Heuristic evaluation, when modified for medical devices, is a useful, efficient, and low cost method for evaluating patient safety features of medical devices through the identification of usability problems and their severities.

We performed two experiments comparing the effects of speech production and speech comprehension on simulated driving performance. In both experiments, participants completed a speech task and a simulated driving task under single-and dual-task conditions, with language materials matched for linguistic complexity. In Experiment 1, concurrent production and comprehension resulted in more variable velocity compared to driving alone. Experiment 2 replicated these effects in a more difficult simulated driving environment, with participants showing larger and more variable headway times when speaking or listening while driving than when just driving. In both experiments, concurrent production yielded better control of lane position relative to single-task performance; concurrent comprehension had little impact on control of lane position. On all other measures, production and comprehension had very similar effects on driving. The results show, in line with previous work, that there are detrimental consequences for driving of concurrent language use. Our findings imply that these detrimental consequences may be roughly the same whether drivers are producing speech or comprehending it.

It is well known that conversation (e.g., on a cell phone) impairs driving. We demonstrate that the reverse is also true: Language production and comprehension, and the encoding of the products of comprehension into memory, are less accurate when one is driving. Ninety-six pairs of drivers and conversation partners engaged in a story-retelling task in a driving simulator. Half of the pairs were older adults. Each pair completed one dual-task block (driving during the retelling task) and two single-task control blocks. The results showed a decline in the accuracy of the drivers' storytelling and of their memory for stories that were told to them by their nondriving partners. Speech production suffered an additional cost when the difficulty of driving increased. Measures of driving performance suggested that the drivers gave priority to the driving task when they were conversing. As a result, their linguistic performance suffered.

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