A Framework for Managing Cognitive Load in Electronic Medical Record Systems Training

Sarang Hashemi, Frada Burstein · Monash University Research Portal (Monash University) · 2019

Problems associated with Health Information Technology (HIT) involves human and technical factors. Problems involving human factors, however, are found to be ‘significantly more likely’ to harm patients. A human factor contributing to these problems is cognitive load. While the literature provides a wealth of insight on cognitive load in the area of design and use of HIT, little is discussed about cognitive load in the area of training of these technologies as a prerequisite for competent use. This study explores cognitive load in training of a prevalent form of HIT in intensive care – namely, Electronic Medical Record (EMR) systems. In doing so, the study uses cognitive load theory as a lens to explain cognitive load and its effect on learning and offers a framework for the design of the instructional materials of EMR systems to impose less cognitive load to those who are being trained to use these systems.

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