The extent of workaround strategies varied by care setting and facility. BCMA should be tailored to the long-term care setting, including increasing the efficiency of use. Hospitals implementing bar coding should facilitate the intended use through equipment procurement, implementation, and quality improvement strategies.

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Here we describe the design and evaluation of the THATO (TeleHaptic Assistance for Tactical Operations) mobile tactile messaging system, developed to aid dismounted soldier communications, situation awareness, and navigation during tactical operations. The THATO Android application stores tactile messages that are played through its interface to Tactile Control Units (TCUs) when programming logic determines a command has been received from another soldier or the soldier's location relative to a planned route or landmark/entity of interest triggers a particular message. The evaluation of the system has included multiple human-technology performance evaluations with increasing incorporation of system technologies and task fidelity as the technology has evolved.

The Tactile Language Design Methodology takes a systematic approach to the design of tactile communication. The methodology leverages the systems engineering lifecycle, research on human perception and the cognition of touch, and practical considerations for fielding a usable tactile communication system. Application of the methodology to the development of squad level tactile communications is presented to illustrate the use of the methodology.