Chapter 3 Being Bumpable: Consequences of Resource Saturation and Near-Saturation for Cognitive Demands on ICU Practitioners. Joint Cognitive Systems: Patterns in Cognitive Systems Engineering. Richard Cook, David D Woods. researchgate ![]()
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A case of synthesis of cognitive system functions—Richard Cook's (1998) Being "Bumpable" study of Intensive Care Units—illustrates the techniques and difficulties as one sets out to discover how real JCSs function. This is a case that unlocked aspects of the nature of practice. The starting point is to model the significance of insiders' use of a highly coded term of practice. Cook uses this term and a critical incident—a breakdown in the normal adaptive processes—as wedges to break through the fluency of actual operations, uncovering the demands on work and revealing how the system has adapted to cope with these complexities. Understanding what it means to be "bumpable" and what the role of the bedmeister is, allows Cook to reveal the adaptive power of the intensive care unit as a JCS.