Using cognitive artifacts to understand distributed cognition

Studies of patient safety have identified gaps in current work including the need for research about communication and information sharing among healthcare providers. They have also encouraged the use of decision support tools to improve human performance. Distributed cognition is the shared awareness of goals, plans, and details that no single individual grasps. Cognitive artifacts are objects such as: schedules, display boards, lists, and worksheets that form part of a distributed cognition. Cognitive artifacts that are related to operating room (OR) scheduling include: the availabilities sheet, master schedule, OR graph, and OR board. All provide a "way in" to understand how teams in the acute care setting dynamically plan and manage the balance between demand for care and the resources available to provide it. This work has import for the way that information technology supports the organization, management, and use of healthcare resources. Better computer-supported cognitive artifacts will benefit patient safety by making teamwork processes, planning, communications, and resource management more resilient.