Cognitive Interaction Analysis of Clinical Encounters

Cognitive task analysis (CTA) is a standard HFE method that assumes a tool-use context involving clear situational goal(s). Healthcare contexts involve patient-provider interactions that can render CTA inappropriate. Patient and provider often have differing or conflicting goals, and have their interactions complicated by communicative barriers arising from cultural and even personality differences. Cognitive interaction (COIN) analysis is introduced as a new formal method for decomposing and documenting provider/patient interactions for human factors purposes (using cancer-care examples). It represents the interaction as a story graph, and each party in the interaction as a social agent with individual motives, personality/cultural filters, and knowledge.

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