Frank A. Drews

Cell Phone-Induced Failures of Visual Attention During Simulated Driving

This research examined the effects of hands-free cell phone conversations on simulated driving. The authors found that these conversations impaired drivers reactions to vehicles braking in front of them. The authors assessed whether this impairment could be attributed to a withdrawal of attention from the visual scene, yielding a form of inattention blindness. Cell phone conversations impaired explicit recognition memory for roadside billboards. Eye-tracking data indicated that this was due to reduced attention to foveal information. This interpretation was bolstered by data showing that cell phone conversations impaired implicit perceptual memory for items presented at fixation. The data suggest that the impairment of driving performance produced by cell phone conversations is mediated, at least in part, by reduced attention to visual inputs.

A Comparison of the Cell Phone Driver and the Drunk Driver

Objective: The objective of this research was to determine the relative impairment associated with conversing on a cellular telephone while driving. Background: Epidemiological evidence suggests that the relative risk of being in a traffic accident while using a cell phone is similar to the hazard associated with driving with a blood alcohol level at the legal limit. The purpose of this research was to provide a direct comparison of the driving performance of a cell phone driver and a drunk driver in a controlled laboratory setting. Method: We used a high-fidelity driving simulator to compare the performance of cell phone drivers with drivers who were intoxicated from ethanol (i.e., blood alcohol concentration at 0.08% weight/volume). Results: When drivers were conversing on either a handheld or hands-free cell phone, their braking reactions were delayed and they were involved in more traffic accidents than when they were not conversing on a cell phone. By contrast, when drivers were intoxicated from ethanol they exhibited a more aggressive driving style, following closer to the vehicle immediately in front of them and applying more force while braking. Conclusion: When driving conditions and time on task were controlled for, the impairments associated with using a cell phone while driving can be as profound as those associated with driving while drunk. Application: This research may help to provide guidance for regulation addressing driver distraction caused by cell phone conversations.

Profiles in Driver Distraction: Effects of Cell Phone Conversations on Younger and Older Drivers

Our research examined the effects of hands-free cell phone conversations on simulated driving. We found that driving performance of both younger and older adults was influenced by cell phone conversations. Compared with single-task (i.e., driving-only) conditions, when drivers used cell phones their reactions were 18% slower, their following distance was 12% greater, and they took 17% longer to recover the speed that was lost following braking. There was also a twofold increase in the number of rear-end collisions when drivers were conversing on a cell phone. These cell-phone-induced effects were equivalent for younger and older adults, suggesting that older adults do not suffer a significantly greater penalty for talking on a cell phone while driving than compared with their younger counterparts. Interestingly, the net effect of having younger drivers converse on a cell phone was to make their average reactions equivalent to those of older drivers who were not using a cell phone. Actual or potential applications of this research include providing guidance for recommendations and regulations concerning the use of mobile technology while driving.

Text Messaging During Simulated Driving

Objective: This research aims to identify the impact of text messaging on simulated driving performance. Background: In the past decade, a number of on-road, epidemiological, and simulator-based studies reported the negative impact of talking on a cell phone on driving behavior. However, the impact of text messaging on simulated driving performance is still not fully understood. Method: Forty participants engaged in both a single task (driving) and a dual task (driving and text messaging) in a high-fidelity driving simulator. Results: Analysis of driving performance revealed that participants in the dual-task condition responded more slowly to the onset of braking lights and showed impairments in forward and lateral control compared with a driving-only condition. Moreover, text-messaging drivers were involved in more crashes than drivers not engaged in text messaging. Conclusion: Text messaging while driving has a negative impact on simulated driving performance. This negative impact appears to exceed the impact of conversing on a cell phone while driving. Application: The results increase our understanding of driver distraction and have potential implications for public safety and device development.

Cell-Phone–Induced Driver Distraction

Our research examined the effects of hands-free cell-phone conversations on simulated driving. We found that even when participants looked directly at objects in the driving environment, they were less likely to create a durable memory of those objects if they were conversing on a cell phone. This pattern was obtained for objects of both high and low relevance, suggesting that very little semantic analysis of the objects occurs outside the restricted focus of attention. Moreover, in-vehicle conversations do not interfere with driving as much as cell-phone conversations do, because drivers are better able to synchronize the processing demands of driving with in-vehicle conversations than with cell-phone conversations. Together, these data support an inattention-blindness interpretation wherein the disruptive effects of cell-phone conversations on driving are due in large part to the diversion of attention from driving to the phone conversation.

Passenger and Cell Phone Conversations in Simulated Driving

This study examines how conversing with passengers in a vehicle differs from conversing on a cell phone while driving. We compared how well drivers were able to deal with the demands of driving when conversing on a cell phone, conversing with a passenger, and when driving without any distraction. In the conversation conditions, participants were instructed to converse with a friend about past experiences in which their life was threatened. The results show that the number of driving errors was highest in the cell phone condition; in passenger conversations more references were made to traffic, and the production rate of the driver and the complexity of speech of both interlocutors dropped in response to an increase in the demand of the traffic. The results indicate that passenger conversations differ from cell phone conversations because the surrounding traffic not only becomes a topic of the conversation, helping driver and passenger to share situation awareness, but the driving condition also has a direct influence on the complexity of the conversation, thereby mitigating the potential negative effects of a conversation on driving.

A Cognitive Task Analysis of Information Management Strategies in a Computerized Provider Order Entry Environment

OBJECTIVE Computerized Provider Order Entry (CPOE) with electronic documentation, and computerized decision support dramatically changes the information environment of the practicing clinician. Prior work patterns based on paper, verbal exchange, and manual methods are replaced with automated, computerized, and potentially less flexible systems. The objective of this study is to explore the information management strategies that clinicians use in the process of adapting to a CPOE system using cognitive task analysis techniques. DESIGN Observation and semi-structured interviews were conducted with 88 primary-care clinicians at 10 Veterans Administration Medical Centers. MEASUREMENTS Interviews were taped, transcribed, and extensively analyzed to identify key information management goals, strategies, and tasks. Tasks were aggregated into groups, common components across tasks were clarified, and underlying goals and strategies identified. RESULTS Nearly half of the identified tasks were not fully supported by the available technology. Six core components of tasks were identified. Four meta-cognitive information management goals emerged: 1) Relevance Screening; 2) Ensuring Accuracy; 3) Minimizing memory load; and 4) Negotiating Responsibility. Strategies used to support these goals are presented. CONCLUSION Users develop a wide array of information management strategies that allow them to successfully adapt to new technology. Supporting the ability of users to develop adaptive strategies to support meta-cognitive goals is a key component of a successful system.

Cognitive Distraction While Multitasking in the Automobile

Abstract Driver distraction is a significant source of motor-vehicle accidents. This chapter begins by presenting a framework for conceptualizing the different sources of driver distraction associated with multitasking. Thereafter, the primary focus is on cognitive sources of distraction stemming from the use of a cell phone while driving. We present converging evidence establishing that concurrent cell phone use significantly increases the risk of a motor-vehicle accident. Next, we show that using a cell phone induces a form of inattention blindness, where drivers fail to notice information directly in their line of sight. Whereas cell-phone use increases the crash risk, we show that passenger conversations do not. We also show that real-world cell-phone interference cannot be practiced away and conclude by considering individual differences in multitasking ability. Although the vast majority of individuals cannot perform this dual-task combination without impairment, a small group of “supertaskers” can, and we discuss the neural regions that support this ability.

Development and Evaluation of a Graphical Anesthesia Drug Display

Background Usable real-time displays of intravenous anesthetic concentrations and effects could significantly enhance intraoperative clinical decision-making. Pharmacokinetic models are available to estimate past, present, and future drug effect-site concentrations, and pharmacodynamic models are available to predict the drugs associated physiologic effects. Methods An interdisciplinary research team (bioengineering, architecture, anesthesiology, computer engineering, and cognitive psychology) developed a graphic display that presents the real-time effect-site concentrations, normalized to the drugs’ EC95, of intravenous drugs. Graphical metaphors were created to show the drugs’ pharmacodynamics. To evaluate the effect of the display on the management of total intravenous anesthesia, 15 anesthesiologists participated in a computer-based simulation study. The participants cared for patients during two experimental conditions: with and without the drug display. Results With the drug display, clinicians administered more bolus doses of remifentanil during anesthesia maintenance. There was a significantly lower variation in the predicted effect-site concentrations for remifentanil and propofol, and effect-site concentrations were maintained closer to the drugs’ EC95. There was no significant difference in the simulated patient heart rate and blood pressure with respect to experimental condition. The perceived performance for the participants was increased with the drug display, whereas mental demand, effort, and frustration level were reduced. In a postsimulation questionnaire, participants rated the display to be a useful addition to anesthesia monitoring. Conclusions The drug display altered simulated clinical practice. These results, which will inform the next iteration of designs and evaluations, suggest promise for this approach to drug data visualization.

Effects of Integrated Graphical Displays on Situation Awareness in Anaesthesiology

Abstract: Anaesthetic information displays have been shown to influence anaesthesiologists’ situation awareness. In study 1 an object display was compared with the traditional display currently used. Twelve anaesthesiologists (residents and faculty members) participated in a simulator evaluation of the displays. Reaction times for detection of critical events and situation awareness were measured. The object display improved situation awareness for one of four test scenarios. Low-level situation awareness was higher with the traditional display, and medium-level situation awareness was higher with the new display. In study 2, an integrated 3D display was compared to the traditional display. Twelve students participated in the evaluation. The new 3D display helped the observers to see changes more rapidly. In one scenario, situation awareness was higher with the new display than with the traditional display. In summary, during 63% of the simulated scenarios, reliable differences were found in favour of the new displays. Thus, by introducing integrated graphical displays in the operating room, anaesthesiologists’ performance may be improved.