) / Arizona State University (Publisher)
Created2018
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Description
Human-agent teams (HATs) are expected to play a larger role in future command and control systems where resilience is critical for team effectiveness. The question of how HATs interact to be effective in both normal and unexpected situations is worthy of further examination. Exploratory behaviors are one that way adaptive

Human-agent teams (HATs) are expected to play a larger role in future command and control systems where resilience is critical for team effectiveness. The question of how HATs interact to be effective in both normal and unexpected situations is worthy of further examination. Exploratory behaviors are one that way adaptive systems discover opportunities to expand and refine their performance. In this study, team interaction exploration is examined in a HAT composed of a human navigator, human photographer, and a synthetic pilot while they perform a remotely-piloted aerial reconnaissance task. Failures in automation and the synthetic pilot’s autonomy were injected throughout ten missions as roadblocks. Teams were clustered by performance into high-, middle-, and low-performing groups. It was hypothesized that high-performing teams would exchange more text-messages containing unique content or sender-recipient combinations than middle- and low-performing teams, and that teams would exchange less unique messages over time. The results indicate that high-performing teams had more unique team interactions than middle-performing teams. Additionally, teams generally had more exploratory team interactions in the first session of missions than the second session. Implications and suggestions for future work are discussed.
ContributorsLematta, Glenn Joseph (Author) / Chiou, Erin K. (Thesis advisor) / Cooke, Nancy J. (Committee member) / Roscoe, Rod D. (Committee member) / Arizona State University (Publisher)
Created2019
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Description
Despite the prevalence of teams in complex sociotechnical systems, current approaches to understanding workload tend to focus on the individual operator. However, research suggests that team workload has emergent properties and is not necessarily equivalent to the aggregate of individual workload. Assessment of communications provides a means of examining aspects

Despite the prevalence of teams in complex sociotechnical systems, current approaches to understanding workload tend to focus on the individual operator. However, research suggests that team workload has emergent properties and is not necessarily equivalent to the aggregate of individual workload. Assessment of communications provides a means of examining aspects of team workload in highly interdependent teams. This thesis set out to explore how communications are associated with team workload and performance under high task demand in all-human and human–autonomy teams in a command and control task. A social network analysis approach was used to analyze the communications of 30 different teams, each with three members operating in a command and control task environment of over a series of five missions. Teams were assigned to conditions differentiated by their composition with either a naïve participant, a trained confederate, or a synthetic agent in the pilot role. Social network analysis measures of centralization and intensity were used to assess differences in communications between team types and under different levels of demand, and relationships between communication measures, performance, and workload distributions were also examined. Results indicated that indegree centralization was greater in the all-human control teams than in the other team types, but degree centrality standard deviation and intensity were greatest in teams with a highly trained experimenter pilot. In all three team types, the intensity of communications and degree centrality standard deviation appeared to decrease during the high demand mission, but indegree and outdegree centralization did not. Higher communication intensity was associated with more efficient target processing and more successful target photos per mission, but a clear relationship between measures of performance and decentralization of communications was not found.
ContributorsJohnson, Craig Jonathon (Author) / Cooke, Nancy J. (Thesis advisor) / Gray, Robert (Committee member) / Gutzwiller, Robert S (Committee member) / Arizona State University (Publisher)
Created2020
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Description
Team communication facilitates team coordination strategies and situations, and how teammates perceive one another. In human-machine teams, these perceptions affect how people trust and anthropomorphize their machine counterparts, which in turn affects future team communication, forming a feedback loop. This thesis investigates how personifying and objectifying contents in human-machine team

Team communication facilitates team coordination strategies and situations, and how teammates perceive one another. In human-machine teams, these perceptions affect how people trust and anthropomorphize their machine counterparts, which in turn affects future team communication, forming a feedback loop. This thesis investigates how personifying and objectifying contents in human-machine team communication relate to team performance and perceptions in a simulated remotely piloted aircraft system task environment. A total of 46 participants grouped into teams of two were assigned unique roles and teamed with a synthetic pilot agent that in reality was a trained confederate following a script. Quantities of verbal personifications and objectifications were compared to questionnaire responses about participants’ perceived trust and anthropomorphism of the synthetic pilot, as well as team performance. It was hypothesized that verbal personifications would positively correlate with reflective trust, anthropomorphism, and team performance, and that verbal objectifications would negatively correlate with the same measures. It was also predicted that verbal personifications would decrease over time as human teammates interact more with the machine teammate, and that verbal objectifications would increase. Verbal personifications were not found to be correlated with trust and anthropomorphism outside of perceptions related to gender, albeit patterns of change in the navigator’s personifications coincided with a co-calibration of trust among the navigator and the photographer. Results supported the prediction that verbal objectifications are negatively correlated with trust and anthropomorphism of a teammate. Significant relationships between verbal personifications and objectifications and team performance were not found. This study provides support to the notion that people verbally personify machines to ease communication when necessary, and that the same processes that underlie tendencies to personify machines may be reciprocally related to those that influence team trust. Overall, this study provides evidence that personifying and objectifying language in human-machine team communication is a viable candidate for measuring the perceptions and states of teams, even in highly restricted communication environments.
ContributorsCohen, Myke C. (Author) / Cooke, Nancy J. (Thesis advisor) / Chiou, Erin K. (Committee member) / Amazeen, Polemnia G. (Committee member) / Arizona State University (Publisher)
Created2022