Inattentional blindness and pattern-matching failure: The case of failure to recognize clinical cues

Journal article


Al-Moteri, Modi Owied, Symmons, Mark, Cooper, Simon and Plummer, Virginia 2018. Inattentional blindness and pattern-matching failure: The case of failure to recognize clinical cues. Applied Ergonomics. 73, pp. 174 - 182. https://doi.org/10.1016/j.apergo.2018.07.001
AuthorsAl-Moteri, Modi Owied, Symmons, Mark, Cooper, Simon and Plummer, Virginia
Abstract

Eye-tracking methodology was used to investigate lapses in the appropriate treatment of ward patients due to not noticing critical cues of deterioration. Forty nursing participants with different levels of experience participated in an interactive screen-based simulation of hypovolemic shock. The results show that 65% of the participants exhibited at least one episode of non-fixation on clinically relevant, fully visible cues that were in plain sight. Thirty-five percent of participants dwelt for sufficient time (> 200 ms) on important cues for perception to take place, but no action followed, indicating they had pattern-matching failure. When participants fail to notice what, they should notice in patient status until it is too late, this can have serious consequences. Much work needs to be done, since these human perceptual limitations can affect patient safety in general wards.

KeywordsAttention; Notice; Nursing; Patient safety; Inattentional blindness; Eye tracking; Pattern matching
Year2018
JournalApplied Ergonomics
Journal citation73, pp. 174 - 182
PublisherElsevier
ISSN0003-6870
Digital Object Identifier (DOI)https://doi.org/10.1016/j.apergo.2018.07.001
Scopus EID2-s2.0-85051387676
Page range174 - 182
Research GroupMary MacKillop Institute for Health Research
Place of publicationUnited Kingdom
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