Abstract
Displays are an essential part of user interactions with medical devices. They present users with information to help make healthcare decisions quickly, safely, and effectively. Displays can be designed to accommodate any sensory modality (e.g., vision, hearing, tactile). This chapter examines visual and auditory displays in detail. It also provides introductory information and resources about tactile displays. The chapter begins with an overview of visual display technologies, then discusses use-related factors with each category. Afterward, the chapter explores auditory displays and alarms, as well as design tips to create discoverable, meaningful, and potentially urgent sounds in an auditory display. The chapter concludes with alarm-specific design recommendations and considerations.
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References
Akeroyd, M. A. (2014). An overview of the major phenomena of the localization of sound sources by normal-hearing, hearing-impaired, and aided listeners. Trends in Hearing, 18, 233121651456044.
Alain, C., Du, Y., Bernstein, L. J., Barten, T., & Banai, K. (2018). Listening under difficult conditions: An activation likelihood estimation meta-analysis. Human Brain Mapping, 39(7), 2695–2709.
Alami, A. (2017). To what extent does the medicalisation of the English language complicate the teaching of medical ESP to Japanese medical students learning English as a foreign language. International Journal of Learning Teaching and Educational Research, 16, 102–110.
ANSI/HFES100. (2007). National standards for human factors engineering of computer workstations. HFES (p. 67).
Association for the Advancement of Medical Instrumentation. (2009). ANSI/AAMI HE75–2009: Human factors engineering—Design of medical devices. Arlington, VA: Association for the Advancement of Medical Instrumentation.
Association for the Advancement of Medical Instrumentation. (2011). A siren call to action: Priority issues from the medical device alarms summit. Arlington, VA: Association for the Advancement of Medical Instrumentation.
Baber, C., Stanton, N. A., & Stockley, A. (1992). Can speech be used for alarm displays in ‘process control type tasks? Behaviour & Information Technology, 11(4), 216–226.
Bellettiere, J., Hughes, S. C., Liles, S., Boman-Davis, M., Klepeis, N., Blumberg, E., et al. (2014). Developing and selecting auditory warnings for a real-time behavioral intervention. American Journal of Public Health Research, 2(6), 232.
Blattner, M. M., Sumikawa, D. A., & Greenberg, R. M. (1989). Earcons and icons: Their structure and common design principles. Human–Computer Interaction, 4(1), 11–44.
Blauert, J. (1997). Spatial hearing: The psychophysics of human sound localization. Cambridge: MIT Press.
Carey, C. W. (2014). American scientists. New York: Infobase Publishing.
Chang, H. T., Tsai, T. H., Chang, Y. C., & Chang, Y. M. (2014). Touch panel usability of elderly and children. Computers in Human Behavior, 37, 258–269.
Chen, J., Cranton, W., & Fihn, M. (Eds.). (2016). Handbook of visual display technology. Berlin, Germany: Springer.
Chiou, E. K., Schroeder, N. L., & Craig, S. D. (2020). How we trust, perceive, and learn from virtual humans: The influence of voice quality. Computers & Education, 146, 103756.
Chouvardas, V. G., Miliou, A. N., & Hatalis, M. K. (2008). Tactile displays: Overview and recent advances. Displays, 29(3), 185–194.
Clinton, V. (2019). Reading from paper compared to screens: A systematic review and meta-analysis. Journal of Research in Reading, 42(2), 288–325.
Crabtree, M., Mirenda, P., & Beukelman, D. (1990). Age and gender preferences for synthetic and natural speech. Augmentative and Alternative Communication, 6(4), 256–261.
Craig, S. D., & Schroeder, N. L. (2017). Reconsidering the voice effect when learning from a virtual human. Computers & Education, 114, 193–205.
Cvach, M. (2012). Monitor alarm fatigue: An integrative review. Biomedical Instrumentation & Technology, 46, 268–277.
Deatherage, B. H. (1972). Auditory and other sensory forms of information processing. In H. P. Van Cott & R. G. Kincade (Eds.), Human engineering guide to equipment design (pp. 123–160). Washington, DC: American Institutes for Research.
Dingfelder, S. (2008). Too discordant for the masses? Monitor on Psychology, 4, 28.
Durlach, N. I., Thompson, C. L., & Colburn, H. S. (1981). Binaural interaction in impaired listeners: A review of past research. Audiology, 20(3), 181–211.
Eckert, M., Volmerg, J. S., & Friedrich, C. M. (2019). Augmented reality in medicine: Systematic and bibliographic review. JMIR mHealth and uHealth, 7(4), e10967.
Gerrig, R. J., Zimbardo, P. G., Campbell, A. J., Cumming, S. R., & Wilkes, F. J. (2015). Psychology and life. London: Pearson Higher Education AU.
Green, D. M., & Luce, R. D. (1971). Detection of auditory signals presented at random times: III. Perception & Psychophysics, 9(3), 257–268.
Grissinger, M. (2016). Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. Pharmacy and Therapeutics, 41(6), 344.
Hart, J. A., Lenway, S. A., & Murtha, T. (1999). A history of electroluminescent displays (pp. 1–18). Bloomington: Indiana University.
Hellier, E., & Edworthy, J. (1999). On using psychophysical techniques to achieve urgency mapping in auditory warnings. Applied Ergonomics, 30(2), 167–171.
Himmelstein, A., & Scheiner, M. (1952). The Cardiotachoscope. Anesthesiology, 13(1), 62–64.
Holzinger, A., Baernthaler, M., Pammer, W., Katz, H., Bjelic-Radisic, V., & Ziefle, M. (2011). Investigating paper vs. screen in real-life hospital workflows: Performance contradicts perceived superiority of paper in the user experience. International Journal of Human-Computer Studies, 69(9), 563–570.
Hui, C. J., Jain, S., & Watson, C. I. (2019). Effects of sentence structure and word complexity on intelligibility in machine-to-human communications. Computer Speech & Language, 58, 203–215.
Jacobs, G. (1988). The effect of pausing on listening comprehension. ERIC.
Ji, C., Galvin, J. J., III, Xu, A., & Fu, Q. J. (2013). Effect of speaking rate on recognition of synthetic and natural speech by normal-hearing and cochlear implant listeners. Ear and Hearing, 34(3), 313.
Joint Commission. (2016). R3 report: Alarm system safety.
Ketko, A. K., Martin, C. M., Nemshak, M. A., Niedner, M., & Vartanian, R. J. (2015). Balancing the tension between hyperoxia prevention and alarm fatigue in the NICU. Pediatrics, 136(2), e496–e504.
Koomey, J., & Holdren, J. P. (2008). Turning numbers into knowledge: Mastering the art of problem solving. El Dorado Hills, CA: Analytics Press.
Lai, J., Wood, D., & Considine, M. (2000). The effect of task conditions on the comprehensibility of synthetic speech. In Proceedings of the SIGCHI conference on human factors in computing systems (pp. 321–328).
Li, S. Y., Tang, T. L., Hickling, A., Yau, S., Brecknell, B., & Sanderson, P. M. (2017). Spearcons for patient monitoring: Laboratory investigation comparing earcons and spearcons. Human Factors, 59(5), 765–781.
Liu, P., Zafar, F., & Badano, A. (2014). The effect of ambient illumination on handheld display image quality. Journal of Digital Imaging, 27(1), 12–18.
Ma, T. Y., Lin, C. Y., Hsu, S. W., Hu, C. W., & Hou, T. W. (2012, May). Automatic brightness control of the handheld device display with low illumination. In 2012 IEEE International Conference on Computer Science and Automation Engineering (CSAE) (Vol. 2, pp. 382–385). Washington, DC: IEEE.
Mattys, S. L., Davis, M. H., Bradlow, A. R., & Scott, S. K. (2012). Speech recognition in adverse conditions: A review. Language and Cognitive Processes, 27(7–8), 953–978.
Meredith, C., & Edworthy, J. (1995). Are there too many alarms in the intensive care unit? An overview of the problems. Journal of Advanced Nursing, 21(1), 15–20.
National Research Council. (1997). Tactical display for soldiers: Human factors considerations. Washington, DC: National Academies Press.
Nicolau, S., Soler, L., Mutter, D., & Marescaux, J. (2011). Augmented reality in laparoscopic surgical oncology. Surgical Oncology, 20(3), 189–201.
Orphanides, A. K., & Nam, C. S. (2017). Touchscreen interfaces in context: A systematic review of research into touchscreens across settings, populations, and implementations. Applied Ergonomics, 61, 116–143.
Owren, M. J., & Cardillo, G. C. (2006). The relative roles of vowels and consonants in discriminating talker identity versus word meaning. The Journal of the Acoustical Society of America, 119(3), 1727–1739.
Paine, C. W., Goel, V. V., Ely, E., Stave, C. D., Stemler, S., Zander, M., et al. (2016). Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency. Journal of Hospital Medicine, 11(2), 136–144.
Patterson, R. D. (1989). Guidelines for the design of auditory warning sounds. Proceedings of the Institute of Acoustics, 11(5), 17–25.
Patterson, R. D. (1990). Auditory warning sounds in the work environment. Philosophical Transactions of the Royal Society of London. B, Biological Sciences, 327(1241), 485–492.
Phatak, R. (n.d.). Dependence of dark spot growth on cathode/organic interfacial adhesion in Organic Light Emitting Devices (PDF). UWSpace (p. 21). Waterloo: University of Waterloo.
Plomp, R., & Levelt, W. J. M. (1965). Tonal consonance and critical bandwidth. The Journal of the Acoustical Society of America, 38(4), 548–560.
Privopoulos, E. P., Howard, C. Q., & Maddern, A. J. (2011). Acoustic characteristics for effective ambulance sirens. Acoustics Australia, 39(2), 43.
Qutub, H. O., & El-Said, K. F. (2009). Assessment of ambient noise levels in the intensive care unit of a university hospital. Journal of Family & Community Medicine, 16(2), 53.
Robinson, G. S., & Casali, J. G. (2000). Speech communications and signal detection in noise. The Noise Manual, 5, 567–600.
Rogers, M. L., Heath, W. B., Uy, C. C., Suresh, S., & Kaber, D. B. (2012). Effect of visual displays and locations on laparoscopic surgical training tasks. Applied Ergonomics, 43(4), 762–767.
Ruppel, H., De Vaux, L., Cooper, D., Kunz, S., Duller, B., & Funk, M. (2018). Testing physiologic monitor alarm customization software to reduce alarm rates and improve nurses’ experience of alarms in a medical intensive care unit. PLoS One, 13(10), e0205901.
Sanders, M. S., & McCormick, E. J. (1993). Human factors in engineering and design (6th ed.). New York: McGraw-Hill.
Sanderson, P. (2006). Auditory displays in healthcare. User Experience Magazine, 5(3) Retrieved from https://uxpamagazine.org/auditory_displays_healthcare/.
Sanderson, P. M., Brecknell, B., Leong, S., Klueber, S., Wolf, E., Hickling, A., et al. (2019). Monitoring vital signs with time-compressed speech. Journal of Experimental Psychology: Applied, 25, 647.
Sanderson, P. M., Wee, A., & Lacherez, P. (2006). Learnability and discriminability of melodic medical equipment alarms. Anaesthesia, 61(2), 142–147.
Schmid, F., Goepfert, M. S., Kuhnt, D., Eichhorn, V., Diedrichs, S., Reichenspurner, H., et al. (2011). The wolf is crying in the operating room: Patient monitor and anesthesia workstation alarming patterns during cardiac surgery. Anesthesia & Analgesia, 112(1), 78–83.
Schneider, B. A., Daneman, M., & Murphy, D. R. (2005). Speech comprehension difficulties in older adults: Cognitive slowing or age-related changes in hearing? Psychology and Aging, 20(2), 261.
Sielhorst, T., Feuerstein, M., & Navab, N. (2008). Advanced medical displays: A literature review of augmented reality. Journal of Display Technology, 4(4), 451–467.
Stanton, N. A., & Edworthy, J. (1999). Auditory warning affordances. In N. Stanton & J. Edworthy (Eds.), Human factors in auditory warnings (pp. 113–127). Surrey, UK: Ashgate.
Suied, C., Susini, P., & McAdams, S. (2008). Evaluating warning sound urgency with reaction times. Journal of Experimental Psychology: Applied, 14(3), 201.
Tang, S. L., Kwoh, C. K., Teo, M. Y., Sing, N. W., & Ling, K. V. (1998). Augmented reality systems for medical applications. IEEE Engineering in Medicine and Biology Magazine, 17(3), 49–58.
van Det, M. J., Meijerink, W. J. H. J., Hoff, C., Totté, E. R., & Pierie, J. P. E. N. (2009). Optimal ergonomics for laparoscopic surgery in minimally invasive surgery suites: A review and guidelines. Surgical Endoscopy, 23(6), 1279–1285.
van Veelen, M. A., Jakimowicz, J. J., Goossens, R. H. M., Meijer, D. W., & Bussmann, J. B. J. (2002). Evaluation of the usability of two types of image display systems, during laparoscopy. Surgical Endoscopy, 16(4), 674e678.
van Veelen, M. A., Kazemier, G., Koopman, J., Goossens, R. H. M., & Meijer, D. W. (2002). Assessment of the ergonomically optimal operating surface height for laparoscopic surgery. Journal of Laparoendoscopic & Advanced Surgical Techniques, 12(1), 47–52.
Walker, B. N., Nance, A., & Lindsay, J. (2006). Spearcons: Speech-based earcons improve navigation performance in auditory menus. Georgia Institute of Technology. Atlanta.
Wester, M., Watts, O., & Henter, G. E. (2016). Evaluating comprehension of natural and synthetic conversational speech. In Proc. speech prosody (Vol. 8, pp. 736–740).
Wiklund, M. E., & Smith, E. A. (2001). Answering the call for harmonization of medical device alarms. Medical Device and Diagnostic Industry, 23(10), 118–125.
Winters, B. D., Cvach, M. M., Bonafide, C. P., Hu, X., Konkani, A., O’Connor, M. F., et al. (2018). Technological distractions (part 2): A summary of approaches to manage clinical alarms with intent to reduce alarm fatigue. Critical Care Medicine, 46(1), 130–137.
Withington, D. J., & Chapman, A. C. (1996). Where’s that siren? Science and Public Affairs, 2, 59–61.
Yost, W. A. (2016). Sound source localization identification accuracy: Level and duration dependencies. The Journal of the Acoustical Society of America, 140(1), EL14–EL19.
Yost, W. A., & Zhong, X. (2014). Sound source localization identification accuracy: Bandwidth dependencies. The Journal of the Acoustical Society of America, 136(5), 2737–2746.
Ziefle, M. (1998). Effects of display resolution on visual performance. Human Factors, 40(4), 554–568.
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ANSI/HFES100. (2007). National standards for human factors engineering of computer workstations. HFES (pp. 1–98).
-
Chen, J., Cranton, W., & Fihn, M. (Eds.). (2016). Handbook of visual display technology. Berlin, Germany: Springer.
-
Eckert, M., Volmerg, J. S., & Friedrich, C. M. (2019). Augmented reality in medicine: Systematic and bibliographic review. JMIR mHealth and uHealth, 7(4), e10967.
-
Nicolau, S., Soler, L., Mutter, D., & Marescaux, J. (2011). Augmented reality in laparoscopic surgical oncology. Surgical Oncology, 20(3), 189–201.
-
Sielhorst, T., Feuerstein, M., & Navab, N. (2008). Advanced medical displays: A literature review of augmented reality. Journal of Display Technology, 4(4), 451–467.
-
Tang, S. L., Kwoh, C. K., Teo, M. Y., Sing, N. W., & Ling, K. V. (1998). Augmented reality systems for medical applications. IEEE Engineering in Medicine and Biology Magazine, 17(3), 49–58.
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Branaghan, R.J., O’Brian, J.S., Hildebrand, E.A., Foster, L.B. (2021). Displays. In: Humanizing Healthcare – Human Factors for Medical Device Design. Springer, Cham. https://doi.org/10.1007/978-3-030-64433-8_11
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