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These activities can be usefully contrasted with the previous discussion by highlighting that the purpose is to serve as cognitive and social (teamwork) aids to a working design team, in the form of cognitive artefacts that help externalise cognition, facilitate communication and serve as a repository for previously made design decisions or commitments.
Cross-checking and cognitive artefacts were observed to support handover.
Collaborative cross-checking of information with the support of cognitive artefacts was also seen to enhance these aspects of handover and communication.
When patients were aware of handover, they observed that cross-checking and cognitive artefacts could be used to enhance the quality and safety of this process.
Differential levels of importance placed on cognitive artefacts, particularly patient-authored Birth Plans, which were either not acknowledged or used ineffectively in some cases, further undermined the positive effects of handover described by participants.
Although cognitive artefacts by design may be used to enhance the quality and safety of maternity handover through assisting memory and cognition, participants described incidents in their care where there were problems.
Similar(52)
A causal field is a cognitive artefact, a collection of objects assembled with the sole purpose of explaining why a particular effect came about.
The hand-held record was an additional identified cognitive artefact.
The most frequently reported cognitive artefact was the patient-authored Birth Plan (50%; n = 15).
The most frequently mentioned cognitive artefact was patient authored birth plans (50%, n = 15), followed by medical records including patient charts (27%, n = 8).
Novel in this study is the identification by participants of the patient-authored Birth Plan as a cognitive artefact that plays an important role in maternity handover and was discussed by half the sample.
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CEO of Professional Science Editing for Scientists @ prosciediting.com