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. 2005;2005:350–354.

Table 2.

Analysis of goal sequence and interaction strategy for Subject 2 Legend: 1–5 Decision points where interaction strategies were selected; A–D Goal states (tasks to complete)

# Goal State/Decision Memory Recall System Support Comments
Open chart Patient name – Match Name list
Evaluate case
Dose adjustment
General medical knowledge Electronic chart, case description Patient data on screen and in notes
1 Drip – DC / Reorder DC/Reorder or new order? DS available? Which faster? none Strategy dependent on experience, skill
B Reorder drip Procedural knowledge Context menu
2 Bolus – New Order PTT values near normal, bolus order also needed n/a Decision driven by medical reasoning
A New bolus Procedural knowledge Context menu Order A cancelled
3 Heparin IV order set
4 Heparin IV individual orders
Order set is available, may be preferable to individual orders
Individual orders may be simpler, include calculation
none
none
Heuristic decision, no prior experience w set
Previous decision reversed, set confusing
A New bolus
B Reorder drip
Procedural knowledge
Procedural knowledge
Dose calculation
Context menu
DS triggers reminder
Aborted – needs DS
5 Drip – New Order New orders procedure triggers auto calculation none Also needs to cancel current drip order
-- Error Cancellation of the previous order also deleted the just entered but unsigned bolus order --
A New bolus Procedural knowledge Dose calculation DS triggers reminder
D Sign orders Sign button Saves current orders
B New drip Procedural knowledge Dose calculation Second attempt
C Order PTT laboratory Corollary order Reminder Included in bolus DS
D Sign orders Sign button Saves current orders