Human Factors Psychology Commons^™

Shell Revisited: Cognitive Loading And Effects Of Digitized Flight Deck Automation, Mark D. Miller, Sam Holley

Publications

Acknowledging the SHELL human factors model, authors examine interfaces among components and assess problems created when the model is aligned with modern digitized flight deck systems. Complacency and overreliance on automated systems are evaluated, and cognitive load and potential for degraded situational awareness are examined. Authors present a SHELL overlay demonstrating where particular digitized functions and operations present challenges to operators and markedly influence effective SHELL interactions in highly complex flight deck systems. Human factors contributing to the Asiana Flight 214 accident are examined and correlates identified with the SHELL analysis. Implications for advanced crew resource management are presented, and …

Recategorization Of Video Game Genres, Shawn M. Doherty, Joseph R. Keebler, Shayn S. Davidson, Evan M. Palmer, Christina M. Frederick

Publications

While the categories that are typically used to discriminate games have been useful in the past, more recently game mechanics have become utilized by a wider range of games, leading to earlier definitions becoming a less valuable categorization tool. This paper attempts to provide various ways games could be classified by focusing on the types of emotions they evoke, the skills they require or their relations with personality or cognitive variables. A description of those categories and the challenge in using them to define games is outlined as well as five alternate methods that may help make distinctions between games …

Predicting General Aviation Pilots’ Weather-Related Performance Through A Scenario-Based Assessment, Jessica Cruit, Christina Frederick, Beth Blickensderfer, Joseph Keebler, Thomas Guinn

Publications

Weather-related accidents continue to challenge the general aviation (GA) community and with the development of advanced weather technology, GA pilots need additional education and training on how to effectively use these weather products to ensure flight safety. Currently, the literature on aviation weather suggests that there is a gap in both training and assessment strategy for GA pilots. Furthermore, several studies advocate assessing GA pilots at a deeper level of learning by including weather-based, scenario/application questions on the Federal Aviation Administration’s (FAA) written exam for private pilots. After first developing a scenario-based, aviation weather assessment, we used a multiple regression …

Multicenter Handoff Collaborative, Philip E. Greilich, Joseph R. Keebler

Publications

Communication and team-based care are at the heart of patient safety. As anesthesia professionals, we witness this at its very best and worst when transferring patients to and from the operating room (see article by Dr. Lorinc on types of transfers in this issue). In response, we have an opportunity to take a leading role in redesigning the most ubiquitous teaming event in hospitals in a manner that promotes team-based behaviors. The impact of unreliable handoffs on communication failures and medical errors is well known. To combat this issue, mandates by The Joint Commission (TJC) in 2006 and the American …

Book Review: Absent Aviators: Gender Issues In Aviation, Janet K. Tinoco, Genderie S. Rivera

Publications

This document is Dr. Tincoco's review of Absent Aviators: Gender Issues in Aviation edited by Donna Bridges, Jane Neal-Smith, and Albert J. Mills. Ashgate Publishing Limited, Farnham, 2014. 233 pp. $129.95.

Understanding Teamwork In The Provision Of Cancer Care: Highlighting The Role Of Trust, Elizabeth H. Lazzara, Joseph R. Keebler, Soosi Day, Deborah Diazgranados, Minggui Pan, Michael A. King, Shin-Ping Tu

Publications

Team science research has indicated that trust is a critical variable of teamwork, contributing greatly to a team’s performance. Trust has long been examined in health care with research focusing on the development of trust by patients with their health care practitioners. Studies have indicated that trust is linked to patient satisfaction, adherence to treatment, continuity of care, and improved outcomes. We explore the construct of trust using a case example of a patient who received a surgical procedure for a precancerous polyp. We apply the principle of trust to the case as well as present the literature on trust …

Highlighting Trust In The Provision Of Cancer Care, Elizabeth Lazzara, Joseph Keebler, Soosi Day, Deborah Diazgranados, Minngui Pan, Mike King, Shin-Ping Tu

Publications

Slides:

• Patient Case
• Definition & Explanation of Trust
• Application of Trust to Cancer Case
• Implications for Clinical Care
• Implications for Research

Me And My Ve, Part 4, Laura Strater, Christina M. Frederick, Monifa Vaughn-Cooke, Jim Bliss, Smruti Shah

Publications

Virtual environments, augmented reality, serious games, simulations, and other digitally mediated experiences are revolutionizing the way that we work, learn, and interact with people and systems. The employment of these technologies is driving innovation in research, training, education, evaluation, and various business endeavors. This session will provide a brief overview of some of the diverse uses of virtual environments (VEs) in an alternate demonstration format that leaves just over half of the session time for hands on, interactive demonstrations. Unlike most demonstration sessions, where possible, we encourage session attendees to personally interact with the demonstrations. The session will begin with …

Studying Human Relatedness Through A Shared Gaming Experience, Christina Frederick, Rachel Cunningham, Leo Alex, Christopher Via

Publications

The importance of relatedness in collocated multiplayer video games should not be underestimated. Interpersonal relationships which develop from social interactions that occur during gameplay contribute to player motivation and meaningful and memorable experiences for the players. In this study we examined how interpersonal touch within a gameplay experience impacted player motivation and inter-player impressions. Dyads played one of two iPad-based games in three different conditions, one of which required physical contact between the players. Results indicated those in the touch-based conditions scored higher on several measures of intrinsic motivation and impressions of their teammate.

Test-Retest Reliability Of The Sway Balance Mobile Application, Ryan Z. Amick, Alex Chaparro, Jeremy A. Patterson, Michael J. Jorgensen

Publications

The SWAY Balance Mobile Application is an FDA-cleared balance testing system which uses the built-in tri-axial accelerometers of a mobile electronic device to objectively assess postural movement. The system was designed to provide a means of quantitative balance assessment in clinical and on-field environments. The purpose of this study was to determine the intrasession and intersession reliability, as well as the minimum difference to be considered real, of the SWAY Balance Mobile Application.

The Template Of Events For Applied And Critical Healthcare Simulation (Teach Sim): A Tool For Systematic Simulation Scenario Design, Lauren E. Benishek, Elizabeth H. Lazzara, William L. Gaught, Lygia L. Arcaro, Okuda Yasuharu, Eduardo Salas

Publications

Simulation-based training (SBT) affords practice opportunities for improving the quality of clinicians’ technical and nontechnical skills. However, the development of practice scenarios is a process plagued by a set of challenges that must be addressed for the full learning potential of SBT to be realized. Scenario templates are useful tools for assisting with SBT and navigating its inherent challenges. This article describes existing SBT templates, explores considerations in choosing an appropriate template, and introduces the Template of Events for Applied and Critical Healthcare Simulation (TEACH Sim) as a tool for facilitating the formation of practice scenarios in accordance with an …

Modeling Human Gaming Playing Behavior And Reward/Penalty Mechanism Using Discrete Event Simulation (Des), Christina M. Frederick, Michael Fitzgerald, Dahai Liu, Yolanda Ortiz, Christopher Via, Shawn Doherty, Jason P. Kring

Publications

Humans are remarkably complex and unpredictable; however, while predicting human behavior can be problematic, there are methods such as modeling and simulation that can be used to predict probable futures of human decisions. The present study analyzes the possibility of replacing human subjects with data resulting from pure models. Decisions made by college students in a multi-level mystery-solving game under 3 different gaming conditions are compared with the data collected from a predictive sequential Markov-Decision Process model. In addition, differences in participants’ data influenced by the three different conditions (additive, subtractive, control) were analyzed. The test results strongly suggest that …

Promoting Teamwork In Translational Medical Teams: Insights And Recommendations From Science And Practice, Lauren E. Benishek, Ashley M. Hughes, Megan E. Gregory, Shirley C. Sonesh, Eduardo Salas, Elizabeth H. Lazzara

Publications

Translational medical teams are transdisciplinary, highly collaborative, and operate within dynamic environments to solve time-sensitive and complex problems. These teams are tasked with turning observations in the laboratory and clinic into effective interventions that improve the health of individuals and the public. The nature of the problems they seek to solve requires coordination among clinicians, scientists, and experts from various scientific disciplines. Characteristically, translational medical teams have complex compositions, structure, and pluralistic goals, which pose significant challenges and barriers to enacting effective teamwork, compromising team performance. Given these challenges, it is imperative to glean insights from teams research and the …

Shifting The Paradigm Of Music Instruction: Implications Of Embodiment Stemming From An Augmented Reality Guitar Learning System, Joseph Keebler, Travis J. Wiltshire, Dustin C. Smith, Stephen M. Fiore, Jeffrey S. Bedwell

Publications

Musical instruction often includes materials that can act as a barrier to learning. New technologies using augmented reality may aid in reducing the initial difficulties involved in learning music by lowering these barriers characteristic of traditional instructional materials. Therefore, this set of studies examined a novel augmented reality guitar learning system (i.e., the Fretlight® guitar) in regards to current theories of embodied music cognition. Specifically, we examined the effects of using this system in comparison to a standard instructional material (i.e., diagrams). First, we review major theories related to musical embodiment and specify a niche within this research space we …

Differential Effects Of Refractive Blur On Day And Nighttime Driving Performance, Joanne M. Wood, Michael J. Collins, Alex Chaparro, Ralph Marszalek, Trent Carberry, Philippe Lacherez, Byoung Sun Chu

Publications

PURPOSE. To investigate the effect of different levels of refractive blur on real-world driving performance measured under day and nighttime conditions.

METHODS. Participants included 12 visually normal, young adults (mean age = 25.+- 5.2 years) who drove an instrumented research vehicle around a 4 km closed road circuit with three different levels of binocular spherical refractive blur (+0.50 diopter sphere [DS], +1.00 DS, +2.00 DS) compared with a baseline condition. The subjects wore optimal spherocylinder correction and the additional blur lenses were mounted in modified fullfield goggles; the order of testing of the blur conditions was randomized. Driving …

An Analysis Of Expressed Cheating Behaviors In Video Games, Shawn Doherty, Devin Liskey, Christopher M. Via, Christina M. Frederick, Dahai Liu

Publications

A series of 50 responses regarding reasons for cheating behavior in video games were provided by undergraduate students. These responses were sorted into a series of 13 categories by raters to investigate the most common reasons provided for cheating. An analysis of inter-rater agreement as well as frequency of category representation is provided. The most common outcomes were that players cheat to progress in a game as well as to gain advantage over others. The discussion compared this study’s results to an existing cheating taxonomy.

Patient Safety In The Cardiac Operating Room: Human Factors And Teamwork: A Scientific Study From The American Heart Association, Joyce A. Wahr, Richard L. Prager, J. H. Abernathy Iii, Elizabeth A. Martinez, Eduardo Salas, Patricia C. Seifert, Robert C. Groom, Bruce D. Spiess, Bruce E. Searles, Thoralf M. Sundt Iii, Juan A. Sanchez, Scott A. Shappell, Michael H. Culig, Elizabeth H. Lazzara, David C. Fitzgerald, Vinod H. Thourani, Pirooz Eghtesady, John S. Ikonomidis, Michael R. England, Frank W. Selke, Nancy A. Nussmeier

Publications

The cardiac surgical operating room (OR) is a complex environment in which highly trained subspecialists interact with each other using sophisticated equipment to care for patients with severe cardiac disease and significant comorbidities. Thousands of patient lives have been saved or significantly improved with the advent of modern cardiac surgery. Indeed, both mortality and morbidity for coronary artery bypass surgery have decreased during the past decade. Nonetheless, the highly skilled and dedicated personnel in cardiac ORs are human and will make errors. Refined techniques, advanced technologies, and enhanced coordination of care have led to significant improvements in cardiac surgery outcomes.

Even Moderate Visual Impairments Degrade Drivers' Ability To See Pedestrians At Night, Joanne M. Wood, Richard A. Tyrell, Alex Chaparro, Ralph P. Marszalek, Trent P. Carberry, Byoung Sun Chu

Publications

PURPOSE. To determine the effect of moderate levels of refractive blur and simulated cataracts on nighttime pedestrian conspicuity in the presence and absence of headlamp glare.

METHODS. The ability to recognize pedestrians at night was measured in 28 young adults (M ¼ 27.6 years) under three visual conditions: normal vision, refractive blur, and simulated cataracts; mean acuity was 20/40 or better in all conditions. Pedestrian recognition distances were recorded while participants drove an instrumented vehicle along a closed road course at night. Pedestrians wore one of three clothing conditions and oncoming headlamps were present for 16 participants and absent for …

Useful Field Of View Predicts Driving In The Presence Of Distracters, Joanne M. Wood, Alex Chaparro, Philippe Lacherez, Louise Hickson

Publications

Purpose. The Useful Field of View (UFOV®) test has been shown to be highly effective in predicting crash risk among older adults. An important question which we examined in this study is whether this association is due to the ability of the UFOV to predict difficulties in attention-demanding driving situations that involve either visual or auditory distracters.

Methods. Participants included 92 community-living adults (mean age 73.6 +- 5.4 years; range 65– 88 years) who completed all three subtests of the UFOV involving assessment of visual processing speed (subtest 1), divided attention (subtest 2), and selective attention (subtest 3); driving safety …

Latent Print Examination And Human Factors: Improving The Practice Through A Systems Approach: The Report Of The Expert Working Group On Human Factors In Latent Print Analysis, David H. Kaye, Thomas Busey, Melissa R. Gische, Gerry Laporte, Scott A. Shappell, Et Al.

Publications

Fingerprints have provided a valuable method of personal identification in forensic science and criminal investigations for more than 100 years. Fingerprints left at crime scenes generally are latent prints—unintentional reproductions of the arrangement of ridges on the skin made by the transfer of materials (such as amino acids, proteins, polypeptides, and salts) to a surface. Palms and the soles of feet also have friction ridge skin that can leave latent prints. The examination of a latent print consists of a series of steps involving a comparison of the latent print to a known (or exemplar) print. Courts have accepted latent …

Effects Of Visual Interaction Methods On Simulated Unmanned Aircraft Operator Situational Awareness, Brent A. Terwilliger

Publications

The limited field of view of static egocentric visual displays employed in unmanned aircraft controls introduces the soda straw effect on operators, which significantly affects their ability to capture and maintain situational awareness by not depicting peripheral visual data. The problem with insufficient operator situational awareness is the resulting increased potential for error and oversight during operation of unmanned aircraft, leading to accidents and mishaps costing United States taxpayers between $4 million to $54 million per year. The purpose of this quantitative experimental completely randomized design study was to examine and compare use of dynamic eyepoint to static visual interaction …

Benefits And Challenges Of Multidisciplinary Project Teams: "Lessons Learned" For Researchers And Practitioners, Haydee M. Cuevas, Cheryl A. Bolstad, Robert Oberbreckling, Noelle Lavoie, Diane Kuhl Mitchell, James Fielder, Peter W. Foltz

Publications

Adopting a multidisciplinary research approach would enable test and evaluation professionals to more effective!y investigate the complex human performance problems faced in today's technologically advanced operational domains. To illustrate the utility of this approach, we present "lessons learned" based on our experiences as a multi-agency, multidisciplinary team collaborating on an Army research project involving a dynamic military command and control simulation. Our goal with these lessons learned is to provide guidance to researchers and practitioners alike concerning the benefits and challenges of such collaboration. Our project team's diverse members, drawn from both industry and government organizations, offer their multiple p …

Simulation-Based Team Training At The Sharp End: A Qualitative Study Of Simulation-Based Team Training Design, Implementation, And Evaluation In Healthcare, Sallie J. Weaver, Eduardo Salas, Rebecca Lyons, Elizabeth H. Lazzara, Michael A. Rosen, Deborah Diazgranados, Julia G. Grim, Jeffrey S. Augenstein, David J. Birnbach, Heidi King

Publications

This article provides a qualitative review of the published literature dealing with the design, implementation, and evaluation of simulation-based team training (SBTT) in healthcare with the purpose of providing synthesis of the present state of the science to guide practice and future research. A systematic literature review was conducted and produced 27 articles meeting the inclusion criteria. These articles were coded using a low-inference content analysis coding scheme designed to extract important information about the training program. Results are summarized in 10 themes describing important considerations for what occurs before, during, and after a training event. Both across disciplines and …

Tools For Evaluating Team Performance In Simulation-Based Training, Michael A. Rosen, Sallie J. Weaver, Elizabeth H. Lazzara, Eduardo Salas, Teresa Wu, Salvatore Silvestri, Nicola Schiebel, Sandra Almeida, Heidi B. King

Publications

Teamwork training constitutes one of the core approaches for moving healthcare systems toward increased levels of quality and safety, and simulation provides a powerful method of delivering this training, especially for face-paced and dynamic specialty areas such as Emergency Medicine. Team performance measurement and evaluation plays an integral role in ensuring that simulation-based training for teams (SBTT) is systematic and effective. However, this component of SBTT systems is overlooked frequently. This article addresses this gap by providing a review and practical introduction to the process of developing and implementing evaluation systems in SBTT. First, an overview of team performance evaluation …

Effect Of Simulated Visual Impairment On Nighttime Driving Performance, Joanne Wood, Alex Chaparro, Trent Carberry, Byoung Sun Chu

Publications

Purpose. This study investigated the effects of simulated visual impairment on nighttime driving performance and pedestrian recognition under real-road conditions.

Methods. Closed road nighttime driving performance was measured for 20 young visually normal participants (M = 27.5 +- 6.1 years) under three visual conditions: normal vision, simulated cataracts, and refractive blur that were incorporated in modified goggles. The visual acuity levels for the cataract and blur conditions were matched for each participant. Driving measures included sign recognition, avoidance of low contrast road hazards, time to complete the course, and lane keeping. Pedestrian recognition was measured for pedestrians wearing either black …

Integrating Situation Awareness Assessment Into Test And Evaluation, Cheryl A. Bolstad, Haydee Maria Cuevas

Publications

To guarantee the success if network- centric operations, warfighters need the ability to extract and share critical task-relevant information to develop and maintain the situation awareness that is so critical far effective team performance. As such, the design of emerging technologies and systems must adopt a "user-centric" approach, with consideration for human information processing capabilities and limitations. In turn, to ensure that these technologies and systems are meeting their design objectives, test and evaluation must similarly be expanded to include metrics that assess how well system features and functions are supporting critical human cognitive processes such as situation awareness and …

Using Sunflower Plots And Classification Trees To Study Typeface Legibility, Edgar C. Merkle, Barbara S. Chaparro

Publications

This article describes the application of sunflower plots and classification trees to the study of onscreen typeface legibility. The two methods are useful for describing high-dimensional data in an intuitive manner, which is crucial for interacting with both the typographers who design the typefaces and the practitioners who must make decisions about which typeface to use for specific applications. Furthermore, classification trees help us make specific recommendations for how much of a character attribute is “enough” to make it legible. We present examples of sunflower plots and classification trees using data from a recent typeface legibility experiment, and we present …

Promoting Teamwork: An Event-Based Approach To Simulation-Based Teamwork Training For Emergency Medicine Residents, Michael A. Rosen, Eduardo Salas, Teresa S. Wu, Salvatore Silvestri, Elizabeth H. Lazzara, Rebecca Lyons, Sally J. Weaver, Heidi B. King

Publications

The growing complexity of patient care requires that emergency physicians (EPs) master not only knowledge and procedural skills, but also the ability to effectively communicate with patients and other care providers and to coordinate patient care activities. EPs must become good team players, and consequently an emergency medicine (EM) residency program must systematically train these skills. However, because teamwork-related competencies are relatively new considerations in health care, there is a gap in the methods available to accomplish this goal. This article outlines how teamwork training for residents can be accomplished by employing simulation-based training (SBT) techniques and contributes tools and …

Simulation-Based Training For Patient Safety: 10 Principles That Matter, Eduardo Salas, Katherine A. Wilson, Elizabeth Lazzara, Heidi B. King, Jeffery S. Augenstein

Publications

Simulation-based training can improve patient care when factors influencing its design, delivery, evaluation, and transfer are taken into consideration. In this paper, we provide a number of principles and practical tips that organizations in health care can use to begin implementing effective simulation-based training as a way to enhance patient safety. We commend the health care community for their efforts thus far. We hope that the information provided in this paper will encourage thinking beyond the "bells and whistles" of the simulation and bring to light full potential of simulation-based training in health care and patient safety.

Developing A Methodology For Assessing Safety Programs Targeting Human Error In Aviation, Scott Shappell, Douglas Wiegmann

Publications

There is a need to develop an effective methodology for generating comprehensive intervention strategies that map current and proposed safety programs onto well-established types of human error. Two separate studies were conducted using recommendations from NTSB accident investigations and several joint FAA and industry working groups. The goal of the studies was to validate a proposed framework for developing and examining safety initiatives that target human error in aviation. The results suggest five approaches to reducing human factors associated with aviation accidents. When combined with the Human Factors Analysis and Classification System, the resulting Human Factors Intervention Matrix will provide …